Larimer County Human Services

Options for Long Term Care (OLTC)

Options for Long Term Care provides access to publicly funded programs that provide 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.

Long Term Care Programs

Home Care Allowance

Serves children and adults who need help to meet basic needs like homemaking and personal care. Children under age 18 must be eligible for Supplemental Security Income (SSI).


HCBS (Home and Community Based Services)
Elderly, Blind, Disabled

Serves adults who need care on a long term basis due to age and/or disability. Services include homemaker, personal care provider, electronic monitoring, home modification, alternative care facility, adult day care and transportation.


HCBS (Home and Community Based Services)
Mentally Ill

Serves adults who need care/supervision on a long-term basis due to major mental illness. Services are the same for HCBS-EBD.


HCBS (Home and Community Based Services)
Brain Injury

Serves people age 16 to 64 who are hospitalized at the time of application and need access to rehabilitation treatment outside the hospital.


HCBS (Home and Community Based Services)
Persons Living With AIDS

Serves children and adults with AIDS or HIV by providing long term care services in the home or other community settings as an alternative to institutional care.


Consumer Directed Attendant Support

Serves adults who need care on a long term basis due to age and/or disability who are capable of hiring and directing their own care. Applicants must have received Medicaid funded care for the past 12 months.


Adult Foster Care

Serves adults who cannot live alone and need a supervised setting.


Nursing Home Placement

Assesses adults living at home who request assessment for possible nursing home placement.

Examples of Services

Services vary by program and identified need, but may include:

  • Personal care -- help with bathing, dressing, etc.
  • Homemaker Services -- help with grocery shopping, housekeeping and laundry.
  • Adult day care services -- a supervised setting away from home.
  • Assisted living.
  • Electronic monitoring -- provision of emergency call system, medication reminders, etc.

Who is Eligible for Long Term Care Programs?

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

Applicants must apply for Medicaid.

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.

A case manager must assess the applicant’s functional eligibility.

Applicants under age 65 must meet federal disability requirements.

How to Apply

Call 679-4470 and request services from Options for Long Term Care. A telephone interview will be conducted to obtain the necessary application information, followed by an appointment to conduct an assessment in the home.