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Long-Term Care

Colorado Long-Term Care Partnership



For those who need long term care services in Colorado, the Colorado Long-Term Care Partnership provides coverage and care. The Long-Term Care Partnership is administered in a collaborative effort by public and private entities including long-term care insurers, Colorado Medicaid, the Division of Insurance, the Department of Human Services and Colorado residents. This program allows people with long-term care coverage to protect more of their resources if they later need Colorado Medicaid to help cover their long-term care. This way, Coloradans have more control over their financial planning for long-term care, as well as assistance with applying for future coverage when resources are depleting.

 

How it Works

Depending on the Home and Community Based Service (HCBS) Provider you choose, their standards for certification, recertification and Medicaid enrollment vary.  The standards for certification of each service are defined with the Medicaid Rules.

When you begin the certification process, the provider agency submits a letter of intent to the Department of Health Care and Policy Financing (HCPF) or the provider’s designated agent. The HCPF will recommend approval, denial, or provisional approval of certification. Provider agencies receiving certification approval begin with the agency’s Provider Agreement and are given a Medicaid Provider Number.  Any provider agreement or certification can be denied by the HCPF in the event that a provider cannot meet or improve certification standards, requirement or provider agreement provisions.

The Colorado Department of Public Health and Environment (CDPHE) is the designated agent for many Home and Community Based Services providers. As such, CDPHE provides agencies with information on the specific program and the required on-site survey after CDPHE receive a letter of intent.

 

LTC Coverage

Long-term care insurance helps pay for numerous types of illnesses and conditions for which an individual may require such care. This can include chronic disease, results of a serious accident, cognitive impairment such as Alzheimer’s disease, and sudden illness. These services vary from standard medical care, in that their aim is not to make the person’s medical condition better, but to bring a higher quality to the patient’s life. Medicaid provides some assistance for LTC services, though you must meet a certain income level to qualify.

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