Trump's Changes to Medicaid

Will Federal Medicaid Changes Affect Colorados Long-Term Care Medicaid? Heres the Answer President Trumps One Big Beautiful Bill (OBBBA) certainly includes far-reaching revisions to Medicaidcuts to provider taxes, new work requirements, tighter eligibility checks, and billions in savings over a decade. But Colorados long-term care Medicaidcovering nursing homes, home health, and other LTSS (long-term services and supports)has unique state safeguards that ensure it remains insulated from these changes. 1. Federal Cuts Mostly Affect Expansion and Non-Elderly AdultsThe OBBBAs primary targets are Medicaid expansion, non-disabled adults, and children, via work requirements and cost-sharing policies. These reforms are expected to phase in during 20272028. In contrast, long-term care beneficiariestypically seniors and people with disabilitiesfall under separate eligibility categories that the bill doesnt restructure. 2. States Can Shield Long-Term Care FundingColorado funds long-term care services through its Medicaid waiver system. The OBBBA reduces providers taxes and places new caps on expansion enrollment, but it does not limit waivers for nursing homes or home- and community-based services. Even without adjusting, Colorado can preserve funding by prioritizing these essential services over general expansion. 3. Colorados Bipartisan Commitment to Aging ServicesColorado has a long-standing commitment to supporting seniors and people with disabilities. In recent years, the state has steadily increased its share of state funds to match or exceed federal contributions, especially for the elderly population. With broad political consensus, any state-level attempt to curtail waivers would be unlikely. 4. Historical Stability Through Waiver ProtectionsSince implementing the Home- and Community-Based Services (HCBS) Medicaid waiver in 2004, Colorado has used it to support aging in place and reduce institutional costs. These waivers have remained stable across administrations and funding changes. Theres no indication that Trump-era reforms would dismantle this proven framework. 5. National Context Supports StabilitySources like KFF confirm that while OBBBA cuts the Medicaid expansion rate from 90% to 80%, and imposes red tape on enrollment, it does not overhaul LTSS (long-term services and supports). Even health-policy experts acknowledge the targeted nature of the reformfocused on non-elderly groups, not those needing long-term care. Bottom Line for Coloradans Trumps Medicaid changes will significantly affect parts of the system serving non-disabled adults, especially in expansion states. But Colorados long-term care Medicaiddriven by federal waivers, state obligations, and a bipartisan mandatestands apart. Residents access to nursing home care, home-based services, and support for people with disabilities is not at risk.

Understanding the financial aspects of home care is crucial for many families. Its about knowing your options, who to talk to, and where to begin. At Amazing Care, were here to help you navigate through the maze of home care payment options, ensuring you make informed decisions regarding paying for home care services.Home care, an essential service for many, can sometimes be a financial burden. However, with the right information and resources, you can find ways to manage these costs effectively. Amazing Care offers several payment options to alleviate this burden.Medicaid: A viable option for those who meet certain income and health requirements. Amazing Care accepts Medicaid for qualifying services, providing a lifeline for many in need of home care without the financial means to afford it out-of-pocket. For more detailed information on how you can utilize Medicaid for services at Amazing Care, visit our Medicaid payment options page.Medicare: Typically, Medicare covers medically necessary home health care services. If you or your loved one is a Medicare beneficiary, you might be eligible for coverage of Amazing Cares services. This includes nursing care, physical therapy, and more under certain conditions outlined by Medicare guidelines. To understand how Medicare can help cover your home care needs with Amazing Care, check out Amazing Cares Medicare guide.Private Insurance: Home care covered by insurance is available, and many private health insurance policies include home care services. Coverage details can vary widely, so its essential to contact your insurance provider to understand the specifics of your policy. Amazing Care works with numerous private insurance plans, assisting you in maximizing your benefits. For insights on navigating private insurance with Amazing Care, visit our private insurance payment options page.Starting this journey can be overwhelming, but youre not alone. The first step is to contact Amazing Care to discuss your needs and payment options. Our team is dedicated to guiding you through the process, ensuring you access the care you need without undue financial stress. By exploring Medicaid, Medicare, and private insurance options, youll find a path to covering the costs of home care. Questions, please contact us at 303-755-3170.

Get ready for Community First Choice (CFC), a new State Medicaid program that expands access to HCBS services! Starting 07/01/25 your favorite home care services, i.e. Personal care (PC), Homemaker (HMK) and Health Maintenance Activities (HMA), will start to be transferred to CFC:While the main home care services (PC, HMK, HMA) are moving over to CFC, other services, such as adult day, respite and mentorship, etc. remain under their respective waivers. Clients will be able to access services under waivers and CFC at the same time. In addition, certain limitations, such as for relative personal care (up 8.5h per week or 40h per week under IHSS) are being replaced with new limitations for legally responsible individuals (520h per year for homemaker). There is also some broadening of existing service options through the introduction of acquisition, maintenance & enhancement of skills. As mentioned above, CFC is being introduced starting 07/01/2025 with clients moving over to CFC on their Continued Stay Review date (CSR). The process is expected to be completed by 06/30/2026. Alpine can help you navigate these upcoming changes. Just give us a call at 303-309-6202