Medicaid Waiver Colorado

What is Colorado Medicaid?

Colorado currently has five waivers that are open to children. All are HCBS 1915(c) Medicaid waivers. Four of these programs waive parental income; we do not know the status of the other. For general information on Colorado’s waivers, see this overview. See also these charts comparing waivers.

In addition to waivers, Colorado has a Medicaid buy-in program for children with disabilities whose families earn less than 300% of the federal poverty line.

Types of Waivers

HCBS Waiver for Children with Life-Limiting Illness

• Description from medicaid.gov: Provides respite care, bereavement counseling, palliative/supportive care services, expressive therapy, massage therapy, therapeutic life limiting illness support: individual counseling, family counseling, group counseling for medically fragile individuals ages 0-18.
• Online State Information: CLLI Waiver Page
• Official Federal Information
• How to Apply: Apply for Medicaid and contact your Case Management Agency to apply for the waiver.

Children’s Home and Community Based Services (CHCBS) Waiver

• Description from medicaid.gov: Provides case management and in-home support services to individuals who are medically fragile ages 0-17 years who meet a hospital or nursing facility level of care.
• Online State Information: CHCBS Waiver Page
• Official Federal Information
• How to Apply: Apply for Medicaid and contact your Case Management Agency to apply for the waiver.

Children’s Habilitation Residential Program

• Description from medicaid.gov: Provides habilitation, respite, wraparound services, adaptive therapeutic equine activities, child and youth mentorship, community connector, massage therapy, movement therapy, and wellness education benefit services to individuals with developmental disabilities or with serious emotional disturbance ages 0-20 years who meet a hospital, nursing facility, or an ICF/IID level of care. This waiver operates with a concurrent 1915(b)(4) authority.
• Online State Information: CHRP Waiver Page
• Official Federal Information
• How to Apply: Apply for Medicaid and contact your Case Management Agency to apply for the waiver.

Children’s Extensive Support (CES) Waiver

• Description from medicaid.gov: Provides homemaker, respite, adaptive therapeutic equine activities, adapted therapeutic recreational equipment and fees, assistive technology, community connector, home accessibility adaptations, massage therapy, movement therapy, primary caregiver education, specialized medical equipment and supplies, vehicle modifications, wellness education benefit, and youth day services to individuals with developmental disabilities ages 0-17 years who meet an ICF/IID level of care. This waiver operates with a concurrent 1915(b)(4) authority.
• Online State Information:  CES Waiver Page
• Official Federal Information
• How to Apply: Apply for Medicaid and contact your Case Management Agency to apply for the waiver.

Persons with Brain Injury (HCBS-BI) Waiver

• Description from medicaid.gov: Provides adult day health, day treatment, personal care, respite, behavioral management and education, consumer directed attendant support services, home delivered meals, home modification, independent living skills training, mental health counseling, non-medical transportation, peer mentorship, personal emergency response systems, remote support, specialized medical equipment and supplies/assistive devices, substance abuse counseling, supported living program, transition setup, transitional living program, and wellness education benefit services to individuals with brain injury ages 16 or older who meet a hospital or nursing facility level of care. This waiver operates with a concurrent 1915(b)(4) authority.
• Online State Information: BI Waiver Page
• Official Federal Information
• How to Apply: Apply for Medicaid and contact your Case Management Agency to apply for the waiver.

Other online resources for Colorado:

• Family Voices Colorado
• The Arc of Colorado
• PEAK Parent Center
• Disability Law Colorado

Telephone Resources

• Community Center Boards by County — These agencies assist a person in accessing necessary services and supports to meet his or her needs. Services include intake, eligibility determination, service plan development, arrangement for services, delivery of services, service and support coordination.
• (303) 726-2065 — This is the Family Voices Colorado contact line. Their website is down currently but Family Voices provides advocacy services and support for families living with disabilities nationwide.
• Colorado Department of Health Care Policy & Financing — This page contains a bunch of contact numbers that will be able to answer any questions you may have.

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.