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Is your child on a waiting list for a Medicaid Waiver?
We need to hear from you!

Family Voices Colorado is working to have your voice heard by our legislators, and your family’s photos and story are the most powerful persuader. Our organization is sponsoring a committee this summer to study the issues, suggest solutions, and draft legislation to help families with children on the waiting list.

Please complete the form below:

Identify which waiver waiting list(s) your child
is on:
Children’s Home and Community Based Services (CHCBS)
Children’s Extensive Support (CES)
Pediatric Hospice Waiver
Children with Autism (CWA)
I don't know
Name of Child Waiting:
Date of Birth:

Disability:

Your Name:


City:

State:
Zip:


Phone:

E-Mail:

Yes, I am willing to share my story with the legislature.  Please contact me for more information.

Do you have private insurance?

Yes No

If Yes, please tell us what services/benefits your child needs that your private health insurance does not cover:

 

Each family's story is important.
Make your voice heard!

Please write about why your child/family needs this waiver slot; what benefits/services you hope to get that other funding sources do not cover, and how your family will benefit with a waiver slot.  For example, talk about how your child’s health is affected if you have to go without services.  What medical supplies or services does your child have to go without?   Include information on how your life would change if your child received Medicaid. For example, you could go back to work, your child could attend school, you would not have to fear declaring bankruptcy, etc.

Please email a picture of your child, and/or family (JPEG or GIF format) to familystories@familyvoicesco.org.

 

Make Your Voice Heard!
Visit the Family Voices Legislative Action Center
Family Leader Registration
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