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 individual function 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 (CHCBS)
A waiver program for children who are functionally impaired, birth through 17 years of age who are medically fragile and 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 (HCA)
A special non-entitlement allowance for the purpose of helping an individual purchase unskilled in-home services to assist that individual in remaining in his or her own home.
Home- 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) with a traumatic brain injury or other related brain injury diagnosis.
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 who are elderly, blind and/or physically disabled. An individual who is eligible for the program would require nursing facility care without the provision of HCBS-EBD services.
Community Mental Health Services Waiver (CMHS)
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.
Nursing Facility Care
Assessment services for persons living in the community or a nursing facility who are accessing Medicaid as a pay source for nursing facility care.
Waiver services (dependent on the type of waiver, individual needs and availability) can include:
Personal care, homemaker, adult day services, electronic monitoring, medication management, consumer directed attendant support services (CDASS), in home support services (IHSS) respite care, home modification, and alternative care facility.