Learn about Long-Term Services and Supports | Colorado Department of Health Care Policy & Financing

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Long-Term Services and Supports (LTSS) are a type of health care that helps people who have disabilities or chronic illnesses with their daily activities.
It is an additional benefit provided by Health First Colorado (Medicaid) that can be provided in different places, such as in a person’s home, in a community center, or a nursing home.
LTSS might be called different things, like:
- Long-Term Care (LTC)
- Home and Community Based Services (HCBS)
- Waiver Services
To qualify, people have to meet certain financial and medical requirements.
LTSS can cover different kinds of services, such as personal care, nursing care, home modifications, and transportation.

Home and Community Based Services (HCBS) are offered through waivers that provide services and benefits to help people with specific health conditions live more independently in the community.
HCBS waivers allow states to waive certain requirements of the Medicaid program, such as the need to receive care in a nursing home or hospital.
HCBS waivers allow states to offer a variety of services and supports to help people remain in their homes and communities and still receive the same care they would typically receive in a nursing home or hospital.
HCBS waivers are designed to meet the needs of people with specific conditions, diagnoses or disabilities.
Each state can choose which HCBS waivers to offer in their state and those waivers can have different eligibility criteria, benefits, and program rules.

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