In-Home Support Services (IHSS)

The Department of Health Care Policy and Financing is committed to providing service-delivery options that empower Health First Colorado (Colorado's Medicaid program) members and their families to direct and manage the long-term care services and supports they need to live at home.

In-Home Support Services (IHSS) lets you direct and manage the attendants who provide your personal care, homemaker and health maintenance services, with the added support of an agency. Through IHSS, you are empowered to select, train and manage attendants of your choice to best fit your unique needs or you may delegate these responsibilities to an authorized representative.

IHSS is available in the following Home and Community Based Services (HCBS) waivers:

Who Qualifies?

Health First Colorado members who qualify for one the HCBS waivers in which IHSS is an approved service delivery option. You must demonstrate a need for personal care, homemaker or health maintenance services. You can be in unstable health but must be able to direct your own services or assign an authorized representative.

Benefits and Services

You work closely with your case manager to determine what services you need. You will work with a home health or personal care agency certified in IHSS. You direct and manage your care by interviewing, selecting, training, and supervising the attendant who helps you. The IHSS agency hires your attendants, provides 24-hour back-up services, and has a nurse on staff for supervision. The IHSS agency provides additional supports, services and training to help you live independently and fully participate in your community.

  • Personal Care includes assistance with activities such as bathing, dressing or eating.
  • Health Maintenance includes assistance with skilled health-related activities that are typically provided by a certified or licensed attendant, such as a CNA, LPN or RN. In IHSS, the Nurse Practice Act has been waived so that members have the flexibility to hire and train staff without certifications or licensure.
  • Homemaker Services include assistance with general household activities needed to maintain a healthy and safe living environment, such as housekeeping, meal preparation and laundry.

How to Apply

Contact your local Case Management Agency to apply. They can also help you plan what type of care you need.

If you have more questions about this program please contact your local Case Management Agency, the Member Contact Center, or Consumer Direct Colorado (CDCO).