RESOURCES
How to Apply for Long-Term Medicaid
H O W T O A P P L Y
Looking to Apply for Long-Term Medicaid?
Colorado Medicaid has a program that helps children and families by providing services and supports that will help children with a developmental disability establish a long-term foundation for community inclusion as they grow into adulthood.
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The process to apply can be challenging, and Evolve is here to help point you in the right direction by collaborating with the Case Management Agency and help you through the process. See below how to apply to get started.
For Children and Adults Ages 5+
The State of Colorado requires four things to determine eligibility:
1. Proof of a cognitive, adaptive, or intellectual disability
2. Proof that the disability occurred prior to age 22
3. Why the applicant is disabled (medical diagnosis)
4. A signed application for disability determination
S T E P O N E
Fill out the request for a Developmental Disability Determination, Release of Health Information and the acknowledgment page of Inner Peace's HIPAA Policy
S T E P T W O
Review the accepted testing options below and arrange a test or submit results from a previous test
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Cognitive Testing (preferred)
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The score shall be determined using a norm-referenced, standardized test of general intellectual functioning and administered by a licensed psychologist or school psychologist. The following are the Assessments tools recommended by the State of Colorado:
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Differential Ability Scale (DAS)
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Kaufman Assessment Battery for Children (KABC)
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Leiter International Performance Scale (Leiter)
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Stanford Binet (SB)
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Wechsler Adult Intelligence Scale (WAIS)
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Wechsler Intelligent Scale for Children (WISC)
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Wechsler Preschool and Primary Scale of Intelligence (WPPSI)
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Adaptive Behavior Assessment
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In order to ascertain if an applicant meets the State criteria an adaptive assessment may be needed to reflect the applicant’s true abilities. Adaptive Behavior will be considered if the overall adaptive behavior composite or equivalent score is two or more standard deviations below the mean and would also require a documented neurological diagnosis as well. Measurements shall be a norm-referenced, standardized assessment of adaptive behaviors that are appropriate to the person’s living environment. The following Assessment tools are recommended by the State of Colorado:
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Adaptive Behavior Assessment System (ABAS)
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Adaptive Behavior Scale-Revised (ABS-R)
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Scales of Independent Behavior-Revised (SIB-R)
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Vineland Adaptive Behavior Scale (VABS)
When determining the overall adaptive behavior score, a maximum confidence level of 90% shall be applied to the overall adaptive behavior score to determine if the interval includes a score of 70 or less. The adaptive scale shall be determined using interview and record review and not through questionnaires. All domains must be considered in determining the overall adaptive behavior score. An adaptive assessment MUST be accompanied with third party documentation of a neurological diagnosis (such as Down syndrome, cerebral palsy, Autism spectrum disorder or seizure disorder).
S T E P T H R E E
Download, Print, Fill out, and Email Forms
Email Documents To:
Office@evolvebehavioralservices.com
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Our Case Managers:
Chantal Steele
Rachel McCall
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Call for Questions:
(970) 852-9018