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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 listed below. There is no waitlist for this waiver.  

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Individuals who receive services through the CIH waiver are also eligible for all Health First Colorado covered services as long as they are not duplicative. 

In 2025, the second iteration of an independent evaluation will be presented to the State legislature that measures the health outcomes, quality of life, and cost expenditures for waiver participants receiving complementary and integrative health services which includes, acupuncture, massage therapy, and chiropractic services through the CIH waiver. This report will help the legislature determine any changes to the availability of complementary and integrative health services in the future. 

Have questions or are interested in getting started?

What can 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

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Who is eligible for services?

To be eligible for the CMHS waiver, you must:

  • 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. The inability for independent ambulation for the HCBS-CIH waiver means: 

    • The individual does not walk, and requires use of a wheelchair or scooter in all settings, whether or not they can operate the wheelchair or scooter safely, on their own, OR; 

    • The individual does walk, but requires use of a walker or cane in all settings, whether or not they can use the walker or cane safely, on their own, OR; 

    • The individual does walk, but requires “touch” or “stand-by” assistance to ambulate safely in all settings.

  • 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.

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How can I learn more or apply?

If you are currently enrolled with A&I Avenues, you can reach out to your case manager. Otherwise, you can do one of the following:

  • Fill out the intake application by clicking on the following link: Intake Application

    • Please note that this begins the process, but there are steps to follow should you be determined eligible. ​

  • Call the Intake Navigator at (303) 439-7011

  • Send us a message through our contact form by clicking on the following link: Contact Us

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