Agency Change: Home and Community-Based Services (HCBS)

Those receiving Home and Community-Based Services (HCBS) have been notified that the Larimer County Department of Human Services will no longer be providing case management services. Foothills Gateway will now be providing these case management services. Changes to agencies will happen between now and March 1, 2024. Please direct questions to 970-498-6841.


Options for Long Term Care coordinates a spectrum of services that provides choices to people with disabling functional conditions and limited finances so they can live safely in the community.  

About Us

Options for Long Term Care (OLTC) provides access to publicly funded programs, providing support to people with disabling functional conditions and limited finances. These programs are designed to help people continue to live in their own homes or in other community settings, as alternatives to nursing home care.

OLTC provides assessment and ongoing case management to older and disabled low income individuals who are in need of long term care services in their own homes or alternative care facilities, and provides assessment for people in need of placement in a skilled facility. OLTC currently provides ongoing services to approximately 1300 Larimer County residents outside of nursing facilities, with the goal of providing long term care in the settings requested by clients and their families and utilizing Medicaid in the most cost effective manner.

Long Term Care Programs

Some programs below have Home and Community-Based Services (HCBS) Waivers. An HCBS waiver is an extra set of Health First Colorado (Colorado's Medicaid program)  benefits that you could qualify for in certain cases. These benefits can help you remain in your home and community. HCBS Waivers have extra program rules and some programs may have waitlists.

  • Brain Injury (BI) - Serves people age 16 to 64 who have a brain injury and as a result require extra support to live in their home.
  • Children with Life Limiting Illness (CLLI) - Serves children birth through age 18 who have a life limiting illness as certified by a physician.
  • Community Mental Health Support Services (CMHS) - Serves adults (18+) who need care/supervision on a long term basis due to major mental illness.
  • Complementary and Integrative Health (CIH)- Serves adults (18+) living with a spinal cord injury, MS, a brain injury, spina bifida, muscular dystrophy, or cerebral palsy with the inability for independent ambulation. 
  • Elderly, Blind, Physically Disabled (EDB) - Serves adults (18+) who need care on a long term basis due to age and/or physical disability.
  • Home Care Allowance - Serves children and adults who need help to meet basic needs like homemaking and personal care.  
  • Nursing Home Placement - Assesses adults living in the community who request assessment for possible nursing home placement.
  • Program of All-Inclusive Care for the Elderly (PACE) - Serves those 55 years and older with comprehensive medical and social services who are eligible.

Financial Eligibility for Long-Term Care

Eligibility for all programs is based on financial need as well as functional disability criteria.  

  • Applicants must apply for Medicaid/Health First Colorado.
  • A case manager must assess the applicant's functional eligibility.
  • Applicants under age 65 must meet federal disability requirements.  

Our Home and Community Based Services program is now accessible to couples requiring spousal protection.  This is a program that allows a couple with higher resources to apply for assistance for the disabled spouse while protecting the assets of the non-recipient spouse. 

How to Apply

Applicants must apply for Health First Colorado (Medicaid) as eligibility is based on financial need as well as functional disability criteria. Applicants under the age of 65 must meet federal disability requirements.  To apply, call 970-498-7780 and request a telephone screening for services. An in-home functional assessment could follow to determine eligibility.​​

Contact Us

For more information: