Case Management
Case management is assistance provided by a case management agency on behalf of an eligible member, which includes referral of needed Health First Colorado (Colorado’s Medicaid Program) services and supports that enable you to remain in your community-based setting.
A case manager is responsible for:
- Assessing your long-term care needs,
- Developing and implementing your care plan,
- Coordinating and monitoring the delivery services and providers,
- Evaluating the effectiveness of the services, and
- Periodically re-assessing your needs.
- Learn more about Case Management Redesign
- Case Management Redesign web page
- More Resources
- Health First Colorado and CHP Plus Grievance Form (includes case management agency complaints)
- Case Management Agency Directory
- HCBS Waivers page
- Office of Community Living Stakeholder Engagement page
- Long-Term Services and Supports Programs page
Long-Term Services and Supports – Benefits and Services Glossary
In-Home Support Services (IHSS)
In-Home Support Services (IHSS)
In-Home Support Services allow you to choose your own agency-based attendants and direct your own care. You can hire, schedule, manage, supervise, train, and fire your attendant. Services include Personal Care, Homemaker Services, and Health Maintenance Services.
- Personal Care services are available when they are not Health First Colorado benefits. Personal Care services help you with daily tasks that you typically do for yourself but are unable to. Services may include skin, nail, hair, and mouth care, bathing, shaving, dressing, eating, walking, exercise, transferring, positioning, toileting, and respiratory care.
Services may also include the attendant going grocery shopping with you, going with you to an appointment to help with Personal Care services, and Protective Oversight for certain supervision needs.
- Homemaker Services include help with general household activities that maintain a healthy and safe living environment. Activities may include housekeeping, preparing meals, doing laundry, light housecleaning, bed making, and shopping.
- Health Maintenance Services may include helping you with health care tasks related to care for the skin, nails, or mouth, dressing, feeding, toileting, exercise, transferring, medical management, or respiratory care.
Waiver(s) which include this service:
Children’s Home and Community Based Services Waiver
HCBS Waiver for Complementary and Integrative Health
HCBS Waiver for Persons who are Elderly, Blind, and Disabled
Personal Care Services
Personal Care services are available when they are not Health First Colorado benefits. Personal Care services help you with daily tasks that you typically do for yourself but are unable to. Services may include skin, nail, hair, and mouth care, bathing, shaving, dressing, eating, walking, exercise, transferring, positioning, toileting, and respiratory care.
Services may also include the attendant going grocery shopping with you and going with you to an appointment to help with Personal Care services, and Protective Oversight for certain supervision needs.
Services may include Homemaker Services if given along with Personal Care services.
Waiver(s) which include this service:
HCBS Waiver for Persons with a Brain Injury
HCBS Waiver for Community Mental Health Supports
HCBS Waiver for Complementary and Integrative Health
HCBS Waiver for Persons who are Elderly, Blind, and Disabled
HCBS Supported Living Services Waiver
Health Maintenance
Routine and repetitive health-related tasks furnished to you in the community or in your home, which are necessary for health and normal bodily functioning that a person with a disability is unable to physically carry out. This service may include helping you with health care tasks related to care for the skin, nails, or mouth, dressing, feeding, toileting, exercise, transferring, medical management, or respiratory care.
This service is included in:
Consumer Directed Attendant Support Services (CDASS)
In-Home Support Services (IHSS)
Homemaker Services
Homemaker Services are general household activities provided in the home of an eligible member to maintain a healthy and safe home environment for a member 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 member and not for the benefit of other persons living in the home or because a child’s disability causes extra household tasks.
Services must increase the parent’s or caregiver’s ability to give the child needed care. Services may be hands-on help, performing a task for the child, or prompting the child to perform a task. Services shall be only in the permanent living space of the member.
Homemaking Services may include the following:
- Routine light housecleaning, such as dusting, vacuuming, mopping, and cleaning bathroom and kitchen areas
- Meal preparation
- Dishwashing
- Bed making
- Laundry
- Shopping
- Teaching the skills listed above to you if you are capable of learning to do such tasks for yourself. Teaching shall result in a decrease in weekly units required within ninety days. If such savings in service units is not realized, teaching shall be deleted from the care plan.
Homemaking Services does not include:
- Personal care services
- Services you can perform independently
- Services provided by family members
- Homemakers Services provided in uncertified congregate facilities are not a benefit
Waiver(s) which include this service:
HCBS Waiver for Persons with a Brain Injury
HCBS Children’s Extensive Support Waiver
HCBS Waiver for Community Mental Health Supports
HCBS Waiver for Complementary and Integrative Health
HCBS Waiver for Persons who are Elderly, Blind, and Disabled
HCBS Supported Living Services Waiver
Resources for HCBS Providers
Colorado Prior Authorization Request Program (ColoradoPAR)
Long-Term Home Health
Home Health Services are provided in a member’s place of residence to prevent institutionalization and hospitalization. The services must be medically necessary, provided for treatment of illness, for disability, services must be reasonable in amount, duration, and frequency.
More Information about Long-Term Home Health
Mental Health Counseling (Individual, Family or Group)
Mental Health Counseling services help you and your support system better manage and overcome the difficulties and stresses faced by people with a brain injury. These services are in addition to the counseling services available through Health First Colorado basic services and do not replace those services. Services may be in the home, community, or provider’s office.
