Independence by Design

Homemaker
CES/CFC/SLC

Services are designed to support participants in remaining as independent as possible within their homes and communities while promoting health, safety, dignity, and self-sufficiency.

Staff provide support with routine household activities that participants are unable to complete independently due to physical, cognitive, developmental, or functional limitations. Services are individualized based on the participant’s assessed needs, personal goals, and person-centered service plan and are intended to promote skill development and increased independence whenever possible.

Supports may include meal planning and preparation, laundry and linen care, dishwashing, household organization, light housekeeping, grocery shopping assistance, trash removal, and other household tasks necessary to maintain a clean, healthy, and safe living environment.

Services are provided within the participant’s residence and may include support related to household management activities necessary for successful community living as identified in the participant’s service plan.

Extra Ordinary Homemaker
CES/CFC/SLC

Services are designed to restore and maintain safe living conditions that support the participant’s health, well-being, and ability to remain in the community.

Staff provide assistance addressing conditions that create barriers to safe and healthy living, including excessive accumulation of debris, sanitation concerns, environmental hazards, or other conditions that cannot be addressed through routine housekeeping supports. Services are individualized based on the participant’s assessed needs and are intended to improve the overall safety, accessibility, and livability of the participant’s home.

Supports may include deep cleaning, sanitation of living spaces, removal of excessive debris or clutter, organization of household areas, restoration of safe pathways and access points, and other activities necessary to eliminate health and safety risks. Staff work collaboratively with participants whenever possible to promote ongoing maintenance of a safe home environment and to support the development of household management skills. Extraordinary Cleaning Services are provided when conditions within the participant's residence create concerns that cannot be addressed through routine homemaker services.

Residential Supports (IRSS)
DD

Individual Residential Services and Supports (IRSS) are provided to individuals with intellectual and developmental disabilities who require ongoing support to live successfully in community-based family or independent living residential settings. Services are designed to promote independence, health, safety, self-determination, and meaningful participation in community life while supporting each participant's individualized goals and preferences.

Staff provide support with daily living activities, household management, development of independent living skills, community participation, relationship building, health and wellness monitoring, coordination of services, and implementation of person-centered support plans. Services are tailored to each participant's assessed needs and are intended to maximize independence while maintaining a safe and stable living environment.

Supports may include assistance with meal planning, budgeting, household responsibilities, communication skills, community navigation, accessing resources, scheduling appointments, developing natural supports, and participation in social, recreational, educational, and vocational activities.

*Independence By Design, LLC does not provide Host Home services or Host Home placements.

Respite
BI/CIH/CMHS/EBD

Respite Services are provided to individuals with intellectual and developmental disabilities whose primary caregivers require temporary relief from caregiving responsibilities. Services are designed to ensure continuity of support, participant safety, and maintenance of daily routines while providing caregivers with planned or emergency relief.

Staff provide supervision, companionship, support with daily activities, recreational engagement, community participation, and monitoring of participant well-being in accordance with the participant’s service plan. Services are individualized to meet each participant’s unique needs and preferences and are delivered in a manner that promotes dignity, stability, and continuity of care.

Supports may include assistance maintaining daily routines, participation in community activities, social engagement, supervision for health and safety, recreational activities, meal assistance, and support with implementing individualized goals and behavioral support strategies when applicable.

Supported Community Connector
SLS/DD

Supported Community Connections (SCC) services are provided to individuals with intellectual and developmental disabilities who desire increased community involvement, expanded social networks, and meaningful participation in community life. Services are designed to reduce social isolation, strengthen natural support systems, and promote full inclusion within integrated community settings while supporting each participant's individual goals, interests, and preferences.

Staff assist participants in identifying personal interests, exploring community resources, developing relationships, and accessing opportunities that promote social engagement and personal growth. Services are individualized and focus on building natural supports and sustainable community connections that enhance independence, self-confidence, and overall quality of life.

Supports may include assistance identifying volunteer opportunities, participation in recreational activities, accessing educational and community programs, developing friendships, increasing self-advocacy skills, building social and communication skills, and connecting with community organizations that align with the participant's interests and goals.

Services are provided throughout integrated community settings, including volunteer sites, recreational facilities, community organizations, educational programs, faith-based organizations, social events, and other locations identified in the participant's service plan.

Mentorship/Peer Mentorship
BI/CMHS/DD/EBD/SLS

Mentorship Services are provided to individuals with intellectual and developmental disabilities who would benefit from individualized guidance, encouragement, and support in achieving personal goals and increasing independence. Services are designed to promote self-confidence, self-determination, leadership development, and successful participation in community life through positive mentoring relationships.

Staff work collaboratively with participants to identify strengths, address challenges, and develop strategies that support personal growth and achievement of desired outcomes. Services are individualized based on participant goals and focus on empowering individuals to make informed choices, advocate for themselves, and build meaningful connections within their communities.

Supports may include assistance with goal setting, decision-making, self-advocacy development, problem-solving, communication skills, relationship building, community participation, leadership development, and exploration of educational, vocational, and recreational opportunities.

Life Skills Training
CMHS/EBD/SLS

Life Skills Training is provided to individuals enrolled in eligible HCBS waivers who benefit from structured instruction in the skills that daily life requires. Services are designed to build capability over time — the emphasis is on the participant learning to do something, not on staff doing it for them.

Staff identify skills the participant wants to develop, break them into manageable steps, model and practice them together, and gradually step back as the participant takes over. Progress is measured by what the participant can do independently, and instruction is adjusted as skills develop. Services are individualized to the participant's goals, learning style, communication needs, and pace.

