If you have a disability or are elderly, you may qualify
for a 1915(c) Home- and Community-Based Services (HCBS) Medicaid waiver. These waivers provide the support you need to live as independently as possible.
The Department for Medicaid Services (DMS) offers six waiver programs:
You may qualify for a 1915(c) HCBS waiver if:
- You wish to live in the community as independently as you can.
- You would be admitted to a nursing facility or intermediate care facility if you did not have 1915(c) HCBS waiver services.
- You meet the nursing facility level of care defined in Kentucky Administrative Regulation 907 KAR 1:022, Section 4.
- You meet the financial conditions for Medicaid. There are special financial conditions for 1915(c) HCBS waivers.
If you are interested in 1915(c) waiver services, you must first obtain financial eligibility for Medicaid. You can apply for Medicaid online using kynect, by calling the Department for Community Based Services (DCBS) at (855) 306-8959 or in-person at a DCBS office. There are some documents that are helpful to have when applying. The Medicaid Waiver Services Fact Sheet lists those documents.
Once you are ready to apply for 1915(c) HCBS waiver services, you can complete your application online using kynect or in-person at an Aging and Disability Resource Center or a Community Mental Health Center.
Please view our Who To Call: Quick Reference Guide for a list of common waiver-related questions or concerns and who to contact for help.
Recent Updates from the 1915(c) HCBS Waiver Programs
HCB and MIIW Public Comment: 1915(c) HCBS waiver applications expire every five years. Current HCB and MIIW applications expire in 2020. DMS is holding a public comment period on updates to HCB and MIIW before submitting the waivers to the Centers for Medicare and Medicaid Services for renewal. The public comment period runs from Oct. 5, 2020 through Nov. 6, 2020. The HCB and MIIW applications are avaiable for review.
Amended HCB Waiver Application
Amended MIIW Application
Summary of HCB and MIIW Updates
DMS held a webinar on Oct. 12, 2020 to review HCB and MIIW updates with stakeholders. If you missed it, you can watch a recording of the webinar presentation and a recording of the webinar question-and-answer session or view the webinar presentation slides. To make a public comment, please follow the process described in the public comment notice issued Oct. 2, 2020.
Required Use of MWMA: DMS is delaying requirements for direct service providers to use MWMA to enter service notes. All 1915(c) HCBS waiver providers will still be required to use MWMA to report incidents beginning Dec. 1, 2020. DMS outlined these updates in a letter sent to providers on Sept. 11, 2020. Recordings of training held in Sept. and training videos are available on the MWMA YouTube page. MWMA quick reference guides, training materials and presentations are available on the MWMA training portal. If you need access to the training portal, email the MWMA team.
If you have questions about use of MWMA for service notes and incident reporting, please review the MWMA Updates Fall 2020 FAQ. If after reviewing the FAQ you still need assistance, call (844) 784-5614. For assistance with MWMA technical issues, user onboarding or navigation, choose option #1. For questions about use of MWMA as it relates to waiver-policy, choose option #4 if you are case manager/ support broker/service advisor or #5 if you work for a direct service provider agency.
Electronic Visit Verification (EVV): DMS is implementing EVV for certain 1915(c) HCBS waiver services by Jan. 1, 2021. Visit the DMS EVV website for more information.
Waiver redesign: DMS issued an update on 1915(c) waiver redesign as of Feb. 13, 2020. Read the Redesign Update Letter for details.
Service authorization: Carewise Health no longer approves services for 1915(c) HCBS waiver participants. Case managers now approve most services; however, DMS will review requests for high-cost and/or high-skill services. The following resources are available regarding this policy update.