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Long Term Care

Health First Colorado Medicaid Long-Term Services and Supports (LTSS) Programs or Long- Term Care (LTC)
Health First Colorado (Colorado’s Medicaid Program) has additional waivers that offer an extra set of benefits for those that qualify, ranging from in-home and community-based services to facility-based services, such as assisting with the cost of in-home care or Nursing Facility stays.  You can find more about the different waivers and what services they offer here.

If you have questions about the process of applying for long term care services, current application status, or what happens after approval with Douglas County, you can reach the Douglas County LTC team at 303-814-7601.

You can find information regarding plan benefits or coverages here or call 1-800-221-3943.

How to apply:

  • Online 
  • Paper 
  • Paper applications can be mailed or dropped off at: Douglas County Human Services, 4400 Castleton Court in Castle Rock or faxed to Douglas County LTC Team, 1-877-285-8988

Additional Program Information

If the applicant(s) is/are under the age of 65, not currently receiving Social Security Disability (SSDI) or Supplemental Security Income (SSI) and requesting Long Term Care services, a Medicaid Disability Application and Medical Release form will also need to be completed. These are submitted to the Douglas County Department of Human Services, in addition to a Medicaid Application.

Once a request for Long Term Care Services is received, the County will send a referral to either Rocky Mountain Human Services or Developmental Pathways to complete a functional needs assessment. These agencies will verify the need for services and which waiver you may qualify for if found eligible for Medicaid.  If you have questions regarding their process, please see their contact Rocky Mountain Human Services at 1-844-790-7647 or Developmental Pathways at 303-858-2260.

Income & Resource Limits

Income Limit

  • The current income limit is $2,349 a month.
  • For those individuals who are not hospitalized an income trust can be established if income exceeds $2,349 a month. There are limits for the income trust which are dependent on which county the applicant resides.
  • Only individual applicant income is considered in the eligibility determination. An applicant’s spouse’s income is not considered.

Resource Limit

  • The individual resource limit is $2,000.
  • The couple resource limit is $4,000, if both members of a marital couple are applying for long-term care benefits and they are sharing the same room in a nursing facility or if both are going to receive Home and Community-Based Services.
  • The couple resource limit is $3,000 if both members of a marital couple are applying for long-term care benefits are living in separate rooms in a nursing facility.
  • The couple resource limit is $128,640 (2020 limit) if one member of the couple is applying for long-term care services and the other spouse is not applying for Medicaid and is not institutionalized.

Other items that will be reviewed and verification requested may include:

  • Monthly Gross Income (please note this is for the applicant and spouse. If a minor child is requesting long term care services, the parent’s income is not counted for the child once a waiver is approved.
  • Income Trust – more information about when an income trust is needed and how to complete it here.
  • Resources – including but not limited to checking, savings, retirement/investment accounts, properties, vehicles, Life Insurance, Burial Policies, annuities, trusts, etc.
  • If married, spouse’s income, resources, and expenses
  • Transfer of assets within the last five years
  • Sponsor income/resources if currently a Sponsored Non-Citizen
  • Medical Assistance Estate Recovery Packet