Banner Art
Text  Increase Text SizeDecrease Text Size

In-Home Support Services

The Department has developed a method of service under the Home and Community Based (HCBS) - Elderly, Blind and Disabled (EBD) and Children's HCBS waivers that allow Medicaid clients who are eligible for In-Home Support Services (IHSS) to direct, select and train their own attendant care.


IHSS includes health maintenance activities, support for activities of daily living or instrumental activities of daily living, personal care service and homemaker services. Additionally, the core independent living skills will be provided. They are a) cross-disability peer counseling, b) information and referral services, c) independent living skills training, and d) individual and systems advocacy.


To be eligible for IHSS, an individual must be Medicaid eligible and eligible for HCBS-EBD or enrolled in the Children's HCBS Waiver. He or she must be willing to participate and have a health condition that limits his or her ability to perform activities of daily living.


IHSS agencies are a new Medicaid provider type. In order to qualify as an IHSS agency, an entity must offer independent living core services, provide 24-hour back-up services, and contract with or have on staff a health professional that will be responsible for oversight of training of attendants. Each IHSS agency must submit a provider enrollment application and participate in an on-site survey conducted by the Colorado Department of Public Health and Environment. Attendants selected by the clients will be employed by an IHSS agency of their choice.


Single entry point case managers will prior authorize services and refer eligible HCBS-EBD clients to IHSS agencies. Children who are enrolled in the HCBS Children's Waiver will receive authorizations and referrals through certified case management agencies.


Medicaid regulations concerning In-Home Support Services are available online


If you are interested in IHSS or want more information about this innovative service, please contact Candie Dalton.