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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 announces 2019 town hall tour: In June 2019, DMS representatives will visit seven cities around Kentucky to meet with stakeholders of the 1915(c) HCBS waiver programs. DMS will discuss updates to the state's six waivers and answer stakeholder questions. This year's town hall tour will include a "meet and greet" to allow stakeholders to talk to DMS representatives one-on-one. Locations, dates, times, and additional details can be found in the Town Hall Notification DMS released on May 17, 2017.   

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 

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

If you have questions, please review the instructional guide. If it does not answer your question, please email DMS. The guide was updated to address the most common questions DMS received during the May 7 webinar. 

DMS will hold a second webinar for service providers, case managers, and support brokers on May 22, 2019. The webinar will go over the requirements and best practices for conducting critical incident investigations.

Critical Incident Investigation Training Webinar Information

This webinar will feature different content than the webinar held on May 7. DMS strongly encourages all providers to attend.  

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.  

DMS response to Navigant's 1915(c) waiver assessment final report: On Sept. 20, 2018, DMS released the Navigant Consulting, Inc. final report on its assessment of Kentucky 1915(c) Home and Community Based Services (HCBS) waiver programs. The report included 11 recommendations for improving the programs and suggested next steps. The report finalized preliminary recommendations released in April 2018 and included feedback that DMS collected from stakeholders in the spring of 2018.

Following a thorough review of the final report and stakeholder feedback, 1915(c) HCBS waiver staff, DMS leadership and leadership of the Cabinet for Health and Family Services selected and prioritized the recommendations and developed a response to the report. It includes the following information:

  1. Recommendations DMS will adopt, how it plans to adopt them and when you can expect to see program updates.
  2. Information on opportunities to learn more about the recommendations DMS will implement, ask questions and get a more detailed explanation of what they mean for you.

Complete DMS Response to Navigant Final 1915(c) Waiver Assessment Report 

We also have created guides to our response for individuals who use waivers and for waiver providers.

Guide for individuals and their families

Guide for waiver providers

As always, we want to hear from our stakeholders. If you have questions, concerns or want to share your thoughts, please reach out to us in any of the following ways:
Email

Phone: (502) 564-7540 

Mail:

Department for Medicaid Services
Division of Community Alternatives
275 E. Main Street 6W-B
Frankfort, Kentucky 40621

We value your feedback and look forward to hearing from you. We thank all stakeholders for their continued involvement in creating a better 1915(c) HCBS waiver program in Kentucky.

Navigant 1915(c) waiver assessment final report: In spring 2017, DMS began working with Navigant Consulting, Inc. to assess Kentucky's 1915(c) Home- and Community-Based Services (HCBS) waiver programs. Navigant and DMS published preliminary recommendations in April 2018, hosted public meetings and collected stakeholder feedback incorporating this feedback into Navigant final recommendations. Navigant completed its final assessment report in the fall 2018 and DMS released it to the public on Sept. 20, 2018. The report included 11 recommendations for improving Kentucky's 1915(c) HCBS waiver programs, such as standardizing the rules and processes housed in the waivers, clarifying participant-directed service policy and performing a study to improve how payment rates are set in the future. The report also described Kentucky waiver programs, compared them to other programs nationally and recommends steps DMS should take to improve them.

You can view the full report using the link below. Please refer to the Executive Summary for an overview of the report.

Navigant 1915(c) Waiver Assessment Final Report 

Stakeholder Feedback
We value your feedback and consider it critical to improving Kentucky’s 1915(c) Home and Community Based services waivers. If you have questions, concerns or want to share your thoughts about the final report, please reach out to us.

Email

Phone: (502) 564-7540

Mail
Department for Medicaid Services
Division of Community Alternatives
275 E. Main Street 6W-B
Frankfort, Kentucky 40621

Stakeholders who wish to receive updates about the 1915(c) HCBS waiver programs can email the address above and request to be added to our email list. Updates will also be posted to this website.

We thank all stakeholders for their continued engagement in this process and look forward to working together to create better 1915(c) HCBS waiver programs in Kentucky.

Agency News