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Home & Community Based Services For Adults
Are you, or one you care about elderly, blind, disabled, mentally ill, brain injured, or living with Aids?
Do you require assistance at home?
Do you wish to make your own health care choices rather than have them decided for you?
Medicaid
Apply for Medicaid in person at Montrose County Health & Human Services, 1845 S Townsend,
Call: 970-252-5000
Apply online at Colorado.gov/benefits, screen for “eligibility”, and print.
Eligibility
:Waiver programs provide additional Medicaid benefits to specific populations who meet a nursing home level of care.
Clients must meet financial, medical, and program criteria to access services under a waiver. Additional Information
Resource Eligibility: (2013)
- The individual resource limit is $2,000.
- A couple’s resource limit is $4,000 if both members are applying for long-term care benefits.
- A couple’s resource limit is $3,000 if both members of a marital couple are applying for long-term care benefits and are living in separate rooms in a nursing facility.
- A couple’s resource limit is $115,920 (2013 limit) if only one member of the couple is applying for long-term care services or Medicaid
Home and Community Based Services (HCBS)
- Personal care or homemaking
- Adult day services (as available)
- Medicaid assisted living
- Community transition services
- Personal Emergency Response System-Lifeline
- Medication dispensing unit
- Home modifications
- Non-medical transportation
- Health maintenance activities
- Respite care for caregivers
- Professional case management
- Medicaid home health services
- Medicaid hospice services
Medicaid Waiver Programs:
Provide individuals with services in the community instead of a nursing facility.
The client must be willing to receive services in the home. Clients who receive services are eligible for all Medicaid covered services. Services must be provided by Medicaid providers or by a Medicaid contracting managed care organization. The cost of services cannot exceed the cost of placement in a nursing facility or hospital.
Client directs, selects and trains their own attendant care with the assistance of an IHSS approved agency. The IHSS agency provides 24 hour backup caregivers, and handles the scheduling, payroll, and taxes for your caregivers so you won’t have to.
You or your representative must be able to direct your care, hire / fire attendants, even friends and family, based on qualifications that you set. Train and supervise your attendants. Decide when and where you receive services. Set wages for your attendants within your monthly budget. Choose someone you trust to help you meet your needs.
A face-to-face assessment with a case manager will be performed at your residence to assess your functional level of care. He or she will discuss your ability to perform daily living activities, your physical and emotional health, and any services you are currently receiving or may need. Your case manager will send a request to your physician for your diagnosis and medications. Eligibility is based on the information you and your physician provide. Your case manager will verify your Medicaid approval.
Provide individuals with services in the community instead of a nursing facility.
Client choice is important to us!
The client must be willing to receive services in the home. Clients who receive services are eligible for all Medicaid covered services. Services must be provided by Medicaid providers or by a Medicaid contracting managed care organization. The cost of services cannot exceed the cost of placement in a nursing facility or hospital.
In Home Support Services (IHSS)
Client directs, selects and trains their own attendant care with the assistance of an IHSS approved agency. The IHSS agency provides 24 hour backup caregivers, and handles the scheduling, payroll, and taxes for your caregivers so you won’t have to.
Consumer Directed Attendant Support Services (CDASS)
You or your representative must be able to direct your care, hire / fire attendants, even friends and family, based on qualifications that you set. Train and supervise your attendants. Decide when and where you receive services. Set wages for your attendants within your monthly budget. Choose someone you trust to help you meet your needs.
Home & Community Based Services (HCBS)
PACE
What To Expect
:A face-to-face assessment with a case manager will be performed at your residence to assess your functional level of care. He or she will discuss your ability to perform daily living activities, your physical and emotional health, and any services you are currently receiving or may need. Your case manager will send a request to your physician for your diagnosis and medications. Eligibility is based on the information you and your physician provide. Your case manager will verify your Medicaid approval.
Approved:
When approved for Long Term Care Services you and your case manager will discuss a Plan of Care to provide you with services with a goal to keep you safe in your residence. Your case manager will continue to monitor your services and make suggestions to adjust to your plan of care as needed.
Functional:
Must be impaired in activities of daily living and are at-risk for a nursing home or hospital placement
Financial:
Apply and be approved for Medicaid under Colorado statutes
Cost Effectiveness:
Services must be delivered at a cost equal to or less than nursing home cost
Who can make a referral for the Waiver Programs?
Anyone may call our intake line and make a referral on your behalf, or you may call for yourself