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 you remain in your home and community. Waivers have extra program rules and some programs may have waitlists.
The Spinal Cord Injury Waiver is now the Complementary and Integrative Health Waiver
Effective July 1, 2022, all services on the Complementary and Integrative Health (CIH) waiver (formerly SCI Waiver) are available statewide to HCBS eligible Coloradans living with a spinal cord injury (traumatic or nontraumatic), multiple sclerosis, brain injury, spina bifida, muscular dystrophy, or cerebral palsy with the inability for independent ambulation over the age of 18.
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.
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.
Complementary and Integrative Health Services Guide - Updated September 2022
The Home and Community-Based Services Complementary and Integrative Health waiver helps individuals living with a spinal cord injury, multiple sclerosis, a brain injury, spina bifida, muscular dystrophy, or cerebral palsy with the inability for independent ambulation.
To qualify for the CIH 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
- If you do not meet the financial requirements, you may be eligible through the Health First Colorado Buy-In Program for Working Adults with Disabilities.
- Have been determined to need long-term services and supports as you would receive in a nursing home or a hospital.
Benefits and Services
How to Apply
If you are already enrolled in Health First Colorado (Colorado's Medicaid Program), contact your local Single Entry Point (SEP) to start the waiver application process.
If you are NOT yet enrolled in Health First Colorado, apply now.
Complementary and Integrative Health Services Providers
Currently, there are two providers with 2 locations that provide these services:
866 E. 78th Avenue
Denver, CO 80229
Chanda Center for Health (Lakewood)
1630 Carr Street
Lakewood, CO 80214
*Contact your case manager for information and availability for these providers and any new providers that may become available.
Other Useful Links
- Submit Case Management Agency Complaint
- Training Materials for Case Managers
- COVID-19 Page
- HCBS Waivers Page
- View Waiver Charts
- Find HCBS Service Providers
- View HCBS Public Comment Opportunities
- Complementary and Integrative Health Waiver Advisory Committee
- Other Long-Term Services and Supports Programs