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Home and Community Based (HCB) Waiver Program

The Home and Community Based (HCB) Waiver program provides Medicaid coverage to individuals who are aged, or disabled, and who may, without these services, be admitted to a nursing facility. These individuals must meet nursing facility level of care to be eligible to participate in the HCB Waiver program.

The services offered under the HCB Waiver program are provided by Home Health agencies enrolled in the Medicaid program as HCB Waiver providers. These services are available statewide for individuals who are eligible to receive HCB Waiver services. There is a provision for Medicaid eligibility to be determined under a special income level for individuals who otherwise meet all requirements for receiving HCB Waiver services.

Services Available Include:

  • Assessment services entail a comprehensive assessment of the HCB Waiver member, care planning and reassessments.
  • Case management services provide location, coordination and monitoring of the HCB Waiver member's services.
  • Homemaker service is a service that consists of general household activities such as meal preparation and routine household care.
  • Personal care services are medically-oriented and are related to the HCB Waiver member's physical requirements.
  • Respite care service is short-term care provided to an HCB Waiver member due to the absence or to provide relief to the primary caregiver.
  • Minor home adaptations are changes or additions made to the HCB Waiver member's living environment to make it possible for them to remain in the current living arrangement.
  • Attendant care services is a hands-on care of an HCB Waiver member.
  • Adult Day Health Care services are provided on a regularly-scheduled basis. These services are of a medical nature and ensure optimal functioning of an HCB Waiver member.

 

Related Content
 

Regulations:
907 KAR 1:160
907 KAR 1:170

Letters:
Provider # A-27 - Changes in the reimbursement for Level I and Level II ADHC basic services  (07/28/06)

Publications:
CDO Presentation-Provider

Home and Community Based Waiver Upcoming Changes Teleconference (June 21, 2005)

Adult Day Health Care Workshop (June 21, 2005)

Adult Day Health Care Case Management FAQs (June 2005)

Forms:
MAP 10 - Waiver Services Form
MAP 23 - HCB Waiver Services Selection of Provider Form
MAP 23 Form Instructions 
MAP 109 - Plan of Care/Prior Authorization for Waiver Services 
MAP 109 Instructions
MAP 351 - Medicaid Waiver Assessment
MAP 2000 - Initiation/Termination of Consumer Directed Option (CDO)

 

Contact Information:
 

Department for Medicaid Services

Division of Long Term Care and Community Alternatives

275 E. Main St.
6 W-B
Frankfort, KY 40621

(502) 564-5560

Contact us by email:
CHFS DMS Webmaster

 

Last Updated 10/16/2007
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