The Acquired Brain Injury Branch operates two 1915(c) HCBS Medicaid waivers. These waivers provide assistance to adults with an acquired brain injury who want to live in the community as independently as possible.
Acquired Brain Injury (ABI) waiver: The ABI waiver is for adults with an acquired brain injury who can benefit from intensive rehabilitation services. The services are designed to assist participants in re-entering the community and functioning independently.
Acquired Brain Injury Long Term Care (ABI LTC) waiver: The ABI LTC waiver is for 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.
ABI and ABI LTC offer a variety of services to support each participant's goals and preferences. Services include but are not limited to:
- Adult Day Training
- Individual and Group Counseling
- Environmental and Minor Home Modifications
- Supervised Residential Care (ABI LTC Only)
- Companion Services (ABI only)
- Personal Care (ABI) or Community Living Supports (ABI LTC)
- Nursing Supports (ABI LTC only)
You may qualify for ABI or ABI LTC waiver services if you:
- Have an acquired brain injury. There are exclusions. Read section seven of the ABI regulation or ABI LTC regulation for the list.
- Are age 18 or older
- Meet the requirements for residence in a nursing facility. These are defined in Kentucky Administrative Regulation 907 KAR 1:022.
- Are 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. Read the Medicaid Waiver Services Fact Sheet for details.
If you are interested in receiving ABI or ABI LTC 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 ABI or ABI LTC 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.
Currently, there is a waiting list of ABI LTC services and supports. To be added to the ABI LTC waiting list, individuals must submit a completed, physician signed MAP-10 form and medical documentation of a brain injury. DMS will review these documents and place the individual on the list by the date the documents are received. Individuals can request an emergency status consideration. An Emergency Review Committee will review the request and, if approved, the individual is moved to the end of the Emergency Status List.
If you need more information about the ABI or ABI LTC program, please email DMS
or call (844) 784-5614.
Participant Directed Services
Participants in the ABI and ABI LTC waiver programs have the option to hire their own employees to provide non-medical, non-residential services. This is called Participant Directed Services, or PDS. These employees can include friends, neighbors and certain family members. Visit the DMS PDS page for more information.