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What are Residential Services?

We believe that where you live should feel like home. Everyone deserves a safe, supportive place where you can be yourself, grow, and belong.

We build our residential services for adults with intellectual and developmental disabilities (I/DD) around each person’s needs and preferences. Some individuals live with family, others in shared homes, and some in their own apartment in the community. Wherever someone lives, support might include help with cooking, cleaning, personal care, staying healthy, or learning life skills. On a typical day, that might look like breakfast and morning meds, then a plan each person helps choose: bowling, a trip to the store, a walk when the weather’s nice, or a board game at the kitchen table. Our caring team works closely with Members (the adults we serve) and their circle of support. Because at Ariel, residential services aren’t just about where you live—they’re about how you live.

The Ariel Difference

Our person-centered approach honors each individual’s unique story, strengths, dreams and dignity. Unlike more rigid care models, our support levels continually adapt as each individual’s needs change over time. The goal is always just the right amount: not more than needed, just as much as wanted. This flexibility lets people grow at a custom pace, with the highest level of independence and least amount of intervention possible.

Developing social and emotional skills alongside daily living support is a key focus for us, too. Ariel goes beyond securing safe housing. We offer opportunities to explore new possibilities and expand each person’s vision of what all parts of life can look like. Our wraparound supports help with learning new skills, pursuing personal goals, enhancing health and wellbeing, and meeting new friends. That way, home becomes a launching point for broader life experiences. We’ve seen Members compete in Special Olympics, start a new job, and build the skills to move into an apartment. Through this approach, individuals don’t just receive at-home care, they feel at home in their own lives. They build confidence, form genuine connections, and actively participate in their communities on their own terms.

The Ariel Difference: Compassion, Relationships, Family
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Types of Residential Services

We offer a variety of living arrangements to meet the unique needs, preferences, and strengths of each person. From host homes for adults with I/DD to apartments in the community, we help find the setting that fits. Each setting promotes safety, belonging, and the highest level of independence possible.

  • Independent Community Living | Members live on their own or with a roommate of their choice, receiving staff support as needed. This option provides maximum independence with the security of knowing help is always available. It’s ideal for those ready to manage their daily lives on their own terms, with just the right balance of freedom and care.
  • Family Caregiver Setting | Members live with a family member who receives professional guidance and support from Ariel’s team. This arrangement strengthens family bonds while ensuring access to expert resources and respite care. Families can focus on their relationships, knowing they have the backing and expertise they need.
  • Host Home Setting | Members live with a trained, non-related caregiver or family supported by Ariel. This option offers the warmth of family life with built-in community connections and daily support. It’s ideal for those who thrive in close relationships and benefit from consistent, caring guidance.
  • 3-Bed Personal Care Alternative (PCA) | Members share a home with up to two others, receiving 24/7 staff support. This option combines personal attention with community living, addressing medical, emotional, and daily needs while fostering friendships. It’s ideal for those who need consistent support and still want the social benefits of shared living.

Additional support available with Residential Services

Ariel is committed to supporting not only our Members, but also their families, caregivers, and Residential Providers. In addition to residential placement, we offer a full spectrum of supportive services:

Where we provide Residential Services

Ariel provides residential services across Colorado through five regional HQs. Host homes and family caregiver settings are available through every location, and other options vary by area. For the most up-to-date options, contact your regional HQ.

How to get started with Residential Services

People come to residential services from many places. Some are newly approved for a waiver and exploring options for the first time. Some have lived with family for years, and everyone is ready for more support. Others are stepping down from a more restrictive setting, moving to western Colorado for more resources, or moving from the Supported Living Services (SLS) waiver to the DD waiver. Some young adults in our child and family services continue with Ariel into adulthood.

In general, Medicaid’s Developmental Disability (DD) Waiver determines who qualifies for residential services and covers the cost. Once approved, Members have DD Waiver access for life. Their funding amount may change over time, based on the level of care (LOC) they need. For example, medical crises, behavioral changes, or legal involvement can be grounds for requesting a change. Ariel is well-versed in navigating these changes, both administratively and in day-to-day services. We’ll support Members and their families through any move to a higher or lower level of care.

To learn how to apply for a DD Waiver, find your county’s agency in the state’s Case Management Agency Directory.

Your local case management agency (CMA) approves funding, and Ariel provides the services. Once funding is in place, we’ll meet with you and talk through what matters most. Then we’ll visit possible homes together, so everyone feels good about the new home and the people in it.

