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:
If you are interested in
1915(c) waiver services, you first must be determined to be financially eligible 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. Documents that are helpful to have when applying are listed in the Medicaid Waiver Services Fact Sheet.
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 and who to contact for help.
Recent Updates from the 1915(c) HCBS Waiver Programs
Kentucky Submits Plan for Enhanced Federal HCBS Funding: The
American Rescue Plan Act, signed into law in March 2021, includes the federal medical assistance percentage, a temporary 10 percent increase in federal funding for HCBS programs. States must submit a spending plan for the funds and receive approval from the Centers for Medicare and Medicaid Services (CMS). Kentucky's spending plan has been submitted to CMS and is available for public review. If you have questions or comments about the plan, please
MIIW Renewal Approved: CMS has approved the renewal application for MIIW effective immediately. DMS made minor adjustments to MIIW as part of the renewal process. Both a
summary of updates and the
full MIIW application are available for review. If you have questions about the MIIW waiver renewal, please review the
official DMS response to MIIW comments or
HCB Renewal: 1915(c) HCBS waiver applications expire every five years. To continue providing HCB services, DMS must renew the waiver with CMS. DMS made updates to the HCB waiver and held a public comment period between Oct. 5 and Nov. 6, 2020. The
official DMS response to HCB public comments is now available. DMS is in the process of submitting HCB to CMS for approval.
Incident Reporting: All 1915(c) HCBS waiver providers and case managers now must use the Medicaid Waiver Management Application (MWMA) to report incidents involving waiver participants. The following resources are available to assist providers and case managers with electronic incident reporting.