Americans with limited income who can’t afford health insurance may be eligible for coverage through Medicaid; a program designed to provide free or low-cost health care services to needy individuals. The federal and state government-funded program provides coverage for over 65 million children, families, disabled and blind adults, pregnant women and seniors.
The Medicaid program known as Health First Colorado is administered by the Department of Health Care Policy and Financing. The program provides a wide range of benefits for eligible residents, including primary and specialist care, emergency, inpatient and outpatient hospital services, preventive care, prescriptions and long-term nursing home care.
Qualifying for Colorado Medicaid
Longmont residents who are American citizens or eligible immigrants can qualify for Health First Colorado coverage for long-term care if they have a monthly income of $2,313 or less and no more than $2,000 in assets per person. These limits are doubled to $4,626 and $4,000 for married couples who apply together.
When determining eligibility, Medicaid considers applicants’ income from all sources. However, a number of assets don’t count, including a primary home and its furnishings, personal effects and one automobile.
When only one spouse of a couple applies, the non-applicant’s income is disregarded. Additionally, the spouse remaining at home may be awarded up to $3,160.50 of the applicant’s monthly income and up to $126,420 of the couple’s jointly owned assets. These living and resource allowances are mandated by the federal government to prevent spousal impoverishment.
Qualified Income Trust
Applicants who exceed the income limits but meet Health First Colorado’s other eligibility criteria may lower their monthly earnings to the required threshold using a Qualified Income Trust. When excess monthly income is deposited into the trust account, it no longer counts toward the limit. This type of trust is irrevocable and funds removed must be used to pay approved long-term care or medical expenses.
Longmont residents can apply for Health First Colorado coverage online or in person at the Boulder County Department of Human Services office located at 515 Coffman Street. For more information or assistance completing an application, senior can call (303) 441-1000.
Elderly, Blind and Disabled Waiver
Health First Colorado only covers long-term care in a nursing home as an entitlement. The state offers the Elderly, Blind and Disabled waiver as an alternative to let Medicaid-eligible seniors remain in the community and reduce nursing home admissions.
The EBD program includes Medicaid medical coverage and pays for various supportive services provided by assisted living facilities, such as housekeeping and help with personal care activities. The waiver doesn’t cover room and board, so program participants must pay this portion of their facility fees. Longmont residents can qualify for the EBD waiver if they:
- Meet Health First Colorado’s income and asset limits
- Are aged 65 or older and suffer from a significant functional impairment
- Are aged 18 to 64 and blind or disabled
- Need the level of support normally provided in a nursing home
Because the EBD isn’t a Medicaid entitlement program the number of participants is capped statewide, so approved applicants may have to wait to receive services depending on current enrollment.
To learn more about the EBD waiver or apply, Longmont residents can contact
Colorado Access at (877) 710-9993.