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Snapshots are informational only. You must apply to find out what programs or waivers you qualify for.If you are not looking to find coverage for an individual with physical or developmental disabilities, please choose another category. Click on the program names below to learn more.
The BI waiver is a program to provide a home or community-based alternative to hospital or specialized nursing facility care, for persons with a brain injury.
Co-pay costs vary. Learn more in the program information page
The Children With Autism Waiver (CWA) provides home or community-based alternatives for children with a medical diagnosis of autism who are most in need due to the severity of their disability.
Children ages 18 and younger do not pay co-pays.
The Waiver for Children with Life Limiting Illness provides a home or community-based alternative to children with a life limiting illness.
Children who are:
Ages 18 and younger Receiving hospital level of care Determined by case manager to be safely served in the community Receiving at least one CLLI waiver benefit per month while enrolled in the waiver Meet the medical criteria: Physician-certified diagnosis of a Life Limiting Illness Disability determination by the Social Security Administration Meet the financial criteria: Income is less than 300% the Supplemental Security Income allowance per month Countable resources less than $2,000
Counseling/Bereavement Services Expressive therapy Palliative/Supportive care Respite Care Services
Children 18 and younger do not pay co-pays.
The Children’s Extensive Support Waiver (CES) provides supports and services to children with developmental disabilities or delays who have a complex behavioral or medical condition and who require near constant line of sight supervision.
Co-payment Costs: There are no copays for Waiver Services.
This waiver provides habilitative services for children and youth in foster care who have a developmental disability and extraordinary needs.
In order to apply for this waiver you must:
Co-pay costs vary, learn more in the program information page
The Children’s Home and Community-Based Services Waiver (CHCBS) provides a home or community based alternative to children with significant medical needs who are at risk for acute hospital or skilled nursing facility placement.
Colorado Medicaid is a public health assistance program for Coloradans who qualify. Children, pregnant women, parents and caretakers, people with developmental, intellectual, and physical disabilities, and adults can all potentially qualify. Note: Medicaid and Child Health Plan Plus (CHP+) are both public health insurance programs for Coloradans who qualify. When you apply for Medicaid, you are applying for both Medicaid and CHP+. You do not need to turn in more than one application for you or your family.
You may be eligible if you meet one of these requirements:
Eligibility requirements can be complex. See the program information page for more information or visit PEAK to see if you qualify.
Co-payments vary depending on the service. If you are age 18 and younger, pregnant, or living in a nursing facility, you don’t have to pay co-pays. See the program information page for the list of co-pays per service.
The Family Support Loan Fund provides access to short-term low interest rate loans in order to obtain family support services, which help to maintain a dependent family member with a developmental disability in the home.
Only families who maintain a family member with a developmental disability in their home are eligible to apply for a Family Support Loan. Families enrolled in the Family Support Services Program are also eligible for the Loan Fund, but loans cannot be repaid using funds from the Family Support Services Program.
The Family Support Services Program (FSSP) provides support for families who have children with developmental disabilities or delays with costs that are beyond those normally experienced by other families.
The program is for families who have eligible children living at home or who are interested in having their child return from an out-of-home placement.
The Medicaid Buy-In Program for Children with Disabilities allows families who make too much to qualify for Medicaid and Child Health Plan Plus (CHP+) to “buy into” Medicaid coverage for their child with a disability by paying a monthly premium based on the family’s income.
If your child is enrolled in the Children’s Buy-In program, they will receive full Colorado Medicaid benefits. Benefits include:
Colorado Choice Transitions (CCT) is a program to help transition Medicaid clients out of nursing homes and long-term care facilities and into home and community-based settings. As a member of the CCT program you would also receive enhanced-services designed to promote independence.
In order to be enrolled in CCT you must:
The Colorado Indigent Care Program (CICP) provides discounted health care services to low income people and families. CICP is not a health insurance program. Services vary by providers.
Co-payments are based on your ability to pay. This is determined by the CICP facility.
The Community Mental Health Supports Waiver (CMHS) provides a home or community-based alternative to nursing facility care for people with major mental illness.
