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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.

LOC and POC process:

  • For applications submitted in MWMA: All LOC assessments and  Person Centered Service Plans must be submitted within MWMA. 
  • For applications not submitted within MWMA: The initial LOC assessment is to be faxed to Carewise Health at (800) 807-8843.  When LOC is Met, submit the Person Centered Service Plan in MWMA. All subsequent LOC assessments and Plans must be submitted within MWMA.

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.

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.  Placement on the waiting list is determined by chronological date of receipt of complete application. Applicants will be served based on category of need and chronological order as funding becomes available.

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How do I obtain an application?

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

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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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Participant Directed Services Information

The Department for Medicaid Services offers Participant Directed Services (PDS), formerly known as the Consumer Directed Option (CDO), as an alternative for delivery of non-medical non-residential SCL services

For more information, visit the DMS PDS 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.

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.


View Achieved SCL Information

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Regulations, Policy Information, Billing Information, Letters and Forms

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 1/2/2018