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Do You Need Long Term Care? - ALTSS

If you need help with your daily activities because of a disability or a chronic illness, you may need long term services and supports.

Long Term Services and Supports is a Colorado network of organizations that helps people of any age who have a chronic illness or are limited and cannot care for themselves for long periods of time. These services can be both medical and non-medical. They can be provided at home, in the community, in an assisted living facility, or in a nursing care facility.

How does it work?

Long Term Services and Supports is paid for through private funds, long-term care insurance, or Medicaid. To qualify for Medicaid Long Term Services and Supports, you must have:

  • Financial need. You must have limited income. You should apply at the Department of Human Services in the county where you live to determine qualifying income levels.  Click here to find one near you.
  • Physical need. You must need help with daily tasks like bathing, dressing, or eating. You should apply at the Single Entry Point agency in the county where they live. Click here to find one near you.

I qualify for Long Term Services and Support. How can Access Long Term Support Solutions (ALTSS) help me?

If you qualify for long term services and support and live in Adams, Arapahoe, Denver, Douglas, or Elbert counties, your designated Single Entry Point agency is Access Long Term Support Solutions.

We help people find their way through the long-term services system. This system is made up of organizations that help individuals with daily activities like eating, bathing, cooking, dressing, and other routine tasks. They can be arranged at home, in an assisted living facility, or in a nursing facility. We are Colorado's largest Single Entry Point agency for people who need long-term assistance through Medicaid. The services are available on a self-pay, insurance reimbursement, low-cost, or Medicaid basis. Your eligibility is dependent on your individual situation, but in any case we can help.

We will process all functional eligibility requests for Colorado Medicaid Long Term Services and Supports. Once you qualify, you can choose from a number of options, including:

  • Home and Community Based Services (HCBS) provide medical and non-medical services to people who need help in their own home or in an assisted living facility. You must first be approved for HCBS. Once approved, we will provide care coordination. There are different HCBS programs to help with different medical conditions and life circumstances. Some HCBS programs are designed to help people within specific age groups and there may be a waitlist for some programs. Get more information here.
  • Community Centered Boards (CCBs) are the Single Entry Point and case management agencies for people with developmental or intellectual disabilities. CCBs provide case management, care planning, and service coordination. They also make referrals to other resources. HCBS programs served by CCBs provide medical and non-medical care to people who want to receive community support services, community integration, and job skill development while living in their own home or in a supported residential setting. There are different HCBS programs to help with intellectual or developmental disabilities, including early childhood assessment and intervention. HCBS programs served by a CCB may have spending limits and there may be a waitlist for some programs. Get more information here.
  • Nursing Care Facilities provide 24-hour medical and non-medical care in a home-like residential setting. Nursing care facilities provide medical and therapeutic services. This includes short-term rehabilitation and long-term chronic care. Nursing care facilities are paid for through private funds, long-term care insurance, and Medicaid. There are many nursing care facilities to choose from and there may be a waitlist for some facilities.
  • Program for All-Inclusive Care for the Elderly (PACE) is a care system for elderly people. PACE helps senior citizens stay in their own homes and communities through a complete health program. This program provides, coordinates, and oversees all healthcare and supportive services. PACE participants must get all needed healthcare from a PACE provider in their area, including primary care and specialist services (but not including emergency services). The PACE program is paid for through Medicare and Medicaid or private funds. To participate in PACE, you must be at least 55 years old, and be able to live safely at home and in the community. You must also live in a zip code that has a PACE program. Get more information here.
  • Home Care Allowance (HCA) is a program that provides personal care to people who need minimal services and support to stay in a community residence. This program provides less intensive services than HCBS. It may be used by people of any age who need assistance. The HCA program provides a small payment that is used to get in-home services by a provider of choice. HCA services may have spending limits and they are not intended to provide 24-hour services. Get more information here.
  • Adult Foster Care (AFC) programs provide a supervised living environment that can help a person with personal care and protective oversight. This includes supervision of medications. People interested in AFC must meet the functional eligibility requirements for HCBS and be at least 18 years old. There may be a waitlist for some facilities. Get more information here.
  • Area Agencies on Aging (AAA) are community organizations that helps keep senior citizens independent in their homes with supportive services like transportation, personal care, homemaking, adult day programs, assistance with medical equipment. AAA also provides nutritional services, support for caregivers, and senior community service employment programs. AAA provides less intensive services than HCBS, but may be used by people 60 years of age or older who need assistance. AAA also gives information related to aging or living with a disability for individuals of any age through the Aging and Disability Resource Center. AAA programs may have spending limits and there may be a waitlist for certain programs. Get more information here.

Other resources, including private pay

There are many program and service options if you need long-term support. These resources are available at no or low cost and they may accept private pay or private insurance as payment. You can review the services available to you by calling us at 1-877-710-9993.

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