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Home and Community-Based Services Waivers


An HCBS 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. HCBS Waivers have extra program rules and some programs may have waitlists.

Stakeholders can provide input to the Department of Health Care Policy and Financing (HCPF) on proposed Home and Community Based (HCBS) 1915(c) waiver changes through the 
HCBS Public Comment Opportunities page. 

Waiver Comparison Charts    Approved Waiver Documents and Lifecycle   HCBS Public Comment Opportunities

Waiver Comparison Charts

HCBS Waiver Charts - side-by-side comparison of waiver benefits

CHRP-CES Waiver Comparison Charts

Choosing an HCBS Waiver Flowcharts - decision tree-type flow chart showing waiver options

 

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Approved HCBS Waiver Documents and Waiver Lifecycle

HCBS 1915(c) waiver agreements must be renewed with the Centers for Medicare & Medicaid Services (CMS) every five years. HCPF defines the 5-year agreement with CMS as the waiver's lifecycle. Each waiver is at a different point in that lifecycle.

The chart below details the current waiver year of the waiver lifecycle and the year the waiver will need to be renewed. The CMS HCBS 1915(c) waiver agreements always expire on June 30 of the listed calendar year and will go through the renewal process before that date.

Questions?  Email HCPF_HCBSWaivers@state.co.us 

Waiver

Most Recent Approved Waiver Application

Current Year of Lifecycle

Waiver Renewal Date

Five Year Renewal Date

BIBrain Injury (BI) Waiver - Approved Full Text - Effective July 1, 20254

July 1, 2022

July 1, 2027

CwCHN

Children with Complex Health Needs (CwCHN) Waiver - Approved Full Text - Effective July 1, 2025

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July 1, 2025

July 1, 2030

CESChildren's Extensive Support (CES) Waiver - Approved Full Text - Effective July 1, 20252

July 1, 2024

July 1, 2029
CHRPChildren's Habilitation Residential Program (CHRP) Waiver - Approved Full Text - Effective July 1, 20252

July 1, 2024

July 1, 2029
CHCBSChildren's Home and Community Based Services (CHCBS) Waiver - Approved Full Text - Effective July 1, 20253

July 1, 2023 

N/A
CMHSCommunity Mental Health Supports (CMHS) Waiver - Approved Full Text - Effective July 1, 20254

July 1, 2022

July 1, 2027
CIHComplementary and Integrative Health (CIH) Waiver - Approved Full Text - Effective July 1, 20251

July 1, 2025

July 1, 2030
DDDevelopmental Disabilities (DD) Waiver - Approved Full Text - Effective July 1, 20252

July 1, 2024

July 1, 2029
EBDElderly Blind and Disabled (EBD) Waiver - Approved Full Text - Effective July 1, 20254

July 1, 2022

July 1, 2027
SLSSupported Living Services (SLS) Waiver - Approved Full Text - Effective July 1, 20252

July 1, 2024

July 1, 2029


These documents have been provided by CMS and the information is accurate as of July 1, 2025 for State Fiscal Year 2025-26.

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