Medicaid members who reside in a nursing facility do not pay co-pays.
The Waiver for Persons with Developmental Disabilities provides people with developmental disabilities services and supports that allow them to continue living in the community.
There are no copays for Waiver Services.
Waiver For Persons Who Are Elderly, Blind, or Disabled (EBD) is a program to provide an alternative to nursing facility care for elderly, blind, or physically disabled persons. Effective April 1, 2014 - incorporated services formerly provided under the Persons Living with AIDS/HIV waiver (PLWA).
In order to be enrolled in EBD you must:
Full Benefit Medicare/Medicaid Enrollees, also sometimes called “Duals” or “Dual Eligibles” are people who have both Medicare and regular Colorado Medicaid coverage. If you are a Full Benefit Medicare/Medicaid Enrollee, you’re automatically a part of the State’s Demonstration to integrate and coordinate your physical, behavioral, and social health care needs.
If you are a Full Benefit Medicare/Medicaid Enrollee, you receive Medicare benefits plus full Medicaid benefits (except for prescriptions; Medicaid can only cover some prescriptions for you once you are eligible for Medicare Part D). Medicaid will pay its share after Medicare pays theirs. Go to Medicare’s website for more information on what benefits they offer. Medicaid benefits include:
The Health Insurance Buy-In Program (HIBI) is a premium assistance program for Medicaid clients who qualify. If you qualify, HIBI will send monthly payments to you for all or a portion of the cost of your commercial health insurance premiums, and in some cases also reimburses you for deductibles, coinsurance, and co-pays.
Medicaid co-payments vary depending on the service. If you are age 18 and younger, pregnant, or living in a nursing facility, you don’t have to pay co-pays. See the program information page for the list of co-pays per service.
The Medicaid Buy-In Program for Working Adults with Disabilities allows adults who earn too much income to qualify for Medicaid to “buy into” Medicaid coverage by paying a monthly premium based on their income.
Adults who are 16 through at least 65 years of age, employed, and have a qualifying disability Disability determination is based on:
If you are enrolled in the Working Adults Buy-In program, you will receive full Colorado Medicaid benefits. Benefits include:
Also, if you meet the criteria for the Elderly, Blind and Disabled Waiver or the Community Mental Health Supports Waiver, you can receive Home and Community-Based Services through this program.
Participant-directed services are home and community-based services that help people of all ages, across all types of disabilities, maintain their independence and determine for themselves what mix of personal assistance supports and services work best for them. Participant direction empowers each program participant to expand his or her degree of choice and control over decisions made about his or her long-term services and supports in a highly personalized manner.
Our Programs:
How do I know which program is right for me?
How can I participate with other stakeholders on policy issues related to Participant Directed Programs?
Medicare Savings Program - Qualified Medicare Beneficiary (QMB): pays for your Part A and B premiums, and your Medicare deductibles, coinsurance, and co-payments
In order to be enrolled in QMB you must meet these requirements:
Medicaid will pay for your Medicare co-payments. You are still responsible for small Medicaid co-payments, unless you are living in a nursing facility. Medicaid co-pay costs vary. Learn more in the program information page.
Medicare Savings Program - Qualifying Individual (QI-1) pays for your Part B premium
In order to be enrolled in QI-1 you must meet these requirements:
Medicare Savings Program - Qualified Disabled and Working Individual (QDWI) pays for your Part A premium
In order to be enrolled in QDWI you must:
Medicare Savings Program - Specified Low-Income Medicare Beneficiary (SLMB) pays for your Part B premiums
In order to be enrolled in SLMB you must meet these requirements:
Medicaid will pay for your Medicare Part B premiums only. You are still responsible for any deductibles, co-insurance and co-payments
The Waiver for Persons with Spinal Cord Injury (SCI) provides a home or community based alternative for people with a spinal cord injury.
The Supported Living Services Waiver (SLS) is a program to provide supported living in the home or community to persons with developmental disabilities.
In order to be enrolled in SLS you must:
