Long-Term Care and Home-Based Services (HCBS)


Long-Term Care and Home-Based Services (HCBS)

Health First Colorado (Medicaid) may provide Home & Community Based Services (HCBS) to low-income individuals needing long term support services. These programs can help individuals remain in their homes by providing non-skilled services.

Individuals requiring nursing facilities or assisted living facilities may be eligible to receive financial aid.

Who is Eligible?

To qualify for Long Term and HCBS support services:

  • You must be at least 18 years of age
  • You must meet financial eligibility
  • You must require long term care for one or more of the following conditions:
    • Elderly, Blind or Disabled
      • If you are between 18-64, you must have a physical disability
      • If you are 65 and older, you must be determined to have a significant functional impairment
    • Mental Health
      • A person experiencing severe and persistent mental health needs that requires assistance with one or more Activities of Daily Living (ADL)
      • Currently has or at any time during the past year leading up to the assessment has a diagnosed mental, behavioral or emotional disorder of sufficient duration to meet diagnostic criteria specified with the Diagnostic and Statistical Manual of Mental Disorders (DSM- 5)
      • Has a disorder that is episodic, recurrent, or has persistent features, but may vary in terms of severity and disabling effects
      • Has resulted in a functional impairment with substantially interferes with or limits one or more major activity.
      • It does not include intellectual or developmental disorders or substance use disorders without a co-occurring diagnosis of a severe and persistent mental health need.
    • Brain Injury (BI)
      • Must be 16 years or older
      • Must have a brain injury
      • Brain injury occurred before 65th birthday
      • Your diagnosis must fit within certain categories


HCBS may provide non-skilled services to individuals in their home to assist with activities of daily living such as:

  • Bathing and dressing
  • Managing medications
  • Meal preparation
  • Light housekeeping

Long Term Care services may cover some of the cost of:

  • Nursing facilities
  • Assisted living facilities

Eligible recipients must contribute a portion of their income toward the room and board portion of their care when in nursing facility or alternative care facility placements.

View a complete list of Long Term Service and Supports Benefits


How Do I Apply?

You can apply for benefits in one of the following ways:

  • Visit Colorado PEAK to see if you are eligible and to apply online. Applications will be automatically submitted to the Las Animas County Department of Human Services.
  • Pick up an application at our office located at 219 S Chestnut Street, Trinidad
  • Request an application be mailed to you by calling (719)846-2276.
  • Print an application and return by mail, fax or in person at the Las Animas County DHS office.

You may return the application by fax, mail, or in-person:

  • Fax: 719-846-4269
  • Mail to: Las Animas County DHS, 219 S. Chestnut Street, Trinidad, Colorado 81082
  • Office Location: 219 S. Chestnut Street
    Phone: 719-422-7077
    Office Hours are 8:00 am to 4:30 pm


Call Laurie Ringo at (719) 846-2276 or email laurie.ringo@state.co.us.

View the USDA Nondiscrimination Statement