Colorado Medicaid Finalizes Weekly Caregiver Limits As Part Of LTSS Cost-Containment Initiative

On August 14, 2026, the Colorado Medical Services Board adopted an emergency rule limiting the number of Medicaid-paid service hours that can be provided by an individual caregiver to a Medicaid beneficiary receiving long-term services and supports (LTSS). The vote was the final approval needed for the state to move forward with the limits, which took effect July 1, 2026.

The policy does not reduce beneficiaries' authorized service hours or budgets. Instead, it limits the number of hours for which an individual caregiver can be reimbursed for providing certain Personal Care, Homemaker, Health Maintenance Activities (HMA), Long-Term . . .