Supports may include personal routines and self-care habits, meal planning and preparation, household organization and upkeep, money management and budgeting, time management and scheduling, communication and social skills, conflict resolution, recognizing and responding to unsafe situations, using community resources, and self-advocacy.

Skills are taught in the settings where they will actually be used, because a skill practiced only in a classroom rarely transfers to a real Tuesday morning.

Independent Living Skills Training
BI
(coming soon)

Independent Living Skills Training is provided to individuals enrolled in eligible HCBS waivers who are building the capacity to live in their own home with reduced support, or rebuilding abilities affected by injury, illness, or a change in circumstances. Services focus on restoring function where that is possible and on developing reliable compensatory strategies where it is not.

Staff assess how a participant currently manages a task, identify what is getting in the way, and build an approach that works for that person — a written system, a phone reminder, a changed sequence, an environmental adjustment, or repeated structured practice. Emphasis is placed on memory, attention, organization, problem-solving, initiation, and follow-through, and on the practical routines that depend on them.

Supports may include establishing and maintaining a household, medication and appointment management systems, organizing and sequencing daily tasks, managing money and paperwork, safety awareness and emergency response, transportation and community navigation, and the use of assistive technology, written systems, and other tools that make independent functioning sustainable.

Life Skills Training and Independent Living Skills Training are related but distinct services authorized under different waivers. Your case manager will determine which is appropriate for you.

*This service is not currently available. Independence By Design has submitted an application for a Colorado Class B Home Care Agency license to the Colorado Department of Public Health and Environment. Personal care services will begin only upon issuance of that license.

Non Medical Transportation
(coming soon)

Non-Medical Transportation is provided to individuals enrolled in eligible HCBS waivers who cannot independently access transportation and for whom the lack of transportation is a barrier to community participation, employment, or receiving authorized services. Services are designed to expand access and reduce isolation rather than simply to move someone from one place to another.

Staff provide transportation to and from destinations identified in the participant's service plan, along with assistance boarding and exiting the vehicle, securing mobility equipment where applicable, and monitoring health and safety throughout the trip. Where it supports the participant's goals, staff use the trip itself as an opportunity to build travel skills — reading schedules, planning a route, recognizing landmarks, or practicing a transit trip that the participant may later make independently.

Supports may include transportation to employment, volunteer opportunities, day and community programs, social and recreational activities, shopping and errands, community meetings, and other authorized destinations.

Non-Medical Transportation does not include transportation to medical appointments. Medical transportation is a separate Health First Colorado benefit arranged through the state's non-emergent medical transportation program, and your case manager can help you access it.

Remote Support
(coming soon)

Remote Supports are designed for individuals enrolled in eligible HCBS waivers who do not require someone physically present at all times, but who need support to be reachable when something comes up. The goal is fewer hours of staff in the home, not more oversight of the person living in it.

Support is delivered by trained staff at a remote location using technology installed in the participant's home. Staff are available for two-way communication during scheduled or on-call periods, can respond to a request for help, can provide prompting or verbal guidance through a task, and can arrange an in-person response when the situation calls for one. The system, the hours, and the type of technology are determined with the participant and documented in the service plan.

Supports may include availability on request during specified hours, verbal prompting through routines, medication and appointment reminders, help thinking through a decision or problem, reassurance during unfamiliar situations, coordination of an in-person response, and emergency response and escalation.

Remote Supports are chosen, not imposed. Participation is voluntary and can be discontinued at any time. The participant and their team decide what technology is used, which areas of the home it covers, and when it is active. Cameras are never placed in bathrooms or bedrooms, and any monitoring that would restrict a participant's rights is treated as a rights modification requiring the full process — documented justification, less restrictive alternatives tried first, informed consent, and regular review.

Used alongside in-person services, Remote Supports can let a participant spend part of the day fully independent while keeping support available. The practical result is straightforward: more hours alone in your own home, without being alone with a problem.

Coming soon. Independence By Design is enrolled to provide Remote Supports and is currently building out the technology, staffing, and response procedures this service requires. We are not accepting referrals for Remote Supports yet.

Transition Services
and
Case Management Services

Transition Services are provided to individuals enrolled in eligible HCBS waivers who are moving from one living arrangement to another — leaving a hospital, nursing facility, or group setting for a home of their own, moving out of a family home, or changing residences. Services are designed to make the move succeed, not simply to complete it.

Staff work alongside the participant, their family, and their case manager to plan the move, coordinate the pieces that have to happen in order, secure and set up essential household items where authorized, establish routines in the new setting, and identify the supports and community connections that will make the new arrangement sustainable. Attention is paid to the weeks after the move, when most transitions actually succeed or fail.

Supports may include transition planning, household setup and essential furnishings where authorized, establishing utilities and services, learning the new neighborhood and its transportation, building daily routines in the new setting, connecting to local resources, and coordinating with the other providers and agencies involved.

Personal Care
(coming soon)

Staff assist with the tasks a participant cannot complete independently while supporting them to do as much as they can for themselves. Where a participant is working toward greater independence, personal care is coordinated with skills training so that assistance decreases as capability grows.

Supports may include bathing and personal hygiene, dressing and grooming, toileting and continence care, eating and hydration, mobility, transfers and positioning, skin care, and cueing or supervision for safety during these activities.

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HomemakerCES/CFC/SLC

Homemaker
CES/CFC/SLC