If you’ve spent any time in the Colorado Medicaid system, you’ve heard the term "ULTC 100.2" or simply "the 100.2" It’s the assessment used to determine if a child is functionally eligible for programs like Children’s Extensive Support (CES), Children with Complex Health Needs (CwCHN), or Community First Choice (CFC). The state released the January 2026 Age-Appropriate Guidelines, and we’re breaking them down. Why? Because the "industry standard" usually hides these details behind clinical red tape. At Caregivers First Choice, we believe you should know exactly how the math works so you can advocate for the care your child deserves.
What is the ULTC 100.2?
The ULTC 100.2 isn't a medical diagnosis. It’s an assessment of functional need. It measures what a child can actually do in their daily life. The assessment looks at eight "Activities of Daily Living" (ADLs):
- Bathing
- Dressing
- Toileting
- Mobility
- Transfers
- Eating
- Supervision (Behavioral)
- Supervision (Memory/Cognition)
The "Above and Beyond" Standard
Here is where most families get stuck: The Age-Appropriate Filter. A typically developing two-year-old can’t dress themselves. Because of that, a two-year-old with a disability doesn't "score" just for needing help with a shirt. To qualify for services, the assistance you provide must be "above and beyond" what a parent of a typically developing peer would provide. The Scoring Scale:
- 0 (Independent): Needs no more help than a child of the same age without a disability.
- 1 (Minimal): Needs some help or cueing.
- 2 (Moderate): Needs hands-on assistance or continuous line-of-sight supervision.
- 3 (Total): Totally unable to perform the task; needs a trained attendant.
Understanding the ADL Breakdown (January 2026 Updates)
Supervision: The "Behavioral" and "Cognition" Key
For many families, this is the most critical area.
- Under 48 months: The state assumes all children need line-of-sight supervision.
- Over 36 months: A child can score if they exhibit verbal/physical threats, wandering (elopement) with no safety awareness, or destroying property.
- Over 59 months: A child can score for failing to adjust to daily routines or lacking basic home safety understanding.
Mobility and Transfers
The guidelines are clear: by age 7, a child should be independent in mobility and transfers. If your child is 7+ and requires physical help to move between locations or get in/out of bed, they should be scoring in these categories.
Eating and Hygiene
While a 12-month-old is expected to be dependent on a caregiver for bathing and eating, a 5-year-old is expected to have minor support. If you are performing "skilled care" (like managing a G-tube or specialized diet) or providing extensive hands-on washing for a child over 5, that is "above and beyond" care.
Why This Matters to Us
At Caregivers First Choice, we don’t look at your daily work as "just being a parent." We see it as professional-grade labor.
When a Case Manager completes the ULTC 100.2, they are looking for "Due To’s" such as physical impairments, mental health needs, or supervision requirements. Your life experience is the evidence. You are the specialist who knows when "accidents" aren't just accidents, and when "tantrums" are actually a functional challenge in behavior.
Eligibility Threshold
To be eligible for waiver services or the state benefit of Community First Choice, a child generally needs:
- Challenges in at least two out of six ADLs (Score of 2+), OR
- A moderate score (2+) in Behaviors or Memory/Cognition under Supervision.
Read the Source
Transparency is one of our core values. We want you to have all of the information.
Download/View the Official Document: HCPF Long-Term Services and Supports Case Management Tools
Need help navigating the red tape?
You handle the life; we handle the bureaucracy. If you’re ready to have your years of experience recognized and rewarded, let’s talk. Learn More About Our Tiered Pay for Tenure
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