The Resource Storeroom - Medicaid & Medicaid Waivers 

♦  Where Do I Start?  ♦ purple heart Parent Recommended Resource 


Medicaid is a program,
funded by the federal and state governments, which pays for medical care for low income people and those with special health care needs who are eligible for specific programs.


Medicaid waivers enable people (including children) who wouldn’t otherwise qualify for Medicaid due to income or assets to access Medicaid benefits even if the person already has private insurance. In the case of families, parental income is not considered for eligibility. Only a child’s assets or income is considered. Therefore, many children with extraordinary health care needs qualify for Medicaid waivers because they have few assets.  A child must have institutional-level of care requirements to be eligible for these waivers.

For help in knowing how to see if your child might qualify for Medicaid or any of the waivers, you can start with Medicaid Eligibility Family and Children's Programs or

purple heartFamily Voices Colorado provides help with health insurance plans, applying for Medicaid, communicating with service providers, navigating Medicaid or other public systems, individual health insurance counseling (such as in benefits decision or help with the appeals process). 1-800-881-8272 or 303-733-3000


Medicaid Buy-InnewThe Medicaid Buy-In Program for Children with Disabilities (Children's Buy-In) is a medical assistance program that will provide Medicaid benefits for children who are under age 19, have a qualifying disability, and whose adjusted family income is at or below 300% of the Federal Poverty Level (FPL). Applications for the new program will begin being accepted on July 1, 2012.

Medicaid Reference Desk for Coloradonew

Colorado Medicaid Benefits and Services new


"Straight" Medicaid



Home and Community Based Services (HCBS) Chart for Adult Waivers

Home and Community Based Services (HCBS) Chart for Children's Waivers


Home and Community Based Services (HCBS) Waiver Explanations for each waiver listed below:


Children's HCBS Waiver

Children with Autism Waiver (HCBS-CWA)
Children's Extensive Support Waiver (HCBS-CES)
HCBS Brain Injury Waiver (HCBS-BI)
HCBS Mental Illness Waiver HCBS-MI)
HCBS Elderly, Blind and Disabled Waiver (HCBS-EBD)
HCBS Supported Living Services Waiver (HCBS-SLS)
HCBS Developmentally Disabled Waiver (HCBS-DD)


Waiver Chart - Side-by-side general comparison of community services funded by the Department of Human Services for adults and children with developmental disabilities.


Online Database of Medicaid Services
provided in Colorado, including information regarding available waiver programs. This is a good starting point  for anyone considering a move.


Find a Medicaid Provider- Information on medical providers for Colorado Medicaid clients or use the Medicaid Provider Look-Up.


Sample Letter for Medical Necessity


Justifying Medical Necessity to Get Services Paid For

Parent as CNA (Certified Nursing Assistant)


Doctor Appointment Transportation for Children who have Medicaid


Medicaid Funding for Supported Employment 07/10/06 -
DDD Directive


Colorado Financial Programs


Community Centered Boards manage and deliver services, in partnership with private service providers, to individuals with developmental disabilities and their families throughout the state of Colorado.


Obtaining Services from a Different CCB


Program Approved Service Agencies (PASAs) also known as Qualified Providers

In-Home Support Services - Available for people enrolled in the HCBS-EBD or Children’s HCBS Waiver program who want more choice and control in their home care. For more information call 303-866-2704, or talk to your Medicaid Waiver Case Manager.  



purple heartMedicaid Waivers by State (great list if you are considering moving and want to know what is available in other states.)


Centers for Medicare and Medicaid Services (CMS)


Understanding Medicaid Home and Community Services: A Primer - (P2P note - This is not a family friendly or easy to read summary.  It is very detailed information.)