COVID-19 Update

Due to coronavirus concerns, we have closed our lobby to visitors until further notice. To help our clients during this time, we have developed a digital Intake Form to help you begin the process for services.
Click Here

TRE Services are:

Customized

We pay close attention to what makes each person we serve special, tailoring the programs and services that are available to suit their individual needs.

Comprehensive

We work with people throughout the course of their lives, supporting them from birth, before school, through school, and as adults and seniors.

Community-Based

We go to where the people we serve live, work, learn, and play in order to make receiving services as easy as possible.

Collaborative

We help find the right partners for accurate diagnosis and exceptional care, working closely with families and caregivers along the way.

Single Point Entry

As of July 1, 2019, The Resource Exchange assumed single point entry responsibilities and now administers all of Colorado’s Medicaid waivers. By bringing all waivers here, we believe we can achieve greater efficiencies and the level of quality for which we are known across the state.

What is a Community Centered Board?

TRE is a state designated Community Centered Board (CCB), one of 20 in Colorado. TRE services include eligibility determination, developmental disability determination, assistance with enrollment into Medicaid or State General Fund programs, service plan development, and arrangement for services, service coordination (case management), and monitoring of services received.

Partnering With You, Every Step Of The Way

Early Intervention (Birth-3)

Early Intervention teams are geographically located throughout southern Colorado and comprise a collaborative group of physical, occupational, speech, and behavioral therapists, developmental interventionists and nutritionists who work together to come up with the most effective treatment plans for the infants and children they serve, delivering services in the child’s home.

Visit our Early Intervention page to get started.

Home and Community-Based Services (HCBS)

Home and Community-Based Services are made available by the State of Colorado through several funding programs. Medicaid (also known as a “Medicaid Waiver”), is available for eligible, enrolled adults and children. Referrals come from schools, doctors, agencies, friends, neighbors, family, walk-ins, or self-referral.

We customize services based upon your needs. Services are purchased from approved businesses and Program Approved Service Agencies, using available funds as authorized through the individual’s plan. TRE has relationships with over 100 community partners to which we refer our families. Our partners join with us to increase opportunities for the people we serve.

Family Support Services Program

The Family Support Services Program (FSSP) provides support through state general funds for families who have children with developmental disabilities or delays with costs that are beyond those normally experienced by other families. The primary purpose of the FSSP is to support children with developmental disabilities or delays to remain in their own nurturing family setting and prevent out-of-home placements.

Medicaid Waivers and Applying for Services

What is a Medicaid Waiver?

A Medicaid waiver helps provide services to people who would otherwise be in a nursing home or hospital or receiving long-term care in the community. Home and Community-Based Services are made available by the State of Colorado through several funding programs. Medicaid, in the form of a Medicaid “waiver”, is available for eligible, enrolled adults and children in Colorado. Referrals come from schools, doctors, agencies, friends, neighbors, family, walk-ins, or self-referral.

TRE’s Navigation and Quality Department is ready to guide you every step of the way. TRE assists with eligibility determination, developmental disability determination, and assistance with enrollment into Medicaid or State General Fund programs.

Waivers for Children

Children’s Extensive Support Waiver (Birth-18)

Home and Community Based Services Waiver for Children’s Extensive Support (CES)
Support for children living at home and have significant needs related to their developmental disability.
Access to Medicaid services for those who may not otherwise qualify for Medicaid State Plan Benefits as well as funding to purchase specific services which are not covered under the Medicaid State Plan. Please visit the Colorado Health Care Policy and Finance website)
CES Information
CES Service Guide
Process to Access CES Waiver Benefits

Children’s Home and Community Based Services Waiver (Birth-18)

Children’s Home and Community-Based Services Waiver (CHCBS)
Available for children with significant medical needs and who are at risk for institutional care in an acute hospital or skilled nursing facility.
To learn more about CHCBS, please visit the Colorado Health Care Policy and Finance website.
C-HCBS Information

Children’s Habilitation Residential Program Waiver (Birth-20)

Children’s Habilitation Residential Program Waiver (CHRP)
Provides habilitative services for children and youth in foster care who have a developmental disability and extraordinary needs (must be at risk of institutionalization).
Available for individuals up to 20 years old in the custody of the Department of Human Services, residing in an out-of-home CHRP-approved placement, and have a developmental disability.
To learn more about CHRP, please visit the Colorado Health Care Policy and Finance website.
CHRP Information

