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Who We Are

If you are elderly, have a physical, intellectual or developmental disability or are ventilator dependent, you may qualify for Medicaid waiver services. Known as 1915(c) Home- and Community-Based Services waivers, these services provide the support you need to continue to live at home. The Department for Medicaid Services (DMS) administers the following waiver programs:

Programs &
Services

​Eligibility

You may be eligible for Medicaid waiver services if:

  • You have written certification from a physician that, if Medicaid waiver services were not available, you would be admitted to a nursing facility in the immediate future.
  • You meet the nursing facility level of care defined in Kentucky Administrative Regulation 907 KAR 1:022, Section 4.
  • You choose to be at home and receive waiver services.
  • Meet the financial qualifications for Medicaid.
    • There are special financial qualifications applied to waiver programs. You can find more information on how we determine if you meet the financial qualifications here.

Apply

Online using the benefind self-service portal

In person at one of the following locations:

You can apply for waiver services for yourself or on another's behalf. It is helpful to have the following information with you:

  • Social Security number
  • Proof of identity (driver's license)
  • Proof of citizenship (birth certificate)
  • Health insurance
  • Medical bills
  • Income information
  • Resource information
  • Life insurance policies or burial reserves

News from the 1915(c) HCBS Waiver Programs

DMS releases official response to public comments: In March 2019, DMS released amended 1915(c) HCBS waiver applications to the public as part of an official public comment period. Between mid-March and mid-April, DMS received hundreds of comments. DMS has since reviewed those comments and issued a formal response. If you feel your comment wasn't addressed or you have additional questions, please email DMS. 

DMS Official Response to Public Comment

DMS holds 2019 Town Hall Tour: In June 2019, DMS representatives visited seven cities around Kentucky to meet with stakeholders of the 1915(c) HCBS waiver programs to discuss updates to the state's six waivers. DMS thanks all stakeholders who attended a town hall. If you were unable to attend, DMS also held an online town hall. You can view a recording of the town hall and the town hall presentation. If you have questions about the material presented, please email DMS. 

DMS releases updated critical incident reporting materials and guides: DMS is updating its incident reporting materials and streamlining the incident reporting process across all 1915(c) HCBS waivers. Service providers, case managers and support brokers are required to use the updated incident reporting materials beginning in June 2019. 

Updated Incident Reporting Form 

Updated Critical Incident Investigation Form 

Incident Reporting Instructional Guide 

Critical Incident Frequently Asked Questions (FAQ) 

DMS held an educational webinar for providers May 7, 2019, to introduce the new materials. Providers can view a recording of the webinar and/or the webinar presentation for more information.  

If you have questions, please review the instruction guide and the Critical Incident FAQ. If these resources do not provide answers to your questions, please email DMS. DMS published an updated Critical Incident FAQ on July 16, 2019 and an announcement was posted to MWMA. A follow-up email was also sent to providers to alert them of the updated Critical Incident FAQ document.

DMS held a second webinar for service providers, case managers and support brokers May 22, 2019. The webinar covered requirements and best practices for conducting critical incident investigations. Providers can view a recording of the webinar and/or the webinar presentation for more information. 

1915(c) HCBS FAQ: DMS released an updated Frequently Asked Questions (FAQs) document in May 2019 to help stakeholders better understand 1915(c) HCBS waiver redesign. The FAQs update includes questions received following the release of the Navigant Final Assessment Report of the 1915(c) HCBS waiver programs and the DMS response to the report. It also includes questions DMS anticipates receiving. 

1915(c) HCBS Waivers FAQs Document 

If you have a question you do not see in the FAQs, you can email us. The FAQs will be updated regularly as 1915(c) HCBS waiver redesign activities continue.

Clarification on Participant Directed Services (PDS): DMS sent a letter to all stakeholders on Feb. 27, 2019, to address ongoing concerns about PDS. The letter discusses the current policy on hiring legally responsible individuals as PDS employees and how the policy could be revised as part of 1915(c) HCBS redesign.  


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