Residential Child Care Facilities

What is a Residential Child Care Facility?

A Residential Child Care Facility is a 24-hour residential facility where children and youth live together with, or are supervised by, adults other than their parents or relatives. These children do not require inpatient psychiatric care, but sometimes require mental health services.  For more information, please visit the “Residential Programs for Youth” section of the Colorado Department of Human Services website. 

What services does Colorado Medicaid cover in a Residential Child Care Facility?

Colorado Medicaid covers individualized behavioral health services for children and youth who require a “Therapeutic Residential Child Care Facility” level of care. Services include psychological testing; individual, family, and group psychotherapy; and medication management. Colorado Medicaid does not cover the cost of room and board in these facilities.

Who is eligible?

Any Medicaid-eligible child or youth between the ages of 3-21 with a mental health diagnosis is eligible to receive mental health services in a Residential Child Care Facility.

How does a client access these services?

A Medicaid-eligible child or youth may be referred to a Residential Child Care Facility by private citizens (including family), social services, community mental health centers (CMHCs), or behavioral health organizations (BHOs). Referred clients will have access to behavioral health services once an assessment is done and the client is found to have a diagnosis that requires these services.

How can a facility provide care to Medicaid clients as a Residential Child Care Facility?

Residential Child Care Facilities must be licensed and monitored by the Colorado Department of Human Services (DHS), Division of Child Care.  For more information, please visit the “Licensing” section on the Colorado Department of Human Services website. Facilities must enroll as Medicaid providers to provide individualized behavioral health services to Medicaid clients in Residential Child Care Facilities.

Program Contacts

Department of Health Care Policy & Financing:
Jeremy Oat
303-866-2034

Department of Human Services:  
Kerry Swenson 
303-866-4550  

Media Contact

Marc Williams
303-866-3144