Comprehensive (HCBS-DD) Services

HCBS-DD provides Medicaid Waiver funded residential, day habilitation, and supported employment, transportation, behavioral, vision and dental services to qualifying individuals age 18 and over who require extensive supports to live safely in the community and do not have other resources to meet those needs.

Residential services provide individuals with 24 hour access to supervision and support. Individuals may choose to live and receive services in the family home, or may elect to live and receive services outside of the family home. The level of supervision and support provided to the individual in each setting is based on the assessed individual need. Options for living outside of the family home include group home, host home, and apartment settings.

• Group Residential Services and Supports (GRSS) settings serve at least four and no more than eight persons. GRSS settings are licensed by the Colorado Department of Public Health and Environment. Twenty-four hour supervision is provided.
• Individual Services and Supports (IRSS) use a variety of living arrangements individually designed to meet each individual's needs. The individual may live in a home owned or leased by an agency, their own home or a Host Home. IRSS services are generally provided to no more than two persons receiving services per setting although three person settings are allowed under certain circumstances.
• Personal Care Alternative programs include host homes or clustered or staffed apartments. No more than three individuals may live in any one apartment. Twenty-four hour accessible supervision and supports are available.

Options for living within the family home include Comprehensive Services in the Family Home and Family Caregiver.

• Comprehensive Services in the Family home allows for residential services to be provided in the family home by a traditional (non-family member) service provider. This may be desirable for individuals not yet ready to leave home or who may have difficulty finding another suitable setting.
• Family Caregiver allows for residential services to be provided in the family home by a family member under the Family Caregiver Act. To be a paid provider, family members must become an employee of a Program Approved Service Agency.

Day Habilitation Services and Supports include Specialized Habilitation, Supported Community Connection, and Pre-vocational services. Individuals may choose to receive only one type or a combination of day habilitation services based on their needs and preferences.

• Specialized Habilitation engages individuals in a variety of functional activities which are primarily habilitative in nature with an emphasis on skill development. These activities are provided in sheltered/segregated settings in which the majority of individuals have a disability or the primary purpose of the agency/business is to provide training or day activities for individuals with disabilities.
• Supported Community Connection utilizes the community as a learning environment to provide individuals access to, and participation in, typical activities and functions of community life. These services provide a variety of opportunities to facilitate relationships and natural supports in the community through activities such as volunteer work, community education or training and retirement activities.
• Pre-vocational services prepare the individual for community or self-employment within five years by developing strengths and skills necessary for employment
• Supported Employment provides individuals with ongoing job related services and supports to obtain and maintain paid work in a regular community work setting. Supported employment may occur in either a group or individualized setting. The level of supervision and support provided is based on individual needs.