Home and Community Based Services (HCBS), Program for All Inclusive Care of the Elderly (PACE), and Medicaid long-term care. HCBS and PACE are referred to as EBD waiver programs. If you are enrolled in the EBD waiver, you will receive regular Colorado Medicaid benefits. Additionally, you may be eligible for the following services specific to the EBD waiver:
1. Adult Day Services are furnished 4 or more hours per day in a community-based setting, encompassing both health and social services needed to ensure the optimal functioning of the participant. The two types of Adult Day Services are Basic Adult Day Services (ADS) Centers provide basic social and health services to participants and Specialized Adult Day Services (SADS) Centers provide intensive health supportive services for participants with a primary diagnosis of Alzheimer’s and related disorders, Multiple Sclerosis, Brain Injury, Chronic Mental Illness, Developmental Disability or poststroke participants who require extensive rehabilitative therapies.
2. Alternative Care Facilities and Alternative Care Services. Facilities may be Assisted Living Facilities that provide alternative care services and Protective Oversight to Medicaid clients. An Assisted Living Residence to provide alternative care services and Protective Oversight to Medicaid clients. Alternative care services include, but are not limited to, personal care and homemaker services. Room and board shall not be a benefit of ACF services. Clients shall be responsible for room and board in an amount not to exceed the Department established rate.
3. Community Transition Services (CTS) are activities essential to move a client from a skilled nursing facility and establish a community-based residence. Services are provided by a Transition Coordination Agency (TCA) and include at least two Independent Living Core Services. Essential items purchased in order to move a client from a skilled nursing facility and establish a community based residence. Items must be for the benefit of the client only and may be purchased only when they can not be provided by other means.
4. Consumer Directed Attendant Support Services (CDASS) is a service delivery option available under the Home and Community Based Services – Elderly, Blind and Disabled (HCBS-EBD), Community Mental Health Supports (CMHS), Spinal Cord Injury (SCI), and Brain Injury (BI) waivers. CDASS allows clients to manage their personal care, homemaker and health maintenance services. Clients can manage services including hiring, training, supervising and, if necessary, the firing of their attendants. CDASS allows participants to direct certain services provided only by nurses or certified nurse aides due to the exemption of the Nurse Practice Act.
5. Homemaker Services are general household activities provided in the home of an eligible client provided by a Homemaker Provider Agency to maintain a healthy and safe home environment for a client, when the person ordinarily responsible for these activities is absent or unable to manage these tasks. Covered benefits shall be for the benefit of the client and not for the benefit of other persons living in the home. Services shall be applied only to the permanent living space of the client.
6. Home Modifications may include those services which assess the need for, arrange for and provide modifications and/or improvements to the family home of a child with a developmental disability to help ensure the child’s safety, security and accessibility in the home and community. Home modification services include devices and services to make daily living easier, such as adapted showers or toilets, adaptations that make places accessible, such as ramps and railings and reinforcing or fencing for the child’s protection. Services shall exclude those adaptations or improvements to the home which are not of direct medical or remedial benefit to the waiver client, such as carpeting, roof repair, central air conditioning, etc
7. In-Home Support Services are a service of the Children’s Home Care Community Based Waiver. Health Maintenance Activities are those routine and repetitive health related tasks, which are necessary for health and normal bodily functioning, that an individual with a disability would carry out if he/she were physically able, or that would be carried out by family members or friends if they were available. These activities include, but are not limited to, catheter irrigation, administration of medication, enemas and suppositories and wound care.
8. Medication Reminder Pill reminder services to help individuals take their medications in the correct dosages at the correct times to prevent adverse drug events
9. Non-Medical Transportation Non-medical transportation services are transportation which enables clients to gain access to non-medical community services and resources, as required by the care plan to prevent institutionalization. Non-medical transportation services shall include, but not be limited to, transportation between the client’s home and nonmedical services or resources such as adult day services, shopping, therapeutic swimming, dentist appointments, counseling sessions, and other services as required by the care plan to prevent institutionalization
10. Personal Care Services provide necessary personnel and supports to meet the daily living needs of a person with a developmental disability. These services and supports, including evaluation and assessment, are provided to ensure adequate functioning in the person’s own home, someone else’s home, or in the home of their natural or adoptive family
11. Personal Emergency Response System Personal Emergency Response System (Electronic Monitoring) services are the installation, purchase, or rental of devices which enable the client to remain safely in their own home by enabling them to secure help in the event of an emergency. They are authorized only for individuals who live alone, or who are alone for significant parts of the day, or whose only companion for significant parts of the day is too impaired to assist in an emergency, and who would otherwise require extensive supervision. They are authorized only for individuals who have the physical and mental capacity to utilize the particular system requested for that individual
12. Respite Care Services are provided to an eligible client on a short-term basis because of the absence or need for relief of those persons normally providing the care. Respite Care may be provided in a Class I nursing facility, an alternative care facility or by an employee of a certified personal care agency in the clients home. An individual client shall be authorized for no more than thirty (30) days of respite care in each calendar year