Home and Community-Based Services (HCBS) Waivers, or “Waivers” for short. 
Waivers allow states to offer services that are above and beyond what the Medicaid program offers. Medicaid programs provide health coverage people who are low-income, elderly, and/or disabled. The services in each Waiver must assist individuals to live in the community rather than in Medicaid funded institutional settings, such as nursing homes or institutions for people with intellectual/developmental disabilities. The three most common Waivers for people with disabilities are: HCBS-DD, HCBS-SLS, and HCBS-EBD 

HCBS-DD (Home and Community-Based Services - Developmental Disability)
Persons who require extensive supports to live safely, including access to 24-hour supervision, and who do not have other resources for meeting those needs. There is an extensive wait list for this waiver, however an individual may have their name added to list at the age of 14.

Services
• Day habilitation (specialized day, community access)
• Residential habilitation (24 hour individual or group)
• Transportation
• Specialized medical equipment and supplies
• Supported employment
• Skilled nursing
• Behavioral services
• Dental
• Vision
For Jefferson County
DDRC
303-233-3363
www.ddrcco.com

HCBS-SLS (Home and Community-Based Services - Supported Living Services)
Persons who can either live independently with limited supports or who, if they need extensive supports, are already receiving that high level of support from other sources, such as family. There is a wait list for this waiver, however an individual may have their name added to the wait list at the age of 14.

Services:
• Specialized Medical Equipment & Supplies
• Counseling and therapeutic services
• Dental services
• Day habilitation services (specialized, community access)
• Hearing services
• Home modifications
• Personal assistant services
• Supported living consultation
• Transportation
• Vision services
• Employment (pre-vocational and supported employment)

For Jefferson County
DDRC
303-233-3363
www.ddrcco.com

HCBS-EBD (Home and Community-Based Services - Elderly, Blind & Disabled) 
Elderly persons with a functional impairment (aged 65+) or blind or physically disabled persons (aged 18-64).

Services
• Adult day services
• Alternative care facilities
• Community transition services
• Consumer Directed Attendant Support
• Personal Emergency Response System
• Home modifications
• Homemaker services
• In home support services (IHSS)
• Non-medical transportation
• Personal care
• Respite care

For Jefferson County:
Located in the Human Services building
900 Jefferson County Parkway
Golden, Co 80401
303-271-4707
ltc@jeffco.us
 

Learn more here: Long Term Care Options