What is the Developmental Disability Waiver?

The DD Medicaid Waiver provides assistance up to 24 hours/day, 7 days/week according to an individuals priority of needs. This program includes a range of services, such as residential (in the home), day programs, behavioral, transportation, and employment assistance. Enrollments are limited by the state and there is a waiting list. Those on the CES are able to transition to the adult I/DD Waiver at the age of 18, if qualified. The process can begin up to a year prior to turning 18. Many goals are met with the help of our agency, enabling a smooth transition.

How Can it Benefit Us?

• Residential Services and Supports with paid family caregivers, host homes, independent living, and group homes

• Vision and Dental

• Supported Employment

• Day Habilitation Services

• Non-Medical Transportation

• Specialized Medical Equipment

• A team on your side to navigate the process and ensure your needs are met

Am I Eligible?

Age

• 18 years and older—start the process at 17 1/2 

Financial

• Long-Term Care Medicaid Criteria

• Meets Social Security Disability Definition and Financial Requirements for Health First Colorado (Medicaid)

Determination

• Determined to have a DD by a Community Centered Board (CCB). Your Case Manager works with the family, medical providers, intake nurses to assess the needs of the individual and determine the level of care

Daily Living

• The individual requires support completing some or all activities of daily living (dressing, bathing, toileting, eating, incontinence care)

Our Services 

• Managing the Medicaid Developmental Disability (DD) Waiver for individuals/families wanting a new agency, adults receiving the DD Waiver from the State waitlist, and clients preparing to turn 18 years old.

• Federal and State Tax Free income for live-in Caregivers. Medicare, FICA, FUTA taxes continue.

• Supporting family members, hired relatives, or friends to become paid caregivers.           

• Our staff receive comprehensive training.

• Client led Person Centered support plans and Goal setting, 

• Supportive Community Connector program.  

• Day Program coming this Spring 2026!!

• Planning and support for aging parents and your loved ones future support and care

·         Medication Administration Training (QMAP), CPR, First Aid, and G-tube training

·         Transportation and Paid Mileage

·         No License (CNA) required

• NO 1099 Contractor, we pay our employees monthly with a W-2 managed by ADP

• We partner with your Medicaid Case Manager to help your child on the CES Medicaid Waiver transition to adult DD services. 

• If you are unhappy with your current agency and need a change, or caring for an adult that just received their DD Waiver from the wait list.

• We help you with the requirements and training to become a paid caregiver

•  Following all Regulations, HIPPA, MANE reporting, Background checks (CAPS and CBI)   OUR NAME IS INTEGRITY FOR A REASON.

• We take a smaller reimbursement for service management.  Reimbursement means that the agency receives a percentage of the Medicaid payout to help us provide payroll to the caregiver, agency staff, and the program.

• We have time for you, being a smaller agency.  We care and ensure our clients are safe, healthy, and happy. We enjoy being part of our clients lives and the disability community. We enjoy helping your young adult gain independence, confidence and skills

• We are advocates. We attend rallies, conferences, annual day at the State Capital, working with case managers, help to file letters regarding Medicaid decisions, work alongside Doctors, dentists, and therapists. Keep a large file of agencies, non-profits, equipment companies, to help have the best for your loved one.

Who Are We?

Tammy and Gayle are both Nurses with 57 years combined Nursing Service and 16 years combined

I/DD waiver program management beginning our own business in 2024. We have a passion for individuals with disabilities and supporting their goals as they become adults and as they age. We work with families of various backgrounds and ethnicities. We support the client and their family as they advocate for their needs, facilitate consumer-directed care, fostering a compassionate relationship, and maintaining in home and community services.

            All are welcome regardless of race, religion, or sexual orientation.

*Members of (DDNA) Developmental Disability Nurses Association

*Members of (CANDD) Colorado Association of Nurses for the Developmentally Disabled

*Supporters of (HRC) Human Rights Committee

*Supporters of (ACLU) American Civil Liberties Union

Let your Case Manager know that you want to work with 

Integrity Colorado PASA Nurses, LLC

We provide excellent services and systems administration to people receiving services in Adams, Arapahoe, Douglas, Boulder, Broomfield, Denver, Clear Creek, Gilpin, Jefferson, Summit, Larimer, and Weld Counties.

Things to do for your child at age 17, prior to becoming an adult: 

Help them obtain a Colorado State ID (hard to help get that once they are 18)

Begin Guardianship process – Guardianship Alliance is a good place to start:                                  www.abilityconnectioncolorado.org/guardianshipallianceofcolorado/

·   Help them open a checking account in their name, parent/guardian as co-signer. (any ability is ok) Their SSI check will be direct deposited there. It is expected that the Individual/Guardian will withdraw money for the individuals rent, clothing, food, therapy, stuff they want, need, cash for them

·   Take CPR and First Aid, Free we have resources.

