Colorado’s Medicaid program is called Health First Colorado. This program provides low-income Colorado residents who meet certain financial requirements with comprehensive health care services.
Health First Colorado benefits include:
- Primary care, outpatient care and hospitalization
- Rehabilitative services
- Wellness and preventative services
- Dental services
- Prescription drugs
- Emergency services
- Behavioral health services
Seniors who are aged 65 and older or individuals who are blind or disabled are entitled to receive Health First Colorado benefits if they live at home and their income and assets fall within these limits:
- An individual must earn no more than $771 per month and have no more than $2,000 in countable assets (Medicaid’s definition of assets doesn’t include one’s home, primary vehicle, furnishings or personal items).
- A married couple must earn no more than $1,157 per month and have no more than $3,000 in assets.
For seniors who require a nursing home level of care and wish to live in a nursing home or assisted living facility, the financial limits are slightly higher:
- Individuals can earn up to $2,313 per month and have a maximum of $2,000 in assets.
- Married couples can earn up to $4,626 per month and have up to $3,000 in assets (Couples living in a shared nursing room can have up to $4,000 in assets).
When only one spouse within a married couple is applying in this category, the applicant may keep up to $2,000 in assets and the non-applicant spouse may retain up to $126,420.
Additionally, while care in a nursing home is considered an entitlement, qualified seniors who would like to receive care in an assisted living home must enroll in a waiver program. These individuals may be placed on a wait list before receiving services.
To apply for Medicaid, Grand Junction seniors should complete the
Colorado PEAK online application, visit the Mesa County Human Services office at 510 29-1/2 Road or call (800) 221-3943. Seniors may also fill out a
paper application and mail it to:
Mesa – Department of Human Services
P.O. Box 20000
Grand Junction, CO 81502
Elderly, Blind & Disabled Waiver
The
EBD waiver exists to help certain seniors enrolled in Health First Colorado remain out of nursing homes and in the community. While they must pay for their own room and board, those who qualify may receive services in an assisted living residence.
To participate in EBD, seniors must be aged 65 or older with significant functional impairments or be under age 65 and have HIV or AIDS, blind or disabled. They must also meet certain financial criteria:
- Earn less than 300% of the federal Supplemental Security Income limit (less than $2,313 per month)
- Have less than $2,000 (individual) or $3,000 (married couple) in countable assets
Waiver participants may receive regular Health First Colorado benefits along with the following services:
- Personal care
- Home delivered meals
- Respite care
- Transportation
- Medication reminders
- Transition services
- Consumer-directed attendant support services
Community Mental Health Supports Waiver Through CMHS, Grand Junction residents who have a mental illness and require long-term care may be able to receive personal care and other services in an assisted living residence.
To qualify for this waiver, seniors must be enrolled in Health First Colorado and:
- Require a skilled nursing home level of care
- Need assistance with activities of daily living due to an ongoing, severe mental health need that’s not coexisting with a substance use disorder
- Meet the same financial limits as those required through the above EBD waiver
To apply for the EBD or CMHS waivers, Grand Junction seniors already enrolled in Health First Colorado should contact the
Mesa County Department of Human Services at (970) 241-8480.