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Michelle P. Waiver Program

The Michelle P. Waiver is a home- and community-based waiver program of the Kentucky Medicaid program developed as an alternative to institutional care for people with intellectual or developmental disabilities. The waiver allows individuals to remain in their homes with services and supports.

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What's New

SCL Frequently Asked Questions (Apr. 14, 2016)

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

(Sept. 03, 2014) - The Centers for Medicare and Medicaid Services (CMS) has adopted new final federal regulations which address home- and community-based setting requirements for Medicaid waivers. The final rule provides for a five-year transition process to allow Kentucky to implement this rule to support continuity of services for Medicaid participants and minimize disruptions in service systems during implementation.

This Proposed Transition Plan offers the steps DMS will take to effectively plan for and execute the transition with public engagement.

(March 10, 2014) - Clarification - CMHCs must submit the MAP-621 application to Carewise Health to be placed on the MPW waiting list

(Feb. 27, 2014) CMHC Provider Letter #A-96 - Michelle P Waiver Status and MAP-621 - Application for MPW Waiver Waiting List

(April 24, 2013), Attention Members and Providers, please read the following letters regarding changes in Therapy Services.

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Who is eligible?

People with a developmental or intellectual disability who require a protected environment while learning living skills, educational experiences, awareness of their environment and meet Medicaid financial eligibility requirements are eligible.

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How do I apply?

Contact your local Community Mental Health Center to schedule a Michelle P. Waiver assessment.

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What services are covered?
  • Case Management
  • Adult Day Training
  • Supported Employment
  • Community Living Supports
  • Behavior Supports
  • Occupational Therapy (members over 21)
  • Physical Therapy (members over 21)
  • Speech Therapy (members over 21)
  • Respite
  • Homemaker Service
  • Personal Care
  • Attendant Care
  • Environmental/Minor Home Adaptation
  • Adult Day Health Care

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What is Consumer Directed Option Services

The Consumer Directed Option (CDO) is an alternative approach for delivery of non-medical MPW services. CDO Services include:

  • Support Broker
  • Financial Management
  • Community Day Supports which encompasses:
    • Adult Day Training
    • Supported Employment
  • Home and Community Supports which encompasses:
    • Personal Care
    • Homemaker
    • Attendant Care
    • Unskilled Respite
    • Community Living Supports
    • Goods and Minor Home Adaptations

For more information about Consumer Directed Option Services for MPW, visit the DMS CDO Web page.

Review the CDO Background Check Responsibilities FINAL

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Provider Resources

All certified/licensed providers in good standing in the Home Community Based (HCB) and Supports for Community Living (SCL) waivers may provide Michelle P. Waiver services. A listing of SCL providers can be found on the SCL Web site.

For information about HCB providers, contact your local adult day healthcare provider or home health agency.


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Regulations, Provider Letters, Billing Information, Forms and Publication


Provider Letters

To view other provider letter(s), refer to the Provider Letter page

Billing Information


  • MAP-10 - Waiver Services Physician's Recommendations
  • MAP-24 - Memorandum to DCBS
  • MAP-95 - Request for Equipment Form
  • MAP-109 - Plan of Care/Prior Authorization for Waiver Services
  • MAP-350 - Long Term Care Facilities and Home and Community Based Program Certification Form
  • MAP-351 - Medicaid Waiver Assessment
  • MAP-418 -Medicaid Waiver Services Fact Sheet
  • MAP-2000 - Initiation/Termination of Consumer Directed Option (CDO)
  • MPW Incident Report Form



For Questions?

Regarding policy, contact:
Division of Community Alternatives
275 E. Main St.
6 W-B
Frankfort, KY. 40621
(502) 564-1647
Email: CHFS DMS Webmaster


Last Updated 4/27/2016