Update on Proposed Changes to Colorado HCBS Services (March 2026)

Colorado’s Medicaid program (HCPF), is currently undergoing budget adjustments that may affect several Home and Community-Based Services (HCBS) programs. These changes are part of the state’s broader effort to address a projected budget shortfall from H.R.1 (AKA The Big Beautiful Bill) Several proposals discussed in early March 2026 could affect services used by individuals with intellectual and developmental disabilities and the providers who support them. While not all proposals have been finalized, providers and families should be aware of the areas currently under review.