Long Term Care
The Long Term Care programs provide assistance to individuals who are Medicaid-eligible and at-risk of placement in a nursing facility and/or need assistance in the home.
Assisted Living Facility, Nursing Home, 30-Day Medicaid & Home Community-Based Service Waivers:
Eligibility for these programs is based on financial need and resources, disability and functional assessment criteria. There
are several eligibility criteria that are universal to all four program options:
- Must be a U.S. Citizen or legal Permanent Resident
- Must be a resident of Colorado
- Must apply for Medicaid
- Must meet the maximum income limits of $1,911 per month
- Income trust may be established. Please ask about this option during your interview. Does not apply to 30-day Medicaid.
- Resource asset limits:
- Individuals: $2,000;
- Couples: $3, 000 to $4,000, depending on if they share a room at a facility.
- Married couples can retain $104,400 if only one household member is seeking long term care.
- Level of care is determined by a case management agency.
- In nursing home cases, all gross income except $50 goes toward the cost of care
Adult Medical
Supplemental Security Income (SSI) Mandatory /1634 Medicaid:
This program provides Medicaid benefits if the Social Security Administration (SSA) determines the individual is eligible
for SSI. Income and resources are evaluated by SSA.
- Must be receiving SSI
- May qualify for additional cash assistance
- Resource limit is $2,000
- Medicaid approved with SSI approval letter from SSA; no application is required for the program
Medicare Savings Program (MSP):
The following programs may help people receiving Medicare Part A by paying the premiums of various programs:
Qualified Medicare Beneficiary (QMB):
- Only pays for monthly Medicare premiums, deductibles and coinsurance
- Eligibility begins the month after application is approved
- Must currently be eligible for Medicare A
- Prescriptions are covered under Medicare D
- Income limits: $923 for individual and $1,235 for couple
- Resource limit is $4,000 for an individual and $6,000 for a couple
Special Low-Income Medicare Beneficiary (SLIMB)
- Only pays Medicare Part B premium
- Must be currently eligible for Medicare Part A
- Income limit is $1,239 for an individual and $1,477 for couple
- Resource limit is $4,000 for an individual and $6,000 for a couple
State Medicaid now pays the Medicare Part B premium for Medicare recipients with limited income and resources. Payment of
Medicare Part B premiums is the only benefit available under Medicaid for SLIMB.
Qualified Individuals (QI-1)
- Only pays Medicare Part B premium only
- Must be currently eligible for Medicare Part A
- Income limit is $1,239 for an individual and $1,660 for a couple
- Resource limit is $4,000 for an individual and $6,000 for a couple
This program can help you by having Medicaid pay for most of your doctor, medical supply, lab, x-ray and ambulance services.
For more information about these programs, please call the state hotline at (303) 866-3513 or toll-free at 1(800)-221-3943.
How Do I Apply For Benefits?
There are several options available to you for filing an application for financial, medical or food assistance in Colorado:
1. Visit www.colorado.gov/peak to learn if you might be eligible for benefits and to apply online. (PEAK is a secure web site run by the State of Colorado,
and is available in English and Spanish.)
2. Request, complete and submit a printed application in-person at one of our County office locations.
3. If you are unable to visit a County office location because of a disability, you may have another person apply and be interviewed
on your behalf. You must designate that individual as your authorized representative in writing.
You are also welcome to contact our office if you have questions about any program of interest by calling our Customer Service
hotline at (303) 636-1170.
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