Children with Life-Limiting Illness Waiver (Birth-18)

Children with Life-Limiting Illness Waiver (CLLI)
Provides Medicaid benefits in the home for children with a life-limiting illness
Allows the family to seek curative treatment while the child is receiving palliative or hospice care
To learn more about CLLI, please visit the Colorado Health Care Policy and Finance website.
CLLI Information

Waivers for Adults

Adult Supported Living Services Waiver (ages 18+)

Home and Community Based Services Waiver for Supported Living Services (SLS).
Provides a variety of services and supports for adults living in their own homes or with family in the community.
Promotes individual choice and decision-making through the individualized planning process and the tailoring of services and supports to address prioritized, unmet needs. In addition, this waiver is designed to supplement existing natural supports and traditional community resources with targeted and cost-effective services and supports. Participants do not require 24 hour supports or services.
The State of Colorado Joint Budget Committee has approved funds to significantly reduce and/or end the waitlist for SLS, effective Fiscal Year 2014-2015, via HB14-1336. To learn more about SLS, please visit the Colorado Health Care Policy and Finance website.
SLS Information
SLS Service Guide

Adult Residential Waiver (ages 18+)

Home and Community-Based Services Waiver for Persons With Developmental Disabilities (DD).
Provides access to 24-hour, seven day a week supervision through Residential Habilitation and Day Habilitation Services and Supports. This service is commonly known as Comprehensive services.
These services can be delivered in the family home, individual settings, group living settings, etc. There is an extensive waitlist for these services.
To learn more about DD, please visit the Colorado Health Care Policy and Finance website.
DD Information
DD Service Guide

Adult Community Mental Health Supports Waiver (ages 18+)

Home and Community-Based Services Waiver for Persons with a Diagnosis of a Major Mental Illness (CMHS).
Provides a home or community-based alternative to nursing facility care.
To learn more about CMHS, please visit the Colorado Health Care Policy and Finance website.
CMHS Information

Adult Waiver for the Elderly, Blind, and Disabled (ages 18+)

Home and Community-Based Services Waiver (EBD) for elderly persons with a functional impairment (ages 65+) or the blind or physically disabled (ages 18-64).
Provides a home or community-based alternative to nursing facility care.
To learn more about EBD, please visit the Colorado Health Care Policy and Finance website
EBD Information

Adult Waiver for Persons with Brain Injury (ages 16+)

Home and Community-Based Services Waiver for persons with Brain Injury (BI).
Provides a home or community-based alternative to hospital or specialized nursing facility care.
To learn more about BI, please visit the Colorado Health Care Policy and Finance website.
BI Information

Adult Waiver for Persons with Spinal Cord Injury (ages 18+)

Home and Community-Based Services Waiver for persons with a Spinal Cord Injury (SCI)
Provides a home or community-based alternative to nursing care
To learn more about BI, please visit the Colorado Health Care Policy and Finance website.
SCI Information
SCI Guide

TRE Intake -> Eligibility -> Enrollment

Intake and Eligibility

Birth-3

TRE offers a variety of supports and services for infants and toddlers under the age of 3.
Visit our Early Intervention page to get started.

Age 3 and over

TRE’s Navigation and Quality Department is here to assist. Our goal is to complete the process in 90 days, however timelines are dependent on how quickly documents and approvals come from you, your physician, and outside agencies.
Visit our Navigation Services page to get started.

Enrollment

When all intake and eligibility steps are complete, and funding is approved and available, you will move on to Enrollment. Your Enrollment Coordinator will help you. Click here for more about Enrollment.

Please see our TRE Services Handbook for information on what to expect, how we are funded, explanation of terms, acronyms, participants rights, and more.

TRE Services Handbook – Spanish

Once you are enrolled, a Service Coordinator will be assigned to you and will help identify your unique strengths and ways to enhance those strengths. Our Service Coordination Department’s goal is to provide an individually-centered, family and community focused service in which coordinated programs and resources enhance your life. Your Service Coordinator will assist in providing targeted services and supports to establish a long-term foundation for family and community inclusion. Please click here for more about Service Coordination.

Provider-Approved Service Agencies

There are numerous Provider Approved Service Agencies (PASAs) and/or businesses who may deliver services in which you are interested. TRE does not tell you which providers to use, only makes referrals. A list of all local and statewide providers can be found here. Interested in becoming a PASA? If so, click on this link to access the Letter of Intent to receive an application from the Colorado Department of Health and Environment.

Getting Started