This Colorado Medicaid program helps elderly, blind and disables people to safely remain in their own homes when they are not able to fully care for themselves or handle routine household tasks.
Health First Colorado members who qualify for one the HCBS waivers in which IHSS is an approved service delivery option. You must demonstrate a need for personal care, homemaker or health maintenance services. You can be in unstable health but must be able to direct your own services or assign an Authorized Representative.
You work closely with your case manager to determine what services you need. You will work with a home health or personal care agency certified in IHSS. You direct and manage your care by interviewing, selecting, training, and supervising the attendant who helps you. The IHSS agency hires your attendants, provides 24-hour back-up services, and has a nurse on staff for supervision. The IHSS agency provides additional supports, services and training to help you live independently and fully participate in your community.
Can a family member get paid to provide Homemaker services?
No, a family member cannot be paid to complete Homemaker tasks unless they are secondary and contiguous to a Health Maintenance Activity and approved by the Case Manager
Is there a limit to the number of hours a Relative Personal Caregiver can be paid to work? The participant is limited to is a limit of 40 hours of Relative Personal Care, with the exception of parents caring for their adult children. Services are determined and authorized by the Case Manager.
Can a participant have more than one family member provide Relative Personal Care and each attendant work 40 hours per week (totaling 80 hours a week)? The participant is limited to receiving a total of 40 hours per week for Relative Personal Care.
Is there a limit to Health Maintenance Activities? Health Maintenance Activities do not have a limit. Authorization is based on individual need as determined by the Case Manager’s assessment.
How will the IHSS Agency manage back-up care? The IHSS Agency is required to provide 24-hour back-up care for scheduled visits. The IHSS Agency must develop a back-up plan as part of the Care Plan.
If a spouse or family member receives income for providing services, how does this affect a participant’s income eligibility? Since each individual’s situation is different, the participant should contact their county Health and Human Services Office to discuss any impact to Health First Colorado (Colorado’s Medicaid Program) eligibility.
What services can be provided in the community? IHSS can be provided in the community. For example, services may be needed when a participant needs support at a doctor’s appointment or at a grocery store.