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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 &


You may qualify for a 1915(c) HCBS waiver if:


If you are interested in applying for 1​915(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 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.

More Information

Please view our Who To Call: Quick Reference Guide for a list of common waiver-related questions and who to contact for help.

Updates from the 1915(c) HCBS Waiver Programs​​

​Eastern Kentucky Flooding Response: DMS has compiled a list of flood recovery resources for Medicaid members. The list includes ways to help flood survivors.

Flood Recovery Resources for Medicaid Members

If you are a 1915(c) HCBS waiver participant or provider and need assistance, please complete the appropriate form below. 

Flood Assistance Form for Waiver Participants​
Flood Assistance Form for Waiver Providers ​

SCL Waiver Renewal:  The DMS renewal process has begun for the SCL waiver with CMS. Public comment on the waiver application ended July 24, 2022. DMS is now reviewing all submitted comments and will issue a formal response soon. DMS is dedicated to recognizing and considering stakeholder input at any time. You can email DMS to share your feedback on the waiver programs. Comments submitted outside of formal public comment periods are addressed through DMS staff interaction. 

Improving HCBS in Kentucky: The American Rescue Plan Act offers states a temporary 10 percent increase in federal funding for HCBS programs. Kentucky is using these funds to conduct a 1915(c) HCBS rate study and complete other program improvements. Stakeholders can stay up to date on the rate study and other initiatives by reviewing the Improving Home- and Community-Based Services websit​e​.  

ABI Waiver Renewal: Kentucky is in the process of renewing the ABI waiver application with the Centers