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. To continue providing HCB and MIIW services, DMS must renew the waivers with the Centers for Medicare and Medicaid Services (CMS). DMS made updates to the HCB and MIIW renewal waivers and held a public comment period between Oct. 5 and Nov. 6, 2020. The official DMS response to MIIW public comments and the official DMS response to HCB public comments now are available. DMS is in the process of submitting MIIW and HCB to CMS for approval.
Incident Reporting: All 1915(c) HCBS waiver providers are required to use MWMA to report incidents beginning Dec. 1, 2020. DMS has updated the Incident Reporting Instructional Guide to reflect this change. The Critical Incident FAQ issued in 2019 has been updated and merged with the MWMA Incident Reporting and Service Notes FAQ.
DMS is delaying requirements for direct service providers to use MWMA to enter service notes. 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 Incident Reporting and Services Notes 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.