Functional Needs Assessment
(this applies to HCBS waivers)
For more detailed information about Long-Term Services and Supports Case Management Tools please visit this link.
Please reach out to your Case Manager if you have any questions or concerns about your functional eligibility for your current Home and Community-Based Services (HCBS) waiver.
Medicaid eligibility is redetermined every 12 months (as required by law) from the initial start date. A letter is sent to your address of record 60 days before the renewal date.
It is paramount that you fill out the information requested and return the letter to your designated county office even if you or your loved one’s functional or financial status has not changed.
When you receive this redetermination packet, you should review the current information about your household and report any changes or corrections of this information.
Please pay attention to see if any additional information has been specifically requested and provide the required proof.
You can report your changes and updated information by either:
- Going to Colorado.gov/PEAK
- Logging into your account, and following the Redetermination/Recertification link
- Complete the “Redetermination Form” and mail, fax, or bring the Renewal Form back to your local county human services office
We recommend sending the completed paperwork by certified mail or hand delivering it to the local county office to guarantee it is received.
An increase of countable income or a loss of SSI or TANF can impact your Medicaid eligibility. Some examples of increases in countable income could be:
- Financial Settlement
- Wage increase
What you should do if you become financially ineligible?
Contact or visit your local countyFind Your Local County Office