·   Sign up for Medication Administration Class (QMAP) with us -        free class (must have this class as YOU are now a paid caregiver for your ADULT loved one and require the trainings

·   G-tube training provided at start of care - Free Class and   training.

·   Ensure they have current MD and Dentist Information for us

    Identify a back-up caregiver to train with you! Spouse, friend, teacher, etc. When you can't work, a back up trained   person takes over without loss of family income.

 We offer 401K, Monthly pay through ADP so no contracting required

            CALL Tammy or Gayle so we can support you and your case manager in transition

We Look Forward to Meeting YOU!!

Qualified Medication Administration Personnel (QMAP) Training Provided Free by:

QMAP Direct, LLC (Gayle)  and  Altitude QMAP Training, LLC (Tammy)

We are excited to provide excellent services and systems administration to people receiving services in:

Adams County

Arapahoe County 

Douglas County 

Boulder County 

Broomfield County

Denver County

Clear Creek County

Gilpin County

Jefferson County

Summit County 

Larimer, and 

Weld Counties.

                                                 OUR FLYER

Our Services 

·         Managing the Medicaid Developmental Disability (DD) Waiver for individuals/families wanting a new agency, adults receiving the DD Waiver from the waitlist, and clients preparing to turn 18 years old

·         Federal and State Tax Free income for live-in Caregivers.  Medicare and FICA taxes continue

·         Supporting family members, hired relatives, or friends to become paid caregivers or respite providers. Our staff receive comprehensive training.

·         Client led Person Centered support plans and Goal setting, Supportive Community Connector program

·         Planning and support for aging parents and your loved ones future support and care

·         Medication Administration Training (QMAP), CPR, First Aid, and G-tube training

·         Transportation and Mileage

·         No License (CNA) required

·         We partner with your Medicaid Case Manager to help your child on the CES Medicaid Waiver transition to adult services. If you are unhappy with your current agency and need a change, or caring for an adult that just received their DD Waiver from the wait list.

·         We help you with the requirements and training to become a paid caregiver

·         Following all Regulations, HIPPA, MANE reporting, Background checks (CAPS and CBI)

Who Are We

Tammy and Gayle are both Nurses with 57 years combined Nursing Service and 17 years combined I/DD waiver program management. We have a passion for individuals with disabilities and supporting their goals as they become adults and as they age. We work with families of various backgrounds and ethnicities. We support the client and their family as they advocate for their needs, facilitate consumer-directed care, fostering a compassionate relationship, and maintaining in home and community services.

All are welcome regardless of race, religion, or sexual orientation

*Members of (DDNA) Developmental Disability Nurses Association

*Members of (CANDD) Colorado Association of Nurses for the Developmentally Disabled

*Supporters of (HRC) Human Rights Committee

*Supporters of (ACLU) American Civil Liberties Union

Let your Case Manager know that you want to work with Integrity Colorado PASA Nurses, LLC

We provide excellent services and systems administration to people receiving services in Adams, Arapahoe, Douglas, Boulder, Broomfield, Denver, Clear Creek, Gilpin, Jefferson, Summit, Larimer, and Weld Counties.

            ICPNurses@Gmail.com   

                         720-219-0428/720-385-8272                                  

I/DD Waiver Approved Agency

Support. Care. Training. 

Keeping your loved one home and in their community, where they belong

              Exciting News!!   Coming Soon!!

We are currently reviewing properties to open our

DAY PROGRAM in Aurora as it is central enough to serve our area. 

Gayle has managed and worked in a day program for a long time and we have a Manager and another caregiver that have tons of experience! 

We are very excited to introduce the most fun part of the waiver! 

*Things to do for your child at age 17, prior to becoming an adult:

·        Let your Case Manager know you would like to transition to the I/DD waiver at about 17 1/2

·        Help them obtain a Colorado State ID (hard for you to help get that once they are 18)

·        Obtain Guardianship – Guardianship Alliance is a good place to start:                                  www.abilityconnectioncolorado.org/guardianshipallianceofcolorado/

·        Help them open a checking account in their name, parent/guardian as co-signer. (any ability is ok) Their SSI check will be direct deposited there. It is expected that the Individual/Guardian will withdraw money for the individuals rent, clothing, food, therapies, stuff they want, need, cash for them

·        Take CPR and First Aid, we have resources.

·        Sign up for Medication Administration Class (QMAP) with us.

·        G-tube training provided at start of care.

·        Ensure they have a current MD and Dentist

·        Have a complete list of medications for us.

We Look Forward to Meeting YOU!!