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CO Children's Home and Community-Based Services (CHCBS) Waiver

Published on
December 4, 2023
Last updated
April 19, 2024
Written by
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Katie Wilkinson
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This Medicaid waiver provides services to individuals who are medically fragile, ages 0-17 years, who meet a hospital or nursing facility level of care.
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Overview of CO - Children's Home and Community-Based Services (CHCBS) Waiver

The Colorado Children's Home and Community-Based Services (CHCBS) Waiver is a Medicaid program to support children with significant medical needs. The waiver aims to provide these children with necessary services in their homes or community rather than institutional care. Its primary objective is to enhance the quality of life for these children by ensuring access to essential medical and support services, thereby promoting their health, well-being, and family integration.

Eligibility requirements

The CHCBS Waiver's eligibility criteria include:

  1. Age and residency: The waiver primarily targets children requiring extensive medical care.
  2. Medical needs: Eligibility also depends on the child's medical conditions and needs.
  3. Financial criteria: The family's financial situation is considered to ensure the services are provided to those most in need.
  4. Functional need: The child must need a level of care typically provided in a hospital or skilled nursing facility.

Services and supports

The CHCBS Waiver offers a range of services and supports, including:

  • Medical and nursing care: Specialized healthcare services tailored to the child's medical needs.
  • In-Home Support Services (IHSS): Assistance with daily living activities and health-related tasks.
  • Respite Care: Temporary relief for caregivers.
  • Therapeutic Services: Physical, occupational, and speech therapies.
  • Equipment and Supplies: Provision of medical and assistive devices.

Compensation for caregivers

Under the CHCBS Waiver, participant-directed service delivery options like IHSS allow parents or legal guardians to choose, hire, train, and schedule attendants for their child. These attendants are employed by certified IHSS agencies. The IHSS care plan developed with the agency includes detailed service descriptions, hours, and scope. IHSS agencies support the family in hiring and managing attendants, and they must offer additional services like peer counseling, skills training, and emergency backup care​​.

Limitations and challenges

A notable challenge of the CHCBS Waiver is ensuring the availability and quality of in-home care providers. The program may face difficulties in recruiting and retaining skilled caregivers, which could impact the delivery of services. Additionally, navigating the complexities of care coordination and maintaining consistent quality standards across various services are ongoing challenges.

A note from Givers

If you believe your child might benefit from the CHCBS Waiver, we encourage you to explore this opportunity. Fill out our form today to check if you are eligible for compensation and to discover the support we can offer your family.

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