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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. It is helpful to have the following information when you apply: 

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

News from the 1915(c) HCBS Waiver Programs 

Service authorization deadlines: Beginning Nov. 25, 2019, case managers will begin approving most services on person-centered service plans for 1915(c) HCBS waiver participants. Case managers have been asked to meet some deadlines ahead of this change. The service authorization deadline memo lists those deadlines.

Service authorization training released: Case managers can now access training for the upcoming switch in service authorizations. All case managers should complete the training before Nov. 25, 2019. Case managers will also have opportunities to meet with DMS to ask questions. Please read the service authorization training notice 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 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 if you have additional comments or questions, please contact DMS.   

DMS makes changes to incident reporting: In summer 2019, DMS updated its incident reporting materials and streamlined the incident reporting process across all 1915(c) HCBS waivers. Service providers, case managers and support brokers should now be using the updated materials. 

If you have questions about the updated incident reporting process, please review the Incident Reporting Instructional Guide and Critical Incident FAQ. If you still have questions, please contact DMS. DMS published a revised Critical Incident FAQ in Sept. 2019. This update included a Revision Log for Incident Reporting Materials to help stakeholders identify edits.  DMS held two informational webinars prior to requiring use of the updated incident reporting materials and process. 

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

 

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