Colorado
Colorado
- What is it called?
Assisted Living Residence
An “Alternative Care Facility” is an Assisted Living Residence that can accept Medicaid reimbursement.
What services are provided?
All Assisted Living Residences are required to provide:
- Room and Board
- Personal Services, which include a safe environment, supervision, assistance with daily activities, recreational activities, and arrangement of transportation
- Protective Oversight, which is the monitoring of the changing needs of residents in order to ensure that they receive the necessary services
- Social Care
Who can be admitted?
Adults needing assistance with daily activities and other intermittent nursing needs
Residents requiring the administration of oxygen
Who is inappropriate?
Private Pay Assisted Living Residences
Adults who need a level of care or service they facility does not and cannot provide
Adults with uncontrollable incontinence, unless this incontinence can be kept from being a health hazard
Bedridden Adults
Adults who need 24 hour nursing services
Adults who must be restrained
Adults with communicable diseases or infections
Adults with substance abuse problems
Alternative Care Facilities
Adults needing more than intermittent skilled services
Adults with acute, untreatable illnesses
Adults who cannot or will not meet own hygiene needs
Adults with ambulatory limitations (unless they can be assisted)
Adults consistently unwilling to take medication
What training is required for direct care staff?
Initial Training
Needs of the population and resident’s rights,
General First Aid
Medication administration.
After one month
Emergency and fire procedures
Assessment skills
Infection control
Dealing with difficult situations and behaviors
Is nurse staffing required?
Not specified
Is there any public payment available?
Yes; the Medicaid program may pay for assisted living services in Alternative Care Facilities through a Home and Community Based Services Waiver
A Medicaid Home and Community Based Services Waiver covers services in alternative care facilities. Facilities are reimbursed on a flat rate.
More Information:
Colorado Long Term Care Ombudsman (303) 866-2800 http://www.cdhs.state.co.us/ | Department of Public Health and Environment (303) 692-2000 http://www.cdphe.state.co.us |







