Spinal Cord Injury Waiver (SCI)
A waiver is an extra set of benefits that you could qualify for in certain cases. These benefits can help you remain in your home and community. Waivers have extra program rules and some programs may have waitlists.
This waiver is a three year pilot program that ends on June 30, 2015 and is limited to 67 participants per year. In the third year of the program, there will be an independent evaluation to measure the health outcomes, quality of life, and cost expenditures for waiver participants. Based on the evaluations, the legislature will determine whether to continue the program or expand it.
Legislation was passed on June 5, 2015 that authorized the Department to see Federal approval to renew the SCI waiver for an additional 5 years. Federal approval is currently pending.
The Home and Community-Based Services waiver for Spinal Cord Injury helps individuals with spinal cord injuries to remain in a community setting.
To qualify for the SCI waiver, you must be:
- 18 years or older
- Have a diagnosis of a spinal cord injury
- Have been determined to have a significant functional impairment
- Have been determined to be financially eligible
- Reside in the Denver metro area:
Benefits and Services
Frequently Asked Questions
1. What if I am currently on the Home and Community-Based Services Elderly Blind and Disabled waiver? Can I transfer over to the SCI waiver?
Yes. Please contact your case manager to let them know you are interested in the SCI waiver. If you meet the eligibility requirements for the SCI waiver, your case manager will go over the specific transfer requirements for their case management agency.
2. What does the transfer process look like?
After you have contacted your case manager and expressed an interest in enrolling on the SCI waiver, your case manager will mail you a Voluntary Withdrawal Form. This form states that you are requesting to withdraw from the current Waiver you are enrolled in and want to be transferred to the SCI Waiver. Please sign and send the Voluntary Withdrawal Form back as soon as possible. Your case manager will also send your physician a Physician Medical Information Page (PMIP) form to verify your diagnosis of spinal cord injury.
3. Do I need to have another assessment done by my case manager?
After your case manager receives both the Voluntary Withdrawal Form and Physician Medical Information Page, they will contact you to confirm if there have been any changes in your needs since your last assessment. Your case manager will be able to confirm this over the phone if your last assessment was completed in the past six months. If you have not had an assessment in the last six months, your case manager will need to schedule a new face-to-face assessment to verify your needs.
4. When does enrollment start?
Enrollment for the SCI program started July 1, 2012.
5. Who is providing alternative therapy services?
Currently, there is one provider for alternative therapy services:
Spinal Cord Injury Recovery Project www.scirecoveryproject.org
866 East 78th Avenue
Denver, CO 80229
6. Do I get to choose my alternative therapy services location?
Upon enrolling in the waiver you will be provided with information on the one provider that we currently have. If the waiver is renewed, additional providers will become available which will increase client's choice of providers and service locations for alternative therapy services.
7. What happens when the SCI Pilot ends in June 2015?
Since the SCI waiver is a three year Pilot Program, there is no guarantee it will continue beyond June 30, 2015. Federal approval to renew the SCI waiver through 2020 is currently pending. If this program is not renewed in 2015, all clients who are on the SCI waiver will be transferred to the EBD waiver and will no longer be eligible to receive the alternative therapy service.
ICD-10 Transition for SCI Waiver Fact Sheet - October 2015
How to Apply
If you are already enrolled in Medicaid, contact your local Single Entry Point (SEP) to start the waiver application process.
If you are NOT yet enrolled in Medicaid, apply now.