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HCBS (Home and Community-Based Services)

Professional Home Health Care Services in Aurora, Colorado

What are HCBS Services?

Home and Community-Based Services (HCBS) are Medicaid waiver programs that provide long-term care services to individuals in their homes and communities as an alternative to institutional care. These programs allow seniors, people with disabilities, and children with special needs to receive personalized care while remaining in familiar surroundings.

HCBS waivers in Colorado are administered by the Department of Health Care Policy and Financing (HCPF) and provide services that are not typically covered under the standard Medicaid program.

Colorado HCBS Waiver Programs We Serve

Elderly, Blind, and Disabled (EBD) Waiver

For adults aged 65 and older or adults with physical disabilities who need nursing facility level of care but wish to remain at home.

  • Personal care services
  • Homemaker services
  • Adult day services
  • Respite care
  • Non-medical transportation

Community Mental Health Supports (CMHS) Waiver

For individuals with serious mental health conditions who would otherwise require institutional care.

Supported Living Services (SLS) Waiver

For individuals with intellectual and developmental disabilities who need support to live independently.

Spinal Cord Injury (SCI) Waiver

Specialized services for individuals who have sustained a spinal cord injury.

Brain Injury (BI) Waiver

Services for individuals with traumatic or acquired brain injuries.

Children’s HCBS Waiver (CHCBS)

Services for children with disabilities who meet hospital or nursing facility level of care.

Medicaid Waiver Coverage

HCBS services are funded through Medicaid waivers, meaning eligible individuals receive services at no cost or low cost. These waivers allow Colorado to provide services that help people avoid nursing home or institutional placement while receiving the care they need.

HCBS Services We Provide

Personal Care

Assistance with bathing, dressing, grooming, toileting, and mobility

Homemaker Services

Meal preparation, light housekeeping, laundry, and shopping

Respite Care

Temporary relief for family caregivers

Companion Services

Social support and supervision for safety

Who Qualifies for HCBS in Colorado?

General HCBS Eligibility Requirements

  • Medicaid Enrollment: Must be enrolled in or eligible for Health First Colorado
  • Level of Care: Must meet the level of care typically provided in a nursing facility or hospital
  • Functional Need: Must require assistance with Activities of Daily Living (ADLs)
  • Community Living: Must choose to receive services in home/community setting
  • Cost Effectiveness: Home care must cost no more than institutional care

Family Members as Paid HCBS Providers

Under many HCBS waiver programs, family members can be paid to provide care, including:

  • Adult children caring for elderly parents
  • Parents caring for adult children with disabilities
  • Spouses providing personal care (program-dependent)
  • Other relatives willing to complete required training

Little’s Loving Home Services assists families in navigating the enrollment process to become paid HCBS providers.

How to Access HCBS Services

  1. Initial Contact: Call us or contact your local Single Entry Point (SEP) agency
  2. Screening: Preliminary eligibility screening for Medicaid and functional needs
  3. Assessment: Comprehensive Level of Care assessment by a case manager
  4. Service Plan: Development of an individualized care plan
  5. Provider Selection: Choose Little’s Loving Home Services as your provider
  6. Services Begin: Start receiving authorized HCBS services

Why Choose Little’s Loving Home Services for HCBS?

  • HCPF Enrolled Provider: We are certified by Colorado HCPF to provide HCBS services
  • Licensed Class B Agency: Operating under full Colorado licensure requirements
  • Experienced Staff: Caregivers trained specifically for HCBS waiver programs
  • Care Coordination: We work closely with case managers and SEP agencies
  • Family Support: Assistance enrolling family members as paid providers
  • Bilingual Services: Spanish-speaking staff available

Colorado Regulatory Compliance

Little's Loving Home Services is a licensed Class B Home Care Agency in the State of Colorado, operating in compliance with 6 CCR 1011-1 Chapter 26 regulations. We provide non-skilled personal care and homemaker services as authorized under our license.

Health First Colorado (Medicaid) Provider: We are an enrolled provider with the Colorado Department of Health Care Policy and Financing (HCPF) for HCBS waiver services.

Services are subject to eligibility requirements and availability. A Level of Care determination may be required for certain Medicaid-funded services.