1

LTSS Presumptive Eligibility

A new presumptive eligibility (PE) program is scheduled to become available in January 2026. It will provide immediate access to some Long-Term Services and Supports (LTSS) benefits.  This program will be initiated through a referral form using self-declaration of eligibility, followed by application verification.

The new presumptive eligibility program will allow an adult who meets eligibility criteria to receive a defined set of LTSS benefits and services during the PE period while their Long-Term Care Medicaid application is processed.

Watch LTSS PE Stakeholder Video >

LTSS PE Stakeholder Video Presentation - August 2024

#FFFFFF

What is happening now?

House Bill 24-1229 gives the Department of Health Care Policy and Financing (HCPF) the authority to pursue PE for LTSS. HCPF is presenting the program to various stakeholder groups and gathering feedback about program details.

Stay tuned to this page for updates!

Stakeholder Engagement

Upcoming meetings and ways to participate:

  • LTSS PE Questions and Answers Session
    September 4, 2024 from 3:30 to 5:00 p.m.
    Register to attend via Zoom
    • Have questions about the new LTSS PE program scheduled to be implemented in January 2026? Join us for this question and answer session.  There will not be a formal agenda, so please join the discussion at any point during this time to get your questions answered.
       
  • LTSS PE Program Updates Session
    October 16, 2024 from 12:30 to 1:30 p.m.
    Register to attend via Zoom
    • During this session, we will provide updates and additional details about the new LTSS PE program scheduled to be implemented in January 2026.
       

Contact Us

Submit questions or feedback using the LTSS Stakeholder Feedback Form or email HCPF_LTSSPE@state.co.us 

The LTSS PE Feedback Log will be used to list the questions and feedback we have received.

HCPF is committed to ensuring digital accessibility for people with disabilities. If you need accommodations or support viewing or accessing our content, please visit our Accessibility page to submit a request.