What is Medicaid IHSS?
Colorado offers a Medicaid Program called In-Home Support Services (IHSS).
Patients can transition safely back and remain in their home or Assisted Living Community with additional help for higher skilled level of care covered by Medicaid. IHSS may also help prevent readmission to the hospital
Self-directed care is an emerging trend in the world of health care in which Medicaid patients with this IHSS waiver are able to receive assistance with Personal Care, Health Maintenance Aides (Skilled Care) and Home-making services from the comfort of their own homes covered by Medicaid. Their Medicaid Case Manager will determine how many hours of care they need per day for Personal Care, Health Maintenance and Home-making services.
Patients choose their own caregiver – their spouse, friend or relative can be their designated caregiver, they are trained by the Patient or their Authorized Representative and then will get paid through Medicaid for providing the care. They may also choose to have a Pristine caregiver to provide the care if needed.
In-Home Support Services provides the following on-going care in the home:
- Personal Care & Home Making
- Health Maintenance (skilled care)
- Registered Nurse
- 24/7 “Back Up” Assistance
- Peer Counseling Services
Who Qualifies for Medicaid IHSS?
The IHSS program is available to a Medicaid individual that has one of the following HCBS: Medicaid Waivers below:
- Elderly, Blind & Disabled (EBD)
- Spinal Cord Injury (SCI) – Adults
- Home and Community-Based Services (CHCBS) – Children
IHSS is for individuals that live at home or in an Assisted Living Community that require a higher level of skilled care that would deem them at a Nursing Home Level of Care. The individual must be able to direct their care or have an Authorized Representative to direct their care.