Home and Community Based Supported Living Services Waiver (HCBS-SLS) and Home and Community Based Children’s Extensive Support Waiver (HCBS-CES)

A waiver is an extra set of Health First Colorado (Colorado's Medicaid Program) benefits that you could qualify for in certain cases. These benefits can help individuals remain in their home and community. Waivers have extra program rules and some programs may have waitlists.

The Home and Community-Based Supported Living Services (HCBS-SLS) waiver services and supports are available to assist persons with developmental disabilities to live more independently in the person's own home, apartment, family home, or rental unit. The HCBS-SLS waiver is designed to supplement existing natural supports and traditional community resources with targeted and cost-effective services and supports. Participants on this waiver do not require twenty-four (24) hour supervision on a continuous basis for services and supports offered on this waiver. 

The Home and Community-Based Children’s Extensive Support (HCBS-CES) waiver services are for clients ages birth through seventeen years of age with developmental delays or disabilities. The HCBS-CES waiver helps children and families by providing services and supports that will help children establish a long-term foundation for community inclusion as they grow into adulthood. 

Licensure and certification

Health facilities licensure, certification and registration

Certification only is required for HCBS-SLS and HCBS-CES services that are not hands-on, in-home services.

A home care license is required for any hands-on, in-home HCBS-SLS and HCBS-CES personal care or respite services provided by a PASA prior to program approval.

• 6 CCR 1011-1 Chapter 26 – Home Care Agencies.

• Compliance Strategies for Home Care Agencies providing SLS and CES waiver services.

Home and Community Based Supported Living Services Waiver (HCBS-SLS)

Home and Community Based Supported Living Services (HCBS-SLS) ​are available to assist persons with developmental disabilities to live more independently in their own home, apartment, family home, or rental unit. 

HCBS-SLS waiver: ​https://www.colorado.gov/hcpf/supported-living-services-waiver-sls

Home and Community Based Children’s Extensive Support Waiver (HCBS-CES) 

Children’s Extensive Support Waiver Services (HCBS-CES) are for any hands-on, in-home HCBS-SLS and HCBS-CES personal care or respite services provided by a PASA prior to program approval.

HCBS-CES waiver: https://www.colorado.gov/pacific/hcpf/childrens-extensive-support-waiver-ces

Rules and regulations

• Department of Health Care Policy and Financing Program Rules and Regulations

• Home and Community-Based Services (HCBS) Settings Final Rule

  • CMS guidance materials

  • CMS training material

• Developmental Disabilities Waiver (DD)

• 10 CCR 2505-10 8.500 -Home and Community-Based Services for the Developmentally Disabled (HCBS_DD) Waiver

• 10 CCR 2505-10 8.600 Services for Individuals with Intellectual and Developmental Disabilities

• 6 CCR 1011-1 Chapter 24 - Medication Administration Regulations

  • Medication administration/QMAP

  • Qualified Medication Administration Personnel (QMAP) Resources for Agencies with Developmental Disabilities (DD) Services FAQ

Health Care Policy and Financing (HCPF), Office of Community Living Communication briefs

Communications from the Health Care Policy and Financing (HCPF) Office of Community Living regarding services and supports for older adults and adults and children across disabilities. 

Consumer resources

• Inspection and occurrence findings (search by city or county).

• Facility directory (search by city or county).

• Filing a complaint.

• Current Program Approved Service Agencies (PASAs).

Provider resources

• Inspection and occurrence findings (search by city or county).

• Facility directory (search by city or county).

• Filing a complaint.

• Licensure and certification.

House Bill 1294 Stakeholder Forum