Colorado Medicaid Waiver Programs

Colorado Medicaid offers a variety of waiver programs that offer Medicaid and extra services for children with disabilities.  While Healthy Communities and Pueblo StepUp can’t directly help you apply for these programs, we can provide information regarding the programs and point you to the correct community agency that can help you apply.

This is just meant to be a brief overview of the programs so that you know what is available.

Brain Injury Waiver

Brain Injury Waiver (BI) is a program to provide a home or community-based alternative to hospital or specialized nursing facility care, for persons with a brain injury.  The child must be 16 years of age or older and have a brain injury as defined in the Colorado Code of Regulations.  The child must be currently residing in or at risk of being admitted to an institutionalized nursing facility or hospital.  The child’s income must be less that 3 times the SSI allowance per month and have certain resource limits.  Here are some of the available services-adult day services, behavioral management, home modifications, respite care and supportive living services.

Children With Autism Waiver

Children with Autism Waiver (CWA) provides home or community-based alternatives for children with a medical diagnosis of autism who are most in need due to the severity of their disability. Children ages 5 and younger medically diagnosed with autism with intensive behavioral needs and who are at risk of institutionalization in an Intermediate Care Facility for Individuals with Intellectual Disabilities.  The diagnosis must be from a certified physician and the child must meet the SSA definition of disability. The program provides a variety of behavioral therapies.

Children with Life Limiting Illness Waiver

Children with Life Limiting Illness Waiver (CLLI) provides home or community-based alternative to children with a life limiting illness as certified by a physician.  This waiver is for those 18 years of age and younger that can be safely served in the community.  The individual must also have a disability determination by the Social Security information.  There are some income and resource limits when determining eligibility for this waiver.  Counseling/bereavement services, palliative and supportive care and respite services are among the benefits of this waiver.

Children’s Extensive Support Waiver

Children’s Extensive Support Waiver (CES) provides supports and services to children with developmental disabilities or delays who have a complex behavioral or medical condition who require near constant line of sight supervision.  This waiver is for children 18 and under with intensive needs who are at risk of out-of-home placement and have been determined to have a developmental delay/disability through a Community Centered Board.  Some of the benefits include respite care, behavioral services, homemaker, specialized medical equipment and supplies and assistive technology.  There are income and resources limits to qualify for this waiver.

Children’s Habilitation Residential Program Waiver

Children’s Habilitation Residential Program Waiver (CHRP) provides habilitative services for children and youth in foster care who have a developmental disability and extraordinary needs.  In order to qualify for this waiver an individual must be 20 years of age or younger, placed in foster care, have a developmental disability or extraordinary service needs and be institutionalized or at risk for being institutionalized.  It provides habilitative services, independent living training, Community Communication Services, behavioral services and professional services such as hypnotherapy, massage and movement therapy.

Children’s Home and Community-Based Services Waiver

Children’s Home and Community-Based Services Waiver (CHCBS) provides a home or community based alternative to children with significant medical needs who are at risk for acute hospital or skilled nursing facility placement.  This waiver is for medically fragile children 17 years old and younger who are in the home and at risk of nursing facility or hospital placement, institutionalized or at risk of being institutionalized in a nursing facility or hospital level of care.  This waiver offers case management and In-Home Support Services.

If you think your child may benefit and qualify for any of these waivers, please contact a Family Health Coordinator to be directed to the appropriate agency.