Medicaid, a jointly funded collaboration between the federal and state governments, provides free or low-cost public health insurance coverage to over 72 million children, pregnant women and disabled, blind and elderly people across the nation.
In Colorado, Medicaid is called Health First Colorado and administered by the Department of Health Care Policy and Financing. The program covers a number of valuable health care services for eligible state residents, including doctor and specialist visits, emergency room services, inpatient and outpatient hospital care, preventive services, institutional nursing home care and minimal in-home care services.
To be eligible for Medicaid long-term care coverage in Colorado, applicants must be U.S. citizens or qualifying noncitizens and meet the following financial limitations:
- A monthly income of less than $2,313 and up to $2,000 in assets if single
- A maximum of $4,626 in monthly income and up to $4,000 in assets if married and both spouses apply
While income from every source counts, some assets are exempt, such as an applicant’s main home, one automobile, household furnishings and personal effects. If only one spouse of a married couple applies, the non-applicant’s monthly income is exempt. Additionally, up to $3,160.50 of the applicant’s monthly income and $136,420 of the couple’s joint assets also may be excluded as spousal allowances for the non-applicant individual.
Seniors may also be able to reduce their income to the necessary limit through a
Qualified Income Trust. The applicant’s excess monthly income gets deposited into an irrevocable trust, and it no longer counts toward the eligibility limit. Deposited funds may only be used for specific medical and long-term care expenses.
Littleton seniors can apply for Health First Colorado coverage
online, by calling (800) 221-3943 or in person at the
Arapahoe County Department of Human Services office located at 1690 W. Littleton Blvd.
Elderly, Blind and Disabled Waiver Health First Colorado doesn’t cover care in an assisted living facility as an entitlement, but it does offer the
Elderly, Blind and Disabled waiver to provide seniors with an alternative to nursing home care.
To qualify for the EBD program, Littleton residents must:
- Meet Colorado Medicaid’s income and asset eligibility requirements
- Be aged 65 or older and have a significant functional impairment
- Be aged 18 to 64 and blind or disabled
- Require long-term support services comparable to those provided in a nursing home
Those approved for the waiver must pay the room-and-board portion of their assisted living fees. The program covers the cost of some services and supports provided by the facility, such as assistance with activities of daily living and housekeeping services. Those enrolled in the EBD waiver program also receive Health First Colorado coverage for medical services.
The waiver program is subject to statewide enrollment caps, so qualified seniors may be placed on a waiting list until a slot becomes available.
To learn more about the EBD waiver or begin the application process, Littleton residents should contact
Colorado Access at (877) 710-9993.