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CO Home and Community-Based Services Waiver for Persons with Brain Injury (HCBS-BI)

Published on
December 4, 2023
Last updated
February 29, 2024
Written by
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Katie Wilkinson
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This Medicaid program provides services to individuals with brain injury ages 16 or older who meet a hospital or nursing facility level of care.
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Overview of the Home and Community-Based Services Waiver for Persons with Brain Injury (HCBS-BI)

The Home and Community-Based Services waiver for persons with Brain Injury (HCBS-BI) in Colorado offers vital assistance to individuals with brain injuries. This waiver aims to provide long-term support and services, enabling individuals to remain in community settings rather than institutional care. Brain injuries covered by this waiver are those of traumatic or acquired origin, leading to lasting physical, cognitive, emotional, and behavioral challenges. The program primarily focuses on enhancing the quality of life for individuals with brain injuries, ensuring access to necessary care, and promoting their independence and integration into the community.

Eligibility Requirements

To be eligible for the HCBS-BI waiver, individuals must be aged 16 or older, with a brain injury occurring before their 65th birthday. A comprehensive assessment using the Uniform Long-Term Care (ULTC) tool is essential to determine significant functional impairment. This assessment gauges the need for long-term support services comparable to those offered in nursing facilities or hospitals, underscoring the program's dedication to serving those with substantial care needs.

Services and Supports

The HCBS-BI waiver encompasses a wide array of community-based services designed to support individuals and their families, including:

  • Adult Day Health
  • Behavioral Management and Education
  • Consumer Directed Attendant Supports and Services
  • Day Treatment
  • Home Modifications
  • Independent Living Skills Training
  • Mental Health Counseling
  • Non-Medical Transportation
  • Personal Care
  • Personal Emergency Response Systems
  • Respite
  • Specialized Medical Equipment and Supplies/Assistive Devices
  • Substance Abuse Counseling
  • Supported Living Program
  • Transitional Living Program
  • Peer Mentorship
  • Home Delivered Meals
  • Transition Setup

In addition to these services, participants have access to all Medicaid State Plan benefits, providing a comprehensive support system.

Compensation for Caregivers

The waiver includes a participant-direction option, allowing clients to choose their caregivers for certain services. This option includes personal care, assistance, homemaking, and health maintenance activities. Clients opting for self-direction receive support through a Financial Management Services (FMS) organization offering fiscal management services. This flexibility empowers clients to have a significant say in their care, enhancing personalization and satisfaction.

Limitations and Challenges

While the HCBS-BI waiver offers extensive support, it may face challenges like any program. These could include navigating the complex healthcare system, ensuring adequate funding, and adapting to individual needs. However, the program strives to overcome these challenges to provide optimal care.

A Note from Givers

If you or a loved one are living with a brain injury and need support, consider the HCBS-BI waiver. Fill out this form to see if you're eligible for compensation and take the first step towards a better, more supported life.

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