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​The Acquired Brain Injury Branch operates two waivers designed to provide Medicaid-paid services to adults with an acquired brain injury.  

The Acquired Brain Injury (ABI) waiver is for adults with an acquired brain injury who can benefit from intensive rehabilitation services. The ABI waiver focuses on assisting participants to reenter the community and function independently.

The Acquired Brain Injury Long Term Care (ABI LTC) waiver serves adults with an acquired brain injury who have reached a plateau in their rehabilitation level. They require maintenance services to live safely in the community and to avoid institutionalization.

Programs &

ABI and ABI LTC offer a variety of services to support an individual's goals, choices, and priorities including but not limited to:


  • Adult Day Training: Services designed to help an individual participate in meaningful, daily routines within the community
  • Individual and Group Counseling: Designed to help an individual or an individual's family as they adjust to the changes caused by an acquired brain injury
  • Environmental and Home Modifications: Changes to a person's home that ensure their health, safety, and welfare, increase independence, and allow them to continue to live in the community
  • Respite Care: Provides a short term break for a person's primary, unpaid caregiver
  • Supervised Residential Care: Offered in a variety of settings and supervision levels to allow individuals to live as independently as possible 
ABI Only
  • Companion Services: Includes assistance with meal preparation, laundry, shopping, and light housekeeping  
  • Personal Care: Help to perform activities of daily living such as bathing, dressing, or eating
  • Adult Day Health Care: A place for persons 21 and older to receive skilled nursing care, routine personal and healthcare needs, meals, and to be part of daily activities
  • Nursing Supports: Help from a Licensed Practical Nurse (LPN) or Registered Nurse (RN) to monitor specific medical conditions and/or monitor medication plans


To be eligible for the ABI or ABI LTC waivers, you must:

  • Have an acquired brain injury
    • The following conditions are not considered acquired brain injuries requiring specialized rehabilitation:
      • A stroke treatable in a nursing facility providing routine rehabilitation services
      • A spinal cord injury with no known or obvious injury to the intercranial central nervous system
      • Progressive dementia or other mentally impairing condition of a chronic degenerative nature, such as senile dementia, organic brain disorder, Alzheimer's Disease, alcoholism, or other addiction
      • Depression or psychiatric disorders with no known or obvious central nervous system damage
      • Birth defects
      • Intellectual disability not associated with an acquired brain injury
      • A condition which causes an individual to pose a level of danger or aggression which cannot be managed and treated in a community setting
  • Be age 18 or older
  • Meet the requirements for residence in a nursing facility

    • These are defined in Kentucky Administrative Regulation 907 KAR 1:022.

  • Be expected to benefit from waiver services
  • Meet the financial qualifications for Medicaid
    • There are special financial qualifications applied to the ABI and ABI LTC waiver programs. You can find more information on how we determine if you meet the financial qualifications here.


If you are interested in applying for ABI or ABI LTC services or want to apply on someone's behalf, you can complete an application:

For assistance, please contact the call center at: 1-855-459-6328 or TTY 1 -855-326-4654.

Participant-Directed Services

Participants in the ABI and ABI LTC waiver programs have three options for how they receive their services.

1. Traditional Services: A waiver participant can receive all services through traditional service provider agencies.

2. Participant-Directed Services (PDS): Participants who enroll in the PDS option can hire their own employees to provide their non-medical, non-residential services. PDS used to be known as the Consumer Directed Option (CDO).

3. Blended Services: Participants can receive some services through traditional service provider agencies while using the PDS option for their non-medical, non-residential services.

ABI and ABI LTC PDS services include:

  • Adult Day Training

Choosing the PDS option gives waiver participants greater freedom of choice, flexibility, and more control over their supports or services. 

For more information about PDS for ABI or ABI LTC, visit the DMS PDS page.


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