Complementary and Integrative Health Waiver (CIH)

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.

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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.  

View SCI Waiver Expansion and Name Change FAQ

View Informational Memo IM 22-016

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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

View the full text of the CIH waiver and Waiver Lifecycle

Who Qualifies?

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
  • Have been determined to need long-term services and supports as you would receive in a nursing home or a hospital.

Benefits and Services

CIH FAQ Page

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.

If you have more questions about this program please contact your local Single Entry Point Agency or the Member Contact Center.

 

Complementary and Integrative Health Services Providers

Currently, there are two providers with 2 locations that provide these services:

Neuability
neuability.org
866 E. 78th Avenue
Denver, CO 80229

Chanda Center for Health (Lakewood)
chandacenter.org
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.

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