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​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:

Programs &
Services

​Eligibility 

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.

Apply

You can apply for a 1915(c) HCBS waiver online using the benefind Self-Service Portal or in-person at a Department for Community Based Services (DCBS) office, a Community Mental Health Center (CMHC), an Area Agency on Aging (AAA) or an Area Development District (ADD)

You can apply for a 1915(c) HCBS waiver for yourself or for someone else. There are some documents that are helpful to have when applying. The Medicaid Waiver Services Fact Sheet lists those documents. 


More Information

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. 

News from the 1915(c) HCBS Waiver Programs 

Service authorization changes: As of Nov. 25, 2019, case managers are approving most services on person-centered service plans for 1915(c) HCBS waiver participants. DMS has released several resources for stakeholders. 

If you have questions about service authorization policy, contact DMS. If you have technical issues or questions about MWMA, please call (800) 635-2570. 

Patient liability: On Jan. 1, 2020, DMS changed the way it calculates patient liability for 1915(c) HCBS waiver participants. Read the Patient Liability Participant Letter , Patient Liability Provider Letter or the Patient Liability Brochure for details. 

New DMS program helps pay health insurance premiums: The Kentucky Integrated Health Insurance Premium Payment Program (KI-HIPP) is now taking applications. 1915(c) HCBS waiver participants may be eligible for this program. Read the KI-HIPP waiver participant communication, view the KI-HIPP informational flyer, or visit the KI-HIPP website for more information.  

DMS makes changes to incident reporting:  Service providers, case managers and support brokers should now be using the updated Incident Reporting Form and the updated Critical Incident Investigation Form to report incidents involving 1915(c) HCBS waiver participants. Information on the updated process can be found in the Incident Reporting Instructional Guide, the Critical Incident Frequently Asked Questions (FAQ) and the Revision Log for Incident Reporting Materials .

1915(c) HCBS FAQ: Stakeholders can stay informed about 1915(c) HCBS waiver redesign  by reading our Frequently Asked Questions (FAQ) document. The FAQ is updated regularly using questions DMS is asked about the project. If you have a question you do not see in the FAQ, please contact DMS