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Support Post-COVID Recovery & HCBS Innovation

The Need

The COVID-19 pandemic has had a startling, disproportionate impact on individuals residing in congregate care settings. While the American Rescue Plan Act (ARPA) funding may not be used for nursing facilities, it may be used to transform community-based residential care settings.

Reimagining Colorado’s residential settings is required to support member health, safety, and overall well-being, as well as to create the long-term care system of the future. This future system ideally supports choice, offers the continuum of care, and is provided in the member’s home or community of choice. The ARPA funding will support collaboration with community partners to begin the work of transforming the residential care setting environment and method by which these partners provide services.

Though higher rates and wages are important for sustainability, there are often specific projects that require a more significant upfront investment. With an eye toward promoting innovation, grants will be made available for one-time, transformative initiatives. Additionally, funding will be used to address specific barriers to the receipt of ongoing care in a member’s home or other community-based setting. An example would be the need for home modifications to adapt a person’s physical space or access to a personal care attendant to support a person to live independently. Initiatives that strengthen these services and supports will be worthwhile investments as they extend the time members can live and thrive in their home of choice.

Initiative 4.01. - Residential Innovation
 

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Pilot program to re-envision supportive residential options for older adults and PWDs

 

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Initiative 4.02. - Promote Single Occupancy
 

 

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Grants to create private rooms in residential facilities for safety and dignity

 

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Initiative 4.03 - Child/Youth Step-down Options Program and Provider Recruitment

 

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Grants to increase service options for children with complex diagnoses

 

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Initiative 4.04 - Tiered Residential Rates and Benefits

 

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Developing tiered rates for Alternative Care Facilities to meet member needs

 

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Initiative 4.05 - Pilot CAPABLE 

 

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CAPABLE grants to help older adults stay in their homes and improve well-being

 

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Initiative 4.06 - Supported Employment Pilot Extension 
 

 

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Pilot grants to expand job opportunities for individuals with disabilities

 

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Initiative 4.07 - New Systems of Care

 

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Grants supporting innovative care systems for DCWs and members with complex needs

 

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Initiative 4.08 - Respite Grant Program

 

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Grants to expand respite services and reduce caregiver burnout statewide

 

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Initiative 4.09 - Respite Rate Enhancement

 

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Temporary rate increase to support respite care access for family caregivers

 

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Initiative 4.10 - Home Modification Budget Enhancement

 

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Funding and process improvements for Medicaid home accessibility modifications

 

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Initiative 4.11 - Hospital Community Investment Requirements
 

 

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Reports to ensure hospitals meet benefit and engagement requirements in communities

 

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Initiative 4.12 - Community First Choice

 

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New option expanding attendant care services through Medicaid State Plan benefits

 

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