Everything You Want To Know

Medicaid / Colorado

Medicaid for Home Care in Colorado

Medicaid Certified Home Care Agency in Colorado

Caregiver service providers are eligible for Colorado Medicaid reimbursements only if they are a certified Home Health Agency (HHA). Every state works as per their own set of regulations when it comes to home care Medicaid eligibility.

Some private-duty service providers offering non-medical care services are exempted for certifications in some of the states. Detailed information is shared through the state’s Department of Human Services and is also available at the Bureau of Licensing and Certification.

Governing Body: Health First Colorado


Medicaid in Colorado is called Health First Colorado, and it provides health care coverage to low-income individuals making 133% below the federal poverty line (FPL). The Colorado Department of Health Care Policy & Financing regulates it and offer separate Medicaid programs for seniors, pregnant women, parents, children, disabled people, and caregivers.

Medicaid Programs:

  • Colorado Elderly, Blind and Disabled (EBD) Waiver
  • Colorado Consumer Directed Attendant Support Services (CDASS) Program
  • Family Planning Services
  • Health First Colorado Buy-In Program for Working Adults with Disabilities

Income Requirements:

  • For parents/caretakers, 133% FPL cap
  • For pregnant women, the income is under 260% FPL
  • For the expansion population, the income is capped at $15,800 a year for an individual

Application Process:

To apply online for the available Medicaid programs in Colorado, you can visit the Colorado PEAK website.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
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  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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