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Supports for Community Living Waiver

Supports for Community Living (SCL) is a Kentucky Medicaid program home- and community-based waiver providing an alternative to institutional care for individuals with intellectual and developmental disabilities. SCL allows individuals to remain in or return to the community in the least restrictive setting.

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What's New?

SCL Waiver renewal officially approved by CMS! - (Mar. 29, 2017) - The Department for Medicaid Services (DMS) has been notified by the Centers for Medicare and Medicaid Services (CMS) of the official renewal of the Supports for Community Living (SCL) Medicaid Waiver to be implemented April 1, 2017. The SCL waiver renewal period is effective March 1, 2017 through February 28, 2022.

Beginning April 1, 2017, providers shall implement SCL regulations 907 KAR 12:010 and 907 KAR 12:020 that were dated effective June 3, 2016.

Please remember to refer to SCL Provider Letter #A-49 about documentation requirements for dates of service beginning March 15, 2017. DMS will follow those documentation requirements, exceptional support protocols, and the guidance provided about billing audits and information on technical assistance that were included with that provider letter. Effective April 1, 2017, all Exceptional Support requests must be submitted through the Medicaid Waiver Management Application (MWMA). No Exceptional Support requests will be accepted via fax to the Division of Developmental and Intellectual Disabilities in the Department for Behavioral Health, Development and Intellectual Disabilities.

With the approval of the waiver renewal, notices of allocation for funding will be sent to individuals who currently meet emergency criteria and have been placed on the SCL Emergency waiting list.

As part of the renewal, CMS approved 240 additional slots. DMS will provide information in the near future about the allocation of these slots.

LOC and POC process:

  • For applications submitted in MWMA: All LOC assessments and POCs must be submitted within MWMA.
  • For applications not submitted within MWMA: The initial LOC assessment and initial person centered service plan are to be faxed to Carewise Health at (800) 807-8843.

Upon approval of the person centered service plan the case manager is to transition the person into MWMA and complete all subsequent LOC assessments and person centered service plans within MWMA.

All future applications for placement on the SCL waiting list must be submitted through MWMA.

We are pleased that CMS has moved forward with the SCL waiver renewal approval. Thank you for your important work for people engaged in the SCL waiver program.

SCL/MPW Provider Letter # A-49 - Waiver redesign to address issues within 1915 Waivers (Mar. 1, 2017)

Provider Letter #A-47- SCL Therapy Transition ( Feb. 1, 2017)

Provider Letter #A-46 - Supports for Community Living Therapy Transition (Dec. 12, 2016)

Attention SCL Providers - On June 3, 2016, the new Supports for Community Living (SCL) Waiver Program regulation, 907 KAR 12:010, became effective. However, at Section 17(2), the regulation is contingent upon Centers for Medicare and Medicaid Services (CMS) approval of the SCL Waiver. DMS is currently waiting for approval from CMS for the Waiver. Therefore, the SCL Waiver Program will continue to operate under the previous regulation which may be found at 907 KAR 12:010 . Notification of CMS approval will be provided once it is received. If you have any questions, please contact DMS or call 502-564-1647.

SCL Frequently Asked Questions

Waiver Provider Letter #WP-A1 - New Federal Rule for HCB Settings (May 16, 2014)

(Jan. 7, 2014) - Training presentations from the SCL Big Day event

SCL2 Big Day Training - DDID

  • Mary's Story - by Alice Blackwell (forms attached: service definitions, service chart, FAQ) - An introduction to the new SCL2 waiver services.
  • Exceptional Support Protocol - by Mary Mann (no forms attached) - This training offers a review of the protocol requirements and submission processes.
  • Using SIS Data -by Mary Mann (no forms attached) - Using SIS information with the person centered team in the development of the person-centered POC.
  • Case Management Documentation - by Haley Hammond and Mary Mann (no forms attached) - SCL2 forms and the processes associated with the level of care and prior authorization requests.
  • Prior Authorization Review Tool - by Jeff White (webinar, no forms attached) - Demonstration on how to use the prior authorization review tool.
    SCL2 Big Day Training FAQs 10-page document, also attached to and accessible in Mary's Story.

SCL2 PDS Training - DAIL

(Dec. 18, 2013) - The SCL2 Participant Directed Service (PDS) webinar presentation recordings is now available and can also be accessed through College of Direct Support reference list for those who have an account. If you do not have an account, this is your reference. Contained in this document are the links to our provider webinars and various recorded trainings and presentations.

Recently added are training presentations from the SCL2 Big Day Training as well as the FAQs derived from them. Please note that some presentations may have forms/documents attached and instructions are also on this attachment on how to view and/or download them.

Some forms are in PDF format. PDF format requires Adobe Reader

Who is eligible?

Individuals with intellectual and developmental disabilities who meet requirements for residence in an intermediate care facility for people with intellectual disabilities and who meet other Medicaid requirements are eligible for these services.

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What services are available?

Supports for Community Living offers a variety of supports and services. These are based on the individual's goals, choices and priorities as identified through an individual support plan.

To view a listing of the supports and services available, visit the Division of Developmental and Intellectual Disabilities SCL website.

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Is there a waiting list?

Currently, there is a waiting list for services and supports. Submitting an application will place your name on the list. Applicants will be served in  chronological order as funding becomes available.

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How do I obtain an application?

Complete an application form for SCL services (MAP-620). You may obtain an application by calling an SCL provider in your area or by calling (502) 564-7702 or you may visit the Department for Behavioral Health, Developmental and Intellectual Disabilities website.

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What happens after I am selected for funding?

After you are selected for funding, you must then be determined to need the level of care provided by an ICF/ID and be eligible for Medicaid.

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CDO Information

The Department for Medicaid Services began offering the Consumer Directed Option (CDO) as an alternative for delivery of non-medical non-residential SCL services.

For more information, visit the DMS CDO page.

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Provider Information

If you are interested in becoming an SCL provider, visit the DBHDID SCL provider website for more information.

Transition Funding

Approved SCL providers are eligible to apply for transition funding reimbursement. For more information, refer to the DBHDID SCL transition reimbursement page.

KY Medicaid announces implementation of enhanced reimbursement for SCL group home and staffed residence providers who accept individuals who have been de-institutionalized from an intermediate care facility for individuals with intellectual or developmental disabilities. An individual must have been institutionalized for the entire two-year period immediately preceding transition to a community setting.

Enhanced Community Transition Rate (Update as of Jan. 1, 2009)

Frequently Asked Questions about Supports for Community Living (SCL) Enhanced Rate FAQs (PDF)

If you have additional questions regarding SCL and reimbursement rates, contact the Division of Community Alternatives at (502) 564-1647.

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Contact Information

Division of Community Alternatives
MH/IDD Community Services Branch
275 E. Main St.
Frankfort, KY 40621
Phone: 502- 564-1647
E-mail: CHFS DMS Webmaster

Additional information
Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) Website.


Last Updated 4/6/2017