at a glance...
Department of Human Services
ADDRESS:
126 W. 5th Street
P.O. Box 395
Akron, Colorado 80720
TELEPHONE:
970-345-2238
FAX:
970-345-2237
E-Mail: jerri.spear@state.co.us
Washington County Long Term Care Services
There are several Long Term Care Programs available to potential clients. They include Home and Community Based Services (services in the home) and placement in nursing and alternative care facilities. Eligibility is based on financial criteria and the client meeting the level-of-care (service eligibility) for these programs.
There are two applications that must be completed simultaneously. This is very important in establishing the first date of eligibility:
1. Financial eligibility determination This is the Medicaid application which you do through our County Departments of Social/Human Services
2. Uniform Long Term Care Form (ULTC 100) - for service eligibility. This form is then reviewed by a state designated peer review organization (PRO). The case manager will assist with decisions on the type of long term care program best suited to meet your needs.
Eligibility Criteria
Eligibility is two pronged. Clients must meet a Functional Assessment criteria as well as be Medicaid eligible. Clients who meet the qualifications through the Functional Assessment but are not Medicaid eligible may purchase case management services. Eligibility and service needs are re-determined on an annual basis or at a change of circumstances.
Clients who desire long-term care services shall meet the following criteria:
- The individual shall require skilled, maintenance and/or supportive services.
- The individual has functional impairment in the activities of daily living (ADL), and/or need for supervision, necessitating long term care services provided in a nursing facility, a residential alternative, or the individual's home.
- If the individual has a primary diagnosis of developmental disability or mental illness, the individual's needs are primarily for long term care services, in accordance with the specific program eligibility criteria.
- The individual receives or is eligible to receive medical assistance (Medicaid) and/or financial assistance under one or more of the following programs: Old Age Pensions, Aid to Blind, Aid to Needy disabled, Supplemental Security Income, Colorado Supplemental, a 300% eligible, as defined at 8.485.50; receiving long term care services in a nursing facility or through one of the Home and Community Based Service programs listed above.
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