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Pediatric Personal Care Benefit

Pediatric Personal Care Benefit provides in-home personal care services to Colorado Medicaid beneficiaries 20 years of age and younger with disabilities.

Eligibility

  • Care recipient must have a qualifying disability
  • Applicant age: under 20

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in Colorado? — Residency is usually the first thing a program checks.
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • a direct application link

How to apply

  • Personal care services must be pre-approved through a Prior Authorization Request (PAR); the personal care provider submits a completed Personal Care Assessment Tool (PCAT) and a 485 Home Health Certification and Plan of Care Form (completed by the client's doctor) in an online PAR