Services include individual and group mental health counseling. They include services to family members who have a major role in supporting you or who live with or care for you. Services need pre-approval after 30 visits in individual, family, or group settings combined.
Waiver(s) which include this service:
HCBS Waiver for Persons with a Brain Injury
Personal Emergency Response System
Personal Emergency Response System (PERS) allows you to live safely in your home and call for help in an emergency. You may get a PERS if you live alone for most or all of the day, or your companion is too impaired to help in an emergency. You may get a portable “help” button to wear so you can move around.
Personal Emergency Response System services shall be authorized only if you have the physical and mental capacity to utilize the particular system requested.
Waiver(s) which include this service:
HCBS Waiver for Persons with a Brain Injury
HCBS Waiver for Community Mental Health Supports
HCBS Waiver for Complementary and Integrative Health
HCBS Waiver for Persons who are Elderly, Blind, and Disabled
HCBS Supported Living Services Waiver
Substance Use Counseling
Substance Use Counseling services help you and your support system better manage and overcome substance use issues often faced by people with brain injuries. These services are in addition to counseling services available through Health First Colorado basic services. They are not intended to replace those services. Services may be in the home, community, or provider’s office.
Services include individual and group mental health Substance Use counseling. They include services to family members who have a major role in supporting you or who live with you or care for you. Services need pre-approval after 30 visits in individual, family, or group settings combined.
Waiver(s) or programs which include this service:
HCBS Waiver for Persons with a Brain Injury
Transitional Living Program (TLP)
The Transitional Living Program (TLP) offers you intensive services in an assisted living setting if you were recently injured for people with recent brain injuries. Services are to help you transition back home. The services are given only within 18 months of a first brain injury or 3 months of a second brain injury with a hospital stay. Services are generally limited to 6 months.
Services may include assessment, training, and supervision of self-care, medication management, communication skills, interpersonal skills, socialization, sensory/motor skills, money management, household management, physical therapy, occupational therapy, or speech therapy.
You pay the full cost of room and board and may have to share the cost of the services.
Waiver(s) which include these services:
HCBS Waiver for Persons with a Brain Injury
Fire Sprinkler System Fitters | Registration, Licenses and Certification
Non-Certified Health Facilities in Colorado
County
Designated Service Area
Case Management Agency
Address
Website
Phone
Fax
Additional Information
1.
Arapahoe County
Region 5
Developmental Pathways (DP)
14280 East Jewell Ave, Suite A Aurora, CO 80012
303-360-6600
303-341-0382
None
2.
Douglas County
Region 5
Developmental Pathways (DP)
14280 East Jewell Ave, Suite A Aurora, CO 80012
303-360-6600
303-341-0382
None
3.
Denver County
Region 6
Rocky Mountain Human Services (RMHS)
9900 E Iliff Ave Denver, CO 80231
844-790-7648
303-636-5604
None
4.
Adams County
Region 6
Rocky Mountain Human Services (RMHS)
9900 E Iliff Ave Denver, CO 80231
844-790-7647
303-636-5603
None
5.
Jefferson County
Region 7
Jefferson County
900 Jefferson County Parkway Golden, CO 80419
www.jeffco.us/4656/Case-Management-Agency
303-271-1389
None
Email: jeffcocma@jeffco.us
6.
Clear Creek County
Region 7
Jefferson County
900 Jefferson County Parkway Golden, CO 80419
www.jeffco.us/4656/Case-Management-Agency
303-271-1388
None
Email: jeffcocma@jeffco.us
7.
Broomfield County
Region 8
A&I Avenues
1665 Coal Creek Drive Lafayette, CO 80026
www.aiavenues.org/
303-439-7011
866-931-0763
None
8.
Gilpin County
Region 8
A&I Avenues
1665 Coal Creek Drive Lafayette, CO 80026
www.aiavenues.org/
303-439-7011
866-931-0763
None
9.
Boulder County
Region 8
A&I Avenues
1665 Coal Creek Drive Lafayette, CO 80026
www.aiavenues.org/
303-439-7011
866-931-0763
None
10.
El Paso County
Region 11
The Resource Exchange (TRE)
6385 Corporate Drive, Suite 100 Colorado Springs, CO 80919
www.tre.org
719-380-1100
844-330-7489
None
11.
Alamosa County
Region 14
Rocky Mountain Health Plans (RMHP)
2775 Crossroads Boulevard Grand Junction, CO 81506
www.uhccommunityplan.com/colorado
970-255-5604
970-244-7880
Email: CMA_RMHP@uhc.com
12.
Jackson County
Region 16
Rocky Mountain Health Plans (RMHP)
2775 Crossroads Boulevard Grand Junction, CO 81506
www.uhccommunityplan.com/colorado
970-255-5604
970-244-7880
Email: CMA_RMHP@uhc.com
County: Jefferson County, Jackson County, Gilpin County, El Paso County, Douglas County, Denver County, Clear Creek County, Broomfield County, Boulder County, Arapahoe County, Alamosa County, Adams County(12)▼
Case Management Agency▼
Designated Service Area▼
Zip Code