Northwest Colorado Options for Long Term Care Programs – Medicaid
All Medicaid programs through Northwest Colorado Options for Long Term Care (NWCOLTC) have a financial and functional eligibility component. An individual must be both financially and functionally eligible in order to receive services under any of these programs. The financial eligibility component is completed by the county eligibility staff in the county where the recipient resides. The functional eligibility is determined by NWCOLTC. Functional eligibility assessments address how an individual functions on a day-to-day basis. The individual must be determined to meet the criteria for institutional level of care.
Children’s Home and Community-Based Service Program
A waiver program for disabled children, birth through 17 years of age who are at risk of institutionalization in a hospital or nursing facility and would not otherwise be eligible for Medicaid due to parental income and/or resources.
Home Care Allowance Program
A special non-entitlement allowance for the purpose of helping individual purchase in-home services to assist that individual in remaining in his or her own home.
ome and Community Based Services for Persons with Brain Injury (HCBS-BI)
A waiver program that provides services in the home and/or community to individuals (16 to 64 years of age) meeting rehabilitation criteria and with cognitive deficits. An individual must be eligible for the program upon discharge from acute care (hospital), and who would require continued hospitalization without the intensive services of the HCBS-BI program.
Home and Community Based Services for the Elderly, Blind and Disabled (HCBS-EBD)
A waiver program that provides services in the home and/or community to individuals who are 18 years of age and older. An individual who is eligible for the program would require nursing facility care without the provision of HCBS-EBD services. Services a person could receive (depending on their needs and service availability) include: personal care, homemaker, adult day services, electronic monitoring, transportation, respite care, home modification, and alternative care facility.
Home and Community Based Services for persons with Mental Illness (HCBS-MI)
A waiver program for persons who are diagnosed with a major mental illness and who are at risk of institutionalization in a hospital or nursing facility.
Consumer Directed Attendant Support Program
A service under the HCBS-EBD and HCBS-MI waives program that enables eligible long term care consumers to manage their own attendant services. Consumers who are on this program hire, train, supervise and manage their own attendants. The individual can set their own attendant schedule and determine what services the attendants provide within an allocation based on client need.
Home and Community Based Services for Persons Living with AIDS (HCBS-PLWA)
A waiver program provided in a home or community setting to individual regardless of age who is HIV positive or has a diagnosis of AIDS. The eligible individual would require hospital or nursing home level of care without services offered under the program.
Nursing Facility Care
Assessment services available to persons living in the community or a nursing facility who are accessing Medicaid in a nursing facility. This program also includes assessments of all individual who are currently receiving Medicaid care in a nursing facility.