Options for Long Term Care (SEP)

The Options for Long Term Care (SEP) program assists elderly and individuals with disabilities in staying in their home as long as possible. This is a Health First Colorado (Medicaid) program in collaboration with the Department of Social Services. This program offers individuals and their families alternatives to nursing home care.

Case managers assess clients to determine if they are functionally eligible for the program and if so, can assist clients in getting help with homemaking, personal care, non-medical transportation, home modifications, life alert buttons, medication machines, and respite care.


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Alternative Care Facilities provide 24 hour supervision and care and are considered by Health First Colorado (Medicaid) to be an alternative community setting versus a skilled nursing home level of care. Assisted living care also includes meals, laundry, cleaning, transportation, and some personal care.

Electronic Monitoring offers a range of services from a button that can be worn and pushed at any time a person needs emergency assistance, to fall monitors and medication management systems.

Community collaboration is an integral part in caring for elderly or disabled individuals. SJBPH works closely with the Veterans’ Services Office, Senior Center, Southwest Center for Independence, SJBHP’s Care Coordination program, and Adult Protection Services to ensure those who seek assistance have quality and compassionate care options.

If an individual doesn’t qualify for Options for Long Term Care (SEP) services, our case managers will coordinate with other agencies to find the right path of care.

Home Modification services provide needed modifications to one’s home to accommodate a disability. An example might be a wheelchair ramp or wheelchair accessible shower.

Homemakers assist individuals with household management tasks such as cleaning, shopping, meal preparation, laundry, and linen changes.

Personal Care Providers assist individuals with tasks such as bathing, hair care, and nail care.

The Consumer Directed Attendant Support Program is the newest service offered under the waiver programs. It allows recipients to benefit from homemaker, personal care and attendant services from a provider chosen by the recipient. The recipient receives an allocation based on his/her needs, and the individual or their representative manages the necessary care within the allocation.

SJBPH is also involved in coordination of Health First Colorado (Medicaid) skilled long term home health benefits, such as nursing and certified nurse assistants.

La Plata County Eligibility

Visit La Plata County Human Services Department to determine Health First Colorado (Medicaid) eligibility.

Archuleta County Eligibility

Visit Archuleta County Human Services Department to determine Health First Colorado (Medicaid) eligibility.