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​In 2017, the Department for Medicaid Services (DMS) began a project to redesign Kentucky's six 1915(c) Home and Community Based Services (HCBS) waivers: Acquired Brain Injury (ABI), Acquired Brain Injury Long Term Care (ABI LTC), Home and Community Based (HCB), Model II Waiver (MIIW), Michelle P. Waiver (MPW), and Supports for Community Living (SCL). These waivers help individuals with brain injuries, disabilities, or who are ventilator dependent live in the community as independently as possible. 

1915(c) HCBS Waiver Assessment

DMS had an assessment report conducted on Kentucky Medicaid's 1915(c) HCBS waiver programs. The report lists the goals DMS set for redesign and includes ten recommendations for program improvements.

1915(c) HCBS Waiver Rewrite

DMS is in the process of re-writing all six 1915(c) HCBS waivers and anticipates sending them to the Centers for Medicare and Medicaid Services (CMS) for approval in 2020. The most recent drafts of the amended waiver applications were released to the public on Nov. 8, 2019.

  • Amended Waiver Applications: ABI, ABI LTC, HCB, Model II, MPW, SCL

1915(c) HCBS Rate Study

The most recent drafts of the amended waiver applications include updates made based on the outcome of the 1915(c) HCBS Rate Study. The rate study was conducted from Nov. 2017 to Sept. 2019 with the goal of creating a standard rate setting methodology across all waivers. Details on the rate study and proposed new rates can be found in the 1915(c) Rate Study webinar recording and presentation.  

Stakeholder Engagement

DMS increased stakeholder engagement as part of 1915(c) HCBS waiver redesign. This includes opening an email box for comments and questions   

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