Services for Adults

A&I Avenues provides resources, assistance, and access to programs for adults with both temporary and permanent disabilities. These services are personalized and designed to provide adults with tools and resources they need to best meet their needs, goals, and desires.

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Services

Brain Injury Waiver (BI)

The Brain Injury (BI) waiver helps people with a brain injury who need extra support to live in their communities.

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Complementary and Integrative Health Waiver (CIH)

The Complementary and Integrative Health Waiver provides acupuncture, chiropractic, and massage therapy in addition to all HCBS services.

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Community Mental Health Supports Waiver (CMHS)

The Home and Community-Based Services Community Mental Health Supports Waiver (CMHS) provides assistance to people with a mental illness that require long-term supports and services in order to remain in a community setting.

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Developmental Disabilities Waiver (DD)

The HCBS Waiver for Persons With Developmental Disabilities (DD) provides access to 24-hour, seven days a week supervision through Residential Habilitation and Day Habilitation Services and Supports.

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Elderly, Blind, and Disabled Waiver (EBD)

The HCBS Waiver for persons who are Elderly, Blind, or Disabled (EBD) provides assistance to people ages 65 and older who have a functional impairment, or are blind, or to people ages 18-64 who are physically disabled, and require long-term supports and services.

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Supported Living Services Waiver (SLS)

The Supported Living Services (SLS) waiver provides necessary services and supports for individuals with adults with intellectual or developmental disabilities so they can remain in their homes and communities with minimal impact to individuals' community and social supports.

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State - Supported Living Services Waiver (SLS)

The State-Supported Living Services program (State-SLS) is for people waiting for long term care Waiver Enrollment, experiencing temporary hardships, or not eligible for the same services through Home and Community Based waivers.

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OBRA Specialized Services

OBRA provides integrated community-based supports while the individual resides in a nursing facility as required by the Omnibus Reconciliation Act of 1987 (OBRA). Supports and services are similar to State SLS.

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Program Comparison

What does BI provide?

Adult Day Services
Assistive Devices
Behavioral Management and Education
Consumer Directed Attendant Support Services (CDASS).
Day Treatment
Home Delivered Meals
Home Modification
Independent Living Skills Training (ILST)
Medication Reminder
Mental Health Counseling
Non-Medical Transportation
Peer Mentorship
Personal Care (with Remote Supports options)
Personal Emergency Response System (PERS)
Respite
Specialized Medical Equipment and Supplies
Substance Abuse Counseling
Supported Living Program
Transition Set Up
Transitional Living Program

To be eligible for the BI waiver:

You must be 16 years or older
You must have a brain injury
Your brain injury occurred before your 65th birthday
Your diagnosis must fit within certain categories
You must need long-term services as you would get in a nursing home or a hospital

What does CMHS provide?

Adult Day Services
Alternative Care Facilities
Consumer Directed Attendant Support Services (CDASS).
Home Delivered Meals
Home Modifications
Homemaker Services (with Remote Supports options)
Life Skills Training
Medication Reminder
Non-Medical Transportation
Peer Mentorship
Personal Care (with Remote Supports options)
Personal Emergency Response System (PERS).
Respite
Transition Set

To be eligible for the CMHS waiver:

Be a person experiencing severe and persistent mental health needs that require assistance with one or more Activities of Daily Living (ADL),
- 18 years of age or older with a severe and persistent mental health need,
- Currently has or at any time during the past year leading up to assessment has a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), and
- Has a disorder that is episodic, recurrent, or has persistent features, but may vary in terms of severity and disabling effects, and
- Has resulted in functional impairment which substantially interferes with or limits one or more major activities.
Have a severe and persistent mental health need does not include:
- Intellectual or developmental disorders, or
- Substance use disorder without a co-occurring diagnosis of a severe and persistent mental health need.
- Require long-term support services at a level comparable to services typically provided in a nursing facility.
Meet the Social Security Disability definition & financial requirements for Colorado Medicaid

What does the DD waiver provide?

