Children to Adult Waiver Transitions in Colorado

Transition to adulthood at age 18 is a complicated process for a loved one with a disability. Starting the discussion early and being educated on your options can lead to a positive and successful outcome that ensures your loved one continues to receive the level of service and supports they deserve.

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Transition Planning

Oftentimes a smooth transition plan will incorporate your loved one’s case manager and your in-home support services agency (like PASCO). Individual situations may require some legal assistance depending on your unique circumstance such as Guardianship, Special Needs Trust, and/or Financial/Estate Planning.

There are several options available in Colorado when it comes to waiver transitions. Based on feedback from our PASCO families, we have outlined a few key considerations below.

We have separated this guide into three main concerns from a caregiver perspective;

We have also included different services/benefits that are available through this transitional phase.

Waiver Transitions Colorado

Key Considerations

Continuity of Services

CHCBS to EBD

Children’s Home and Community-Based Services Waiver to Elderly, Blind, and Disabled Waiver

  • IHSS – if you are currently providing In-Home Support Services (IHSS) and want to continue this service when your loved one transitions into adulthood, you should look into the EBD waiver. IHSS is a service option included under the EBD waiver.
CHCBS to EBD Waiver

CES to SLS

Children’s Extensive Support Waiver to Supported Living Services Waiver

  • Family CNA – if you are currently providing CNA care to your loved one and want to continue this service you should look into the SLS waiver.
    • With the SLS waiver, you can expand the scope of care above Family CNA to include supported community connections (one on one support in the community), mentorship, homemaking, and respite.
CES to SLS Waiver

CES to DD

Children’s Extensive Support Waiver to Developmental Disabilities Waiver

  • Family CNAs or Family Personal Care Providers – if you are currently providing either of these services to your loved one and want to continue you should look into Residential Services under the DD Waiver.
    • Benefits to the CES to DD waiver selection include:
      • Avoiding the DD waitlist, access to 24/7 services and supports, individualized contingency planning, access to day programs, and supported community connections (access to the community through paid caregiving).
    • Areas of concern – you will lose access to additional therapies such as music, massage, hippotherapy, and home and vehicle modification benefits.
CES to DD Waiver

PASCO recommends speaking with our team to understand which option may be best to fit your loved one’s needs.

Increased Needs

CHCBS to EBD

Children’s Home and Community-Based Services Waiver to Elderly, Blind, and Disabled Waiver

  • Family CNA – if you are providing CNA care to your loved one and are looking to provide additional tasks, you may want to consider IHSS under the EBD waiver. The Nurse Practice Act is waived, allowing caregivers to provide additional paid services under IHSS.
CHCBS to EBD Waiver

CES to SLS

Children’s Extensive Support Waiver to Supported Living Services Waiver

  • Family CNA – if you are currently providing CNA care to your loved one and want to continue this service you should look into the SLS waiver.
CES to SLS Waiver

CES to EBD

Children’s Extensive Support Waiver to Elderly, Blind, and Disabled Waiver

  • Access to IHSS (In-Home Support Services) – if you are providing CNA care to your loved one and are looking to provide additional paid tasks (medication administration, ostomy care, catheter care) you may want to consider IHSS under the EBD waiver. The Nurse Practice Act is waived allowing caregivers to provide additional services under IHSS.
CES to EBD Waiver

CES to DD

Children’s Extensive Support Waiver to Developmental Disabilities Waiver

  • Benefits – Avoid DD waitlist, access to 24/7 services and supports, individualized contingency planning, PASCO advocacy for additional support funding, nursing delegation of complex skilled tasks including medication administration and g-tube training and support.
CES to DD Waiver

Speak with any of our experienced team members to understand which option may be best to fit your loved one’s needs.

Aging Caregiver

CHCBS to EBD to DD

Children’s Home and Community-Based Services Waiver to Elderly, Blind, and Disabled Waiver to Developmental Disabilities Waiver

  • IHSS – if you are currently providing IHSS services and want to maintain continuity when your loved one transitions into adulthood, you could look into the EBD waiver while requesting to be placed on the DD waitlist through your case management agency.
    • Emergency DD enrollments can happen under qualifying circumstances allowing your loved one to access residential support services such as host homes for contingency planning.
    • PASCO can work with the individual’s case manager to plan for the future as part of our transitions support.
CHCBS to EBD to DD Waiver

CES to SLS to DD

Children’s Extensive Support to Supported Living Services to Developmental Disabilities Waiver

  • Family CNA – if you are currently providing CNA care to your loved one and want to continue this service you should look into the SLS waiver while requesting to be placed on the DD waitlist through your case management agency.
    • Emergency DD enrollments can happen under qualifying circumstances allowing your loved one to access residential support services such as host homes for contingency planning.
  • PASCO works with the individual’s case manager to plan for the future.
CES to SLS to DD Waiver

CES/CHRP to DD

Children’s Extensive Support Waiver/Children’s Habilitation Residential Program to Developmental Disabilities Waiver

  • Guided contingency planning including group homes, host homes, and respite.
  • Access to 24/7 emergency nursing support
  • Advocacy and support from PASCO care coordinators
CES to DD Waiver

How PASCO can help you and your loved one with all of your Transition Needs?

PASCO prides itself on our ability to serve you and your loved one across the full spectrum of Home and Community-Based Services (HCBS) needs across all stages and ages.

PASCO supports these Home and Community-Based Services (HCBS) Waivers:

  • DD (Developmental Disabilities)
  • SLS (Supported Living Services)
  • CES (Children’s Extensive Support)
  • EBD (Elderly, Blind, and Disabled)
  • SCI (Spinal Cord Injury)
  • BI (Brain Injury)
  • CLLI (Children with Life-Limiting Illness)
  • CHCBS (Children’s Home and Community-Based Services)

PASCO also provides long-term support options under:

  • State Plan Medicaid
  • Medicaid Buy-in
  • Long-Term Home Health
  • HCBS Waivers
Class A Class B PASA

Through PASCO’s longstanding commitment to our clients and 30+ years of disability community advocacy and involvement, we and our partners have made transitioning into adulthood easy for you and your loved one.

Speak to any of our knowledgeable staff or check out our online resource library for all of your transition needs.

We’re Here to Help

Experienced PASCO staff will guide you through waiver determination based on the level of support, age, and financial considerations for your unique situation. 

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