In light of H.R. 1 and the difficult Colorado budget situation in 2026 and beyond, HCPF and the Governor's office have announced a number of measures to combat the strong increase in Medicaid spending that the State has experienced over the past number of years. These measures directly impact all home care services, clients, caregivers and providers:

1) Soft Caps on Services: 
HCPF intends to implement a cap on Personal Care, Homemaker and Health Maintenance Activities (HMA) that will limit annual utilization to 19,000 units for HMA (about 13 hours per day), 10,000 units for Personal Care (about 6.8 hours per day) and 4,500 units for Homemaker (about 3 hours per day).

These changes will likely start to be effective 04/01/2026. Case management will have until 11/30/2026 to ensure that all PARs are within these limits.

There will be an exception process for high acuity clients who have a demonstrated need for services above these caps. 

2) Hard Cap on Caregiver Hours: No caregiver will be allowed to provide services in excess of 56 hours per week (per Medicaid member). In addition, the current caregiver limit of no more than 16 hours of service provision within a 24 hour period, implemented with CFC on July 1, 2025, remains in place.

3) Legally Responsible Homemaker: Legally Responsible Homemaker services will be reduced to 5 hours per week (from 10 hours) per legally responsible person per Medicaid client.

4) Across the board reimbursement rate reduction: In addition, the Governor's Office has announced an additional 0.75% rate reduction for all Colorado Medicaid providers.

The above measures will undoubtedly present very significant challenges to clients, caregiver and providers alike. Alpine Homecare promises to do the following:
- We will do our utmost to help and guide our clients and caregivers through the changes caused by these measures.
- We will continue to advocate on behalf of our clients and caregivers.
- We will continue to provide the best service possible to our clients.

​Alpine Homecare, LLC

Please do not hesitate to reach out to Alpine at 303 309 6202 for more information.

Alpine Homecare is pleased to announce the winner of its 
Employee of the Year 2025 Award. 
​
The Employee of the Year Award is granted in grateful appreciation of the winner's outstanding service to our clients and is rewarded with a $500.00 bonus payment. 
​
     Alpine's winner of the 2025 Employee of the Year Award is 
​Ruel H.
​

IN GRATEFUL APPRECIATION OF YOUR FANTASTIC SERVICE!    
WE ARE PROUD TO HAVE YOU AS AN EMPLOYEE!
   THANK YOU FOR YOUR COMPASSIONATE, CARING & PROFESSIONAL APPROACH!

For outstanding service to our clients, Alpine Homecare is pleased to announce the following Employee of the Month winners for December 2025!

For outstanding service to our clients, Alpine Homecare is pleased to announce the following Employee of the Month winners for November 2025!