Colorado Medicaid (Health First Colorado) can cover home health care for eligible members when it is medically necessary and ordered by a physician. Here’s what families should know and the questions to ask before care starts.
The short answer
Yes—Colorado’s Medicaid program, Health First Colorado, can cover home health care for eligible members when the care is medically necessary and ordered by a physician. What is covered, and for how long, depends on the member’s eligibility, needs, and care plan.
What kinds of care may be included
Home health benefits can include skilled nursing visits and therapy, such as physical or speech therapy, provided in the home. Some members may also qualify for additional in-home support through other Colorado programs. Eligibility rules can change, so it is always best to confirm the details for your loved one’s situation.
Questions to ask before care starts
Ask whether your loved one is currently enrolled and active in Health First Colorado, whether their physician has ordered home health care, which services the order includes, and whether any prior authorization is needed. Having the member ID and physician information ready makes the first call much faster.
Medicare, Medicaid, or both
Some older adults have both Medicare and Medicaid. In that case, coverage for home health care can involve both programs. Our related guide on Medicare and in-home care explains the Medicare side, and our team can help you sort out how your loved one’s coverage applies.
Talk with our team
Call MediGuard Home Health Care at (303) 953-2626 (Mon–Fri, 9:00am–5:00pm) or request a callback. We will talk through your coverage questions and next steps. An initial conversation does not guarantee admission; every situation is reviewed individually.
Your next step
Have questions about care for yourself or a loved one?
Our team can talk through your situation and options with no obligation. Professionals can send a referral online.
Or call (303) 953-2626 · Mon–Fri 9:00am–5:00pm
About the author
About MediGuard Home Health Care
MediGuard Home Health Care Inc. is a licensed, bonded, and insured home health care agency serving 8 counties across the Denver, CO metro area. Our care plans are developed and supervised by Registered Nurses.
Schedule a Free Care Consultation
