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Acquired Brain Injury (ABI) - Long Term Care Waiver

The Acquired Brain Injury Long Term Care Waiver program provides an alternative to institutional care for individuals that have reached a plateau in their rehabilitation level and require maintenance services to avoid institutionalization and to live safely in the community.

What services are available?

The following services are available under the Acquired Brain Injury Long Term Care Waiver Program:

  • Case Management
  • Community Living Supports
  • Respite Care
  • Adult Day Health Care
  • Adult Day Training
  • Environmental Modifications
  • Behavior Programming
  • Counseling
  • Group Counseling
  • Specialized Medical Equipment and Supplies
  • Supported Employment
  • Occupational Therapy
  • Speech Therapy
  • Nursing Supports
  • Family Training
  • Physical Therapy
  • Assessment and Reassessment
  • Supervised Residential Care

Note: For members interested in Consumer Directed Option Services for ABI Long Term Care, visit the DMS CDO Web page.

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How do I apply for services?

To apply, first complete the MAP-26 - ABI Program Application and MAP-10 - Waiver Services Physician's Recommendations. Fax or mail the completed applications to the Acquired Brain Injury Branch. When funding becomes available, an allocation letter will be sent directing you to choose a case manager who will help you with the admission process and the development of a plan of care.

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Who is eligible for services?

Persons who:

  • Are at least 18 years of age;
  • Meet nursing facility level of care;
  • Have a primary diagnosis of an acquired brain injury which necessitates supervision, rehabilitative services and long term supports; and
  • Are Medicaid eligible

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ABI Waiver program exclusions
The following conditions are not considered acquired brain injuries requiring specialized rehabilitation:

  • A stroke treatable in a nursing facility providing routine rehabilitation services
  • A spinal cord injury with no known or obvious injury to the intercranial central nervous system
  • Progressive dementia or other mentally impairing condition of a chronic degenerative nature such as senile dementia, organic brain disorder, Alzheimer's Disease, alcoholism or other addiction
  • Depression or psychiatric disorders with no known or obvious central nervous system damage
  • Birth defects
  • Mental retardation not associated with an acquired brain injury
  • A condition which causes an individual to pose a level of danger or aggression which cannot be managed and treated in a community setting

Note: Special criteria for financial eligibility for Medicaid are applied for this program.

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Regulations, Policy Information, Letters, Forms, Billing Information and Publications
   

For questions?
 

Regarding policy, contact:
Division of Community Alternatives
Acquired Brain Injury Branch
275 East Main Street
6W-B
Frankfort, KY 40621
Phone:
(502) 564-5198
Fax:
(502) 564-0249
Toll Free: (866) 878-2626

Contact us by e-mail:
Julia Wang
Karen Maciag
Diane Pratt
Rena Warner
Jeffery Williams

Regarding this website, contact the CHFS DMS Webmaster

Regarding billing issues, contact HP at
(800) 807-1232

Enrolling as a provider, contact the ABI Branch at (502) 564-5198 or (866) 878-2626

 

Last Updated 2/21/2014
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