Full Circle FoundationHealth. Support. Education. Community.

The need

Rural Colorado is running out of caregivers.

More than 809,000 people live across Colorado's 52 rural and frontier counties. The workforce that cares for them has been shrinking for five years, and for a lot of families the nearest training program is hours away.

20%

of Colorado's healthcare workforce has left the field since 2020.

CRHC, Snapshot of Rural Health in Colorado, 2025
76%

statewide talent gap for certified nurse aides, the largest of any direct-care role.

2023 Colorado Talent Gap, via CRHC Snapshot 2025
20

rural Colorado counties have no nursing home at all.

CRHC, Snapshot of Rural Health in Colorado, 2026

Read the full case for support

Why now

The caregiver-hour cap.

Colorado is cutting the number of weekly hours a paid family caregiver can be reimbursed for. Across Personal Care, Homemaker, Health Maintenance Activities, and Long-Term Home Health, the cap falls from a 112-hour baseline to 56 hours by July 2027.

If you are caring for a medically complex child at home, those hours are not a line in a budget. They are the difference between managing and not managing, and the only thing that fills the gap is a trained caregiver living close enough to show up.

Weekly reimbursable hours per caregiver

Colorado Medicaid long-term services and supports, 2026–2027

Baseline
through Jun 2026
112 hrs
Jul 1, 2026
84 hrs
In effect now
Jan 1, 2027
70 hrs
Jul 1, 2027
56 hrs

Applies to Personal Care, Homemaker, Health Maintenance Activities, and Long-Term Home Health, with an exceptions process. Source: Colorado Department of Health Care Policy & Financing, LTSS Sustainability Update Blog.

Our work

Four things that keep a caregiver in this work.

Health

Care that reaches people who have had to go without it.

Support

Someone in your corner from the first class to the certificate.

Education

Real, state-approved training, brought to your town.

Community

Neighbors looking after neighbors, for the long haul.

Programs

How we do the work.

Our purpose is the care workforce across the whole region. Programs are how that purpose actually reaches a town, and the first one is already up and running.

The Full Circle Care Academy mobile training lab, a white trailer with the Academy logo, parked with mountains in the distance.
The mobile skills lab, parked and ready to run a class. The training travels to the community instead of the other way around.
Flagship program

Full Circle Care Academy

A mobile nurse aide training program that brings state-approved CNA certification to towns with no program within driving distance.

About the Academy

Who we serve

Our graduates go wherever they are needed.

They are not trained for one employer. They go on to work in the hospitals, clinics, and care homes a whole region leans on, and in the houses of families looking after someone they love.

See who that includes

Governance

Employer-neutral, by policy.

Full Circle Foundation is employer-neutral. Graduates choose their own employers, and any provider in the region is free to recruit them. No employer receives preferential access to students, placement, hiring, or curriculum influence.

Governance and board

Help us put a caregiver where someone is waiting for one.