How does IHSS work in Colorado?

IHSS in Colorado provides Medicaid-funded, in-home caregiving support for eligible families. In many cases, parents can be paid to care for their child, depending on eligibility and assessed needs.

Colorado’s In-Home Support Services (IHSS) program is part of Medicaid and helps families get support at home instead of relying on institutional care.

Here’s how it typically works:

  • You must be enrolled in Health First Colorado (Medicaid)
  • A Case Management Agency (CMA) completes a functional needs assessment
  • Based on that assessment, the state approves a number of caregiving hours

Services may include:

  • Paid family caregiving, including parents in many cases
  • Personal care and daily living support
  • Supervision and assistance based on your child’s needs

Many families use IHSS alongside other supports. For example, a child may receive in-home caregiving through IHSS while also accessing ABA therapy coverage through Colorado Medicaid.

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