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State addendum · first edition, October 2026 Ready

Employment Services in Colorado

Colorado moved individual supported employment to an outcome-based payment model in September 2026, with a referral to vocational rehabilitation required first.

Colorado at a glance

Agency for employment servicesDepartment of Health Care Policy and Financing (HCPF), with Case Management Agencies
How employment is fundedDD Waiver; Supported Living Services Waiver
Vocational rehabilitationDivision of Vocational Rehabilitation (DVR)
Medicaid agencyHCPF (Health First Colorado)
Minimum wage$15.16 statewide; Denver $19.29

The three biggest differences

  1. Paid on outcomes. A lump-sum Career Profile, coaching paid on hours worked, monthly maintenance and milestone payments.
  2. DVR referral first. A documented referral is required before waiver supported employment, even with a waitlist.
  3. No subminimum wage. Banned for all employers since July 2025.

What the full addendum gives you

Twelve sections, filed directly behind Volume 0 and adopted by a single change request. Every rule cites its official source; anything not yet confirmed is marked for verification, never guessed.

  • How to use the addendum, and the three biggest differences
  • At a glance: every Maryland role and its local equivalent
  • Crosswalk: each Maryland reference, its replacement, and where it is amended
  • Waiver (or local) employment services: codes, units, rates, limits
  • Vocational rehabilitation: becoming a vendor, fees, invoicing, fading
  • Provider certification and staffing
  • Incident reporting and protection from harm
  • Billing, records and retention
  • Local law that changes the package: wages, recording, false claims, safety, breach
  • State-use purchasing and contract sites
  • Volume-by-volume amendments, 0 to 15
  • Open items to verify, and the official sources

The addendum is issued with the Adoption License. Ask for it here and the Adoption Office replies within one business day.