Wait List Information

Home- and Community-Based Services - SLS 
Home- and Community-Based Services - DD 

Funding

Funding for HCBS-Medicaid Waiver programs is Federal/State matched Medicaid dollars. Individuals are typically placed on a waiting list with funding to be Medicaid (except for those programs that only have state funding such as Family Support) unless there is a documented reason why a person will not be eligible for Medicaid. Medicaid funding is more readily available than state funding.


Financial resources are a determination for Medicaid eligibility either:

  • Through Supplemental Security Income (SSI) eligibility
  • 300% rule which means a person has income less than three times the current SSI maximum payment


In both cases, assets cannot be greater than $2000. Individuals must be approved for Long Term Care Medicaid prior to enrolling into a Medicaid Waiver Program which includes meeting Medicaid's criteria of disability.

Date of Eligibility

Individuals can be placed on the waiting list for adult programs at age 14 and people are urged to do this if they are not already known to a Community Centered Board. The date of eligibility is used to determine a person's place on the waiting list within the three timeline options listed below. A person keeps his or her eligibility date even with a move throughout the state of Colorado. A person loses eligibility date and placement on the wait list if he or she is out of the state for a year or more and without a close family member remaining in the state.

Removal from Waiting List

Individuals are removed from a waiting list for the following reasons:


  • Enrolled into programs for which they were waiting.
  • No longer needs the programs for which they are waiting.
  • Individual requests to be removed from the waiting list.
  • Moves out of state with no close family members living in Colorado. (see Date of Eligibility)
  • Placed onto a waiting list with another Community Centered Board.
  • No longer meets eligibility requirements.
  • An annual contact cannot be made with the individual.


Waiting List Status Categories

As Soon As Available: 

The program is needed right now and would be accepted as soon as it is available.

Safety Net: 

The person does not currently want or need the services available through the program but will if current supports are lost or otherwise change, e.g. loss of primary caretaker, change in medical status.

Specific Date: 

The person wants to enroll in a program when a specific date is reached, e.g., date when he/she turns 21, date of graduation. If a date is selected, the program will not be offered before that date but this does not ensure that the program will be offered by the date selected. For example, the date of the person's 21st birthday is selected as the timeline. The Community Centered Board would not offer enrollment in the program and remove from the wait list prior to that date. If that date passes and enrollment in the program has not been offered, the person/family would need to select a new wait list timeline. These can be changed at any time and should be reviewed annually either at an annual plan meeting or by phone call. A person can be waiting for one or more programs at the same time with same or different timelines but can only be on the wait list with one Community Centered Board.

Offering Programs to Individuals on the Wait List: 

There is no set number of people who come off the wait list each month, quarter or year. Individuals are offered enrollment in a program based upon new "resources" or openings allocated by the State and upon vacancies created by individuals who have left the program . Each Medicaid Waiver Program has a statewide cap or the maximum number of people who can be served in the Medicaid Waiver at one time. In addition, each Community Centered Board has a maximum contract number of individuals who can be served at one time each Medicaid Waiver. The Community Centered Board cannot serve more individuals than the number of individuals that is in their contract with the State for any of the Medicaid Waivers.
Community Centered Boards do not have control of new "resources" or openings from the State. Those are appropriated by the Joint Budget Committee. Because of that, and emergent situations, we can't begin to estimate how long someone may be waiting. It is important that you keep us informed of any change in your family's situation as emergent situations arise. In emergent situations, there may be criteria met that would enable an individual to "jump" ahead of others on the wait list due to the emergency.

Declining Enrollment in a Program: 

If an individual does not enroll in a program when offered, he or she retains the date of eligibility and may be asked to identify the appropriate status for when enrollment in the program is desired. A person does not go to the bottom of the waiting list if enrollment in a program is declined. Maintaining a timeline of ASAA after enrollment in a program has been declined in most cases will not be allowed. Most likely, the client/family would be asked to select a new timeline of safety net or a specific date.

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