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Acquired Brain Injury (ABI)

The Acquired Brain Injury (ABI) Waiver program provides intensive services and supports to adults with acquired brain injuries working to re-enter community life. Services are provided exclusively in community settings. Click below to view

What services are available?

The following 14 services are funded:

  • case management
  • personal care
  • companion services
  • respite care
  • environmental modifications
  • behavior programming
  • counseling and training
  • structured day program
  • specialized medical equipment and supplies
  • prevocational services
  • supported employment
  • occupational therapy
  • speech and language services
  • community residential services (excluding room and board)

Note: For members interested in Consumer Directed Option Services for ABI, 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

To qualify for services, an individual must:

  • have an acquired brain injury
  • be at least 18 years of age
  • meet nursing facility level of care
  • be expected to benefit from waiver services, and
  • be financially eligible for Medicaid services

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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 financial eligibility criteria for Medicaid are applied for this program.

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Regulations, Billing Information, Letters, Forms and Publications
 

Regulations

Billing Information
Provider Billing Instructions

Provider Letters

Forms

  • Incident Report
  • MAP-10- Waiver Services Physician's Recommendations
  • MAP-24C - Admittance, Discharge or Transfer of an Individual in the ABI/SCL Program
  • MAP-26 - ABI Program Application
  • MAP-95 - Request for Equipment Form
  • MAP-109 - Plan of Care/Prior Authorization for Waiver Services
  • MAP-351  - Medicaid Waiver Assessment
  • MAP-418 -Medicaid Waiver Services Fact Sheet
  • MAP-2000 - Initiation/Termination of Consumer Directed Option (CDO)
  • MAP-4100A -Acquired Brain Injury Waiver Program Provider Information and Services

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) 564-6568
Toll Free: (866) 878-2626

Contact us by e-mail:
Julia O'Hara
Diane Pratt

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 5/17/2012
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