medicaid waivers

Medicaid Waivers for Seniors: Caregiver Guide

Caring for aging seniors involves unique challenges, and as a caregiver, you want the best for your loved ones. 

Medicaid waivers emerge as essential tools for comprehensive care and support for aging seniors.

 Let’s explore what Medicaid waivers mean for aging seniors in Arizona and Colorado and how caregivers can navigate these programs to ensure their loved ones receive the care they deserve.

What are Medicaid Waivers?

Medicaid waivers are specialized programs designed to extend additional care and services beyond the standard Medicaid offerings. 

In Arizona and Colorado, these waivers play a pivotal role in customizing support for aging seniors who need comprehensive assistance to age gracefully in the comfort of their homes and communities.

You may be wondering, how do I or my loved one qualify for a Medicaid waiver? Let’s explore each state program and eligibility criteria.

Arizona Medicaid: ALTCS Waiver

Arizona, through its innovative 1115 Demonstration Project waiver, operates the Arizona Long-Term Care System (ALTCS). 

This federally funded Medicaid program is tailored to provide crucial support and services for individuals facing physical or developmental challenges, especially aging seniors.

How to Qualify for the Arizona Medicaid Waiver

To qualify for the ALTCS waiver, aging seniors need to meet specific criteria, including income thresholds, Arizona residency, and the need for nursing facility-level care. 

The program is designed to offer a range of services, from attendant care to home modifications, ensuring comprehensive support for aging seniors.

Colorado IHSS and EBD Medicaid Waiver: Support for Aging Seniors

The Department of Health Care Policy & Financing aims to give Health First Colorado members and their families more control over the long-term care they receive at home.


With In-Home Support Services (IHSS), you get to choose and manage the attendants who provide your personal care and household help, with the help of an agency if needed. IHSS allows you to select, train, and supervise attendants based on your unique needs. You can also assign these responsibilities to someone you trust.

How to Qualify for the Colorado Medicaid Waiver

If you qualify for Health First Colorado’s HCBS waivers, such as the EBD waiver, you can access In-Home Support Services (IHSS). To qualify, you must show a need for personal care, help at home, or health services. Even if your health isn’t steady, you can still manage your own services or choose someone to help you.

The EBD waiver ensures individuals willing to receive care at home or in the community get tailored support for dignified aging. 

For those not meeting financial criteria, the Health First Colorado Buy-In Program for Working Adults with Disabilities provides an alternative pathway to access essential services. 

This waiver serves as a vital resource, addressing the unique care needs of individuals in Colorado.

Common Questions about Medicaid Waivers


  • Can I use Medicaid waivers for in-home care if I already have Medicare coverage?

Answer: Yes, you can use Medicaid waivers for in-home care even if you have Medicare. 

Medicaid offers additional services that can complement Medicare’s coverage, providing support for services not covered or if you don’t meet Medicare’s specific criteria for home care. 

These waivers cover various needs like personal care, therapy, and home modifications, offering assistance based on individual state guidelines and eligibility criteria.

  • What services are covered if I qualify for a Colorado EBD Medicaid waiver?

Answer: The services covered under a Colorado EBD Medicaid waiver may include:

– Adult Day Services

– Alternative Care Facilities

– Consumer Directed Attendant Support Services (CDASS)

– Home Delivered Meals

– Home Modifications

– Homemaker Services (with Remote Supports options)

– In-Home Support Services (IHSS)

– Life Skills Training

– Medication Reminder

– Non-Medical Transportation

– Peer Mentorship

– Personal Care (with Remote Supports options)

– Personal Emergency Response System (PERS)

– Respite Care

– Transition Set Up

  • Are there alternatives to nursing home care in Arizona apart from ALTCS for providing in-home care for my aging loved one?

Answer: Yes! Yes, in Arizona, aside from ALTCS, there are alternative programs that allow for in-home care for aging seniors:

  1. Agency with Choice: This option grants ALTCS beneficiaries living at home the ability to share responsibilities for hiring, training, and dismissing their caregivers with the state.
  1. AHCCCS Self-Directed Attendant Care: Another self-directed option for ALTCS program participants.
  1. NMHCBS Program: Specifically designed for individuals not qualifying for Medicaid.


  • If I live in Arizona or Colorado, is there assistance available to help with the overwhelming process of Medicaid waiver eligibility?

Answer: Yes! Estrella Home Health offers support if you’re overwhelmed by Arizona or Colorado’s Medicaid waiver eligibility process. Our team specializes in navigating these Medicaid waiver programs, assisting you in accessing at-home care services, and ensuring you receive the necessary support.

Navigating Your Path to Quality, In-home Senior Care with Compassion, Care, and Support

Caregiving can be overwhelming, especially when dealing with Medicaid waivers. 

At Estrella Home Health, we understand your challenges and want to help. 

Our team knows about Arizona and Colorado’s Medicaid programs, ensuring your loved ones get great care. 

Medicaid waivers give exceptional support to seniors, and caregivers need to know the programs and rules. 

We’re here to walk alongside you, guiding you through these complex paths to get the best care for your loved ones.

Reach out to us today to begin your journey toward superior care


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