Brain Injury Alliance of Colorado

Brain Injury Medicaid Waiver

Home and Community-Based Services (HCBS) Waivers

Waiver programs provide additional Medicaid benefits to specific populations who meet special eligibility criteria. Clients must meet financial, medical, and program criteria to access services under a waiver.  To utilize waiver benefits, clients must be willing to receive services in their homes or communities.

How to Apply

By contacting your county’s Single Entry Point Agency. Call the main line and listen for intake or case management option. Ask to learn more about getting assessed for a waiver.

Brain Injury Waiver

The goal of this waiver is to provide home or community based services to persons with a brain injury, alternative to a hospital or nursing facility.

Eligibility

  • Individuals 16 years or older
  • Individuals with a brain injury
  • Brain injury must have occurred prior to the individual’s 65th birthday (Effective July 1st, 2014)
  • Individuals require long term support services at a level comparable to services typically provided in a nursing facility or hospital
  • Individuals must meet financial, medical, and program criteria to access services under a waiver
  • Functional and medical criteria are based on an individual’s ability to complete Activities of Daily Living (ADLs) without assistance (examples: eating, bathing, toileting, supervision, and others).

When to Apply

If you or a loved one has sustained a brain injury and are needing supports and services.
There are programs specifically in the post-acute stage of recovery – for more information, please call your county single entry point.

 

Services

  • Adult Day Health
  • Day Treatment
  • Personal Care
  • Behavioral Programming and Education
  • Environmental Modification
  • Independent Living Skills Training (ILST)
  • Mental Health Counseling
  • Non-Medical Transportation
  • Personal Emergency Response System
  • Specialized Medical Equipment and Supplies/Assistive Devices
  • Substance Abuse Counseling
  • Respite Care Services
  • Supported Living Program
  • Transitional Living Program

For detailed descriptions of each service, click here.

Most of these services are intended to provide supports to individuals with the goal of remaining in their home or community. These options also include consumer-directed services which provide a high degree of flexibility in how and by whom services are delivered. There are also residential options under the Supported and Transitional Living Programs.

For information about other Medicaid Waivers and State support programs for people with disabilities, click here.