LTSS Presumptive Eligibility
The Office of Community Living is working on a new presumptive eligibility (PE) program that will provide immediate access to some Long-Term Services and Supports (LTSS) services.
This program will allow an adult who meets eligibility criteria to receive a defined set of supports during the PE period while their Long-Term Care Medicaid application is processed.
What is happening now?
October 2025: The Centers for Medicare and Medicaid Services (CMS) provided verbal notice to the Department of Health Care Policy and Financing (HCPF) that Colorado’s 1115 Waiver will be renewed with a No-Cost Extension. This means that CMS will not consider any new additions to the waiver and has up to a year to review our 1115 renewal application for LTSS PE. As such, implementation of LTSS PE is now targeted for July 2027.
We will continue to evaluate timelines in the months to come and will provide communication to position the program for a successful launch when the time comes.
Stay tuned to this website for updates!
- December 2024: The proposed draft extension application was submitted to CMS on December 23, 2024
- The renewal is available for review on the 1115 Waiver website
- Additional information is available on the Expanding the Substance Use Disorder Continuum of Care Waiver webpage
- July 2024: Since receiving authority through House Bill 24-1229 to pursue PE for LTSS, HCPF is presenting the program to various stakeholder groups and gathering feedback to help finalize program details.
Contact Us
Email: HCPF_LTSSPE@state.co.us
Voicemail line: 303-866-4882
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