More than 65 million Americans who can’t afford insurance rely on Medicaid for their health care needs. The program is managed by individual states with joint funding and oversight provided by the federal government.
In Colorado, the Department of Health Care Policy and Financing administers the Medicaid program called Health First Colorado, which provides wide-ranging health care benefits to eligible low-income seniors, disabled adults, families with young children and pregnant women. Covered services include:
- Doctor and specialist visits
- Inpatient and outpatient hospital care
- Emergency room services
- Immunizations and preventive care
- X-rays and laboratory tests
- Nursing home care
Qualifying for Colorado Medicaid Seniors in Parker must be American citizens or legal residents and aged 65 or older to qualify for long-term care coverage through Health First Colorado. Disabled and blind adults aged 64 or younger can also qualify. Applicants must also meet the program’s financial requirements of:
- $2,313 or less of income per month for individuals or $4,626 for couples if both spouses apply
- $2,000 or less in countable assets for single people or $4,000 or less in combined assets for couples applying together
Medicaid counts income from all sources for eligibility purposes, but not all assets count. A few are exempt from the above limits, including a primary, owner-occupied home, household goods, personal belongings and one vehicle.
If a married applicant’s spouse doesn’t apply for coverage, their income and assets may decrease substantially when allowances for the non-applicant are subtracted. According to
Medicaid rules, an applicant can transfer up to $3,160.50 in monthly income to their spouse remaining at home along with a maximum of $126,420 in joint assets.
Seniors with too high of an income to qualify may reduce it to the required level by setting up a
Qualified Income Trust. Medicaid allows applicants to deposit their monthly excess income into a QIT, which excludes it from the limits. These deposited funds can only be withdrawn to pay certain Medicaid-approved medical and care expenses.
Applying for Medicaid Parker residents can apply for Health First Colorado coverage
online or in person at the
Douglas County Human Services office located at 4400 Castleton Court in Castle Rock. For more information or assistance, seniors can call (800) 221-3943.
Elderly, Blind and Disabled Waiver Long-term care in an institutional nursing home is an entitlement through Health First Colorado, but assisted living isn’t. The state does offer the
Elderly, Blind and Disabled waiver as an alternative for seniors who want to avoid nursing home admission and stay in the community.
Parker residents can qualify for the EBD waiver if they:
- Meet Medicaid’s income and asset limits
- Are aged 65 or older and have a significant functional impairment
- Are aged 18 to 64 and blind or disabled
- Need long-term supports comparable to those offered in a nursing home
Seniors approved for the waiver receive Health First Colorado medical services and a range of support services provided by their assisted living facility. These can include housekeeping, personal care, medication reminders and help with daily living activities. The waiver doesn’t cover room and board, so this portion of assisted living fees must be paid for by the participant.
The EBD waiver isn’t a Medicaid entitlement program so participation is limited statewide. This means an approved applicant may be placed on a waiting list to receive waiver services.
For more information about the EBD waiver or to start the application process, Parker residents can contact
Colorado Access at (877) 710-9993.