Residential Supervision and Supports
Behavioral Services
Day Programing
Dental and Vision Services
Specialized Medical Equipment and Supplies
Supported Employment
Non-Medical Transportation
Post Institution Supports

To be eligible for the DD waiver:

Be at least 18 years old
Have a Developmental Disability Determination
Need support with activities of daily living
Have Long Term Care Medicaid
Meet the Social Security Disability definition & financial requirements for Colorado Medicaid

What does the SLS waiver provide?

Assistive Technology
Behavioral Services
Day Programing
Dental and vision Services
Home and vehicle Modifications
Homemaker Services
Personal Care Services
Mentorship
Non-Medical Transportation
Consumer Directed Services
Respite
Specialized Medical Equipment and Supplies
Supported Employment
Other Therapies
Post Institution supports

To be eligible for the SLS waiver:

Be at least 18
Have a Developmental Disability Determination
Need support with activities of daily living
Have Long Term Care Medicaid by meeting the Social Security disability definition & financial requirements for Colorado Medicaid

What does the EBD waiver provide?

Adult Day Services
Alternative Care Facilities
Consumer Directed Attendant Support Services (CDASS)
Home Delivered Meals
Home Modifications
Homemaker Services (with Remote Supports options)
In-Home Support Services (IHSS)
Life Skills Training
Medication Reminder
Non-Medical Transportation
Peer Mentorship
Personal Care (with Remote Supports options)
Personal Emergency Response System (PERS)
Respite
Transition Set

To be eligible for the EBD waiver:

You must be 18 years or older.
If you are between the ages of 18 and 64, you must be blind or have a physical disability, or have a diagnosis of HIV or AIDS.
If you are age 65 and older, you must have been determined to have a significant functional impairment
You require long-term support services at a level comparable to services typically provided in a nursing facility
Meet the Social Security Disability definition & financial requirements for Colorado Medicaid

What does the State-SLS waiver provide?

Assistive Technology
Behavioral Services
Day Programming
Dental and Vision Services
Homemaker Services
Personal Care Services
Mentorship
Non-Medical Transportation
Consumer Directed Services
Respite
Specialized Medical Equipment and Supplies
Supported Employment
Other Therapies
Post Institution supports

To be eligible for the State-SLS waiver:

Be a Colorado resident
Be 18 years of age or older
Have a determination of an intellectual or developmental disability as defined by the State of Colorado.
Do not have access to the same services through a Home and Community-Based waiver

What does the CIH waiver provide?

Adult Day Services
Complementary and Integrative Health Services (Acupuncture, Chiropractic, Massage Therapy)
Consumer Directed Attendant Support Services (CDASS)
Home Delivered Meals
Home Modification
Homemaker Services (with Remote Supports options)
In-Home Support Services (IHSS)
Life Skills Training
Medication Reminder
Non-Medical Transportation
Peer Mentorship
Personal Care (with Remote Supports options)
Personal Emergency Response Systems (PERS)
Respite
Transition Set Up

To be eligible for the CIH waiver:

Be 18 years of age or older
Have a qualifying condition of a spinal cord injury (traumatic or nontraumatic), multiple sclerosis, brain injury, spina bifida, muscular dystrophy, or cerebral palsy
Have been determined to have an inability for independent ambulation resulting from the qualifying condition as identified by the case manager through the assessment process.
Have been determined to be financially eligible
Have been determined to need long-term services and supports as you would receive in a nursing home or a hospital.

What does OBRA provide?

Assistive Technology
Behavioral Services
Day Habilitation Services
Dental Services
Non-Medical Transportation
Supported Employment
Recreational Facility Fees/Passes
Vision Services

To be eligible for OBRA:

The member must be over the age of 18.
The member must have an Intellectual or Developmental Disability Determination.
The member must reside in a nursing facility.
The member must be interested in receiving OBRA Specialized Services.

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