In-home Support Services (IHSS)

We are letting compassion and quality of service lead the way

What is IHSS? 

In-home support services, or IHSS, gives you control of directing your care with independence. Participants have the flexibility of selecting their attendant and their authorized representative. The attendant can take care of their family member without a license or medical certification. 

How Do I Qualify? 

To qualify, a participant must have Medicaid as their insurance and a waiver that support IHSS. There are three waivers that supports IHSS:

1.   HCBS-EBD waiver for persons who are elderly, blind and disabled 

2.   HCBS waiver for persons with spinal cord injury

3.   CHCBS waiver that support children’s home and community-based services

Don’t Have a Waiver?

We can help! We have experienced experts to help you understand and navigate the waiver application process.

What services are available under each waiver? 

Under each health waiver, health maintenance is provided. Health maintenance is assistance that requires skilled activities. An attendant can assist their loved one with the daily routine and repetitive health-related tasks that are necessary for their wellbeing. 

What some activities are considered health maintenance? 


          Syringe feeding

• Skincare

          Is skilled skincare or skilled dressing required


          Skilled transfers are required in conjunction with ambulation 


          Application of anti-embolic or other pressure stocking that be purchased
                           only with physician’s prescription. 

          Dressing with orthopedic devices such as splints and braces or             
                           artificial limbs


          Use Hoyer lifts or any other adaptive equipment 

          Client is unable to assist with transfer

  Bladder Care 

          Use of catheter

          Disruption of the closed system for a foley or suprapubic catheter
              such as changing from a leg bag to a night bag 

  Respiratory Care

          Postural drainage 


          Adjusting oxygen flow within establishment parameters 

What are the differences between each waiver? 

HCBS-EBD HCBS Spinal Cord Injury CHCBS Children’s home and community-based services
•  Must be 18 years and older

(18-64 must be blind or have a physical disability or have a Diagnosis of HIV or AIDS) (65 years and older must been determined to have a significant functional impairment

• Income must be less than three times the current Federal Supplemental Security Income (SSI) limit per month. Or still be eligible through the Health First Colorado Buy-In Program for Working Adults with Disabilities

• Waiver website

• Must be 18 years and older

• Have a diagnosis

• Have been determined to have a significant functional impairment

• Waiver offers acupuncture, chiropractic care, massage therapy

• Waiver website

• 17 years and younger

• Must need long-term support services

• Must meet the Social Security Administration (SSA) definition of disability

• Child income must be less than three times the current Federal Supplemental Security Income (SSI) limit per month

• Waiver website