Frequently Asked Questions (FAQs)

If you don’t find what you’re looking for below, feel free to ask your question via our Contact Form.

Yes! We serve adults 18 and older of any gender and almost all ability levels, from early adulthood to later in life (we’ve had Members in their 90s). For anyone under 18, please visit our child and family services. Many Members stay with us for years, well into later life. Our capacity to serve people with severe medical challenges or high-risk sexualized behaviors depends on having staff and providers with the right skills available. However, we do our best to accommodate all Members. Please reach out to our team to discuss more specifics.

Choosing Ariel means choosing a partner who sees the whole person. We go beyond the basics by offering consistent, compassionate, and individualized support to every Member.

Each Member has a dedicated case manager who acts as their main point of contact and advocate. Many agencies visit only quarterly. Our case managers check in at least once a month, building strong relationships, responding quickly to questions, and keeping everything on track. That level of attention helps us truly know our Members, not just meet compliance standards, and support them in living full and connected lives.

That steady presence adds up. One Member spent five years working with her team on safety, boundaries, and speaking up for herself. Today she’s becoming her own guardian.

We’re also known for supporting people with more complex needs, including dual diagnosis (I/DD alongside a mental health condition). In areas where we offer therapy and behavioral services, that work carries into daily life at home. A coping skill practiced in therapy can become part of the routine, with the residential provider trained in the same approach. Members who also attend our day program get the same coordination, with everyone on the same page.

Ariel offers a wide range of wraparound supports to help Members, caregivers, and providers thrive:

  • Case Management | Ongoing coordination of services with monthly visits to ensure personalized care, close connection, and responsive support.
  • Behavioral Services | Our behavioral team, led by a Board-Certified Behavior Analyst (BCBA), provides strategies and support to help individuals succeed in their homes and communities.
  • Therapy Services | Individual, group, and family therapy using evidence-based and trauma-informed approaches like CBT, DBT, and EMDR (availability varies by location).
  • Nursing Support (Grand Junction only for direct care) | Our Registered Nurse assists with medical needs, training, and planning—available statewide for team consultation.
  • Benefits Navigation (Direct in Grand Junction; consultative statewide) | Our specialists help Members and families understand Social Security, Medicaid, and other systems.
  • Program Trainer | Offers customized, hands-on training for Members and providers, including evening and weekend support. This includes assistive tools, tech help, and creative problem-solving.

The Supported Living Services (SLS) Waiver offers a more limited level of care compared to the Developmental Disabilities (DD) Waiver, which is required for residential services.

If you only have an SLS Waiver, you may still qualify for other Ariel services, including:

  • Behavioral support
  • Vocational programming
  • Individual and group therapy

Want help understanding what you qualify for? Reach out to one of our Benefits Specialists and we’ll walk through it with you.

Your local Case Management Agency (CMA) often manages benefits. Ariel’s in-house Benefits Specialists can also help you understand and navigate what’s available. We’ll support you in gathering documentation, filling out applications, and answering questions along the way.

Residential providers usually handle getting to appointments and activities. Medicaid transportation is also available for medical appointments, and your case manager can help coordinate.

The Supports Intensity Scale (SIS) determines what level of care and funding a person qualifies for. It looks at both medical and behavioral needs and assigns a score from 1–6 (with a level 7 for special circumstances).

This score helps determine eligibility for residential services and other supports under the DD or SLS Waivers. If your needs change—such as a medical event or new behavior concerns—you can request a reassessment.

Yes. Ariel provides 24/7/365 on-call support for Members and caregivers. Our on-call staff are trained in crisis response, suicide intervention, and trauma-informed care. Our on-call team is made up of case managers who know our Members, including people outside their own caseload.

In a life-threatening emergency, always call 911 or 988 (Suicide & Crisis Lifeline).

If you’re moving between areas Ariel serves, we’ll help make the change as smooth as possible, from finding a new home to connecting you with the new team, so you’re not starting over. Reach out to your regional HQ to talk it through.

Sometimes a match needs adjusting, and that’s okay. Your case manager will work with you, the residential provider, and the guardian to talk it through and look for creative solutions. If a change is the best path, we’ll plan it together.

We love this question—and we’re always looking for compassionate people to join our provider network! As a Residential Provider, you’ll make a real difference in someone’s life while being supported by a dedicated Ariel team.

We offer a variety of programs and services. Contact us with your individual needs and we will route your request to the person who can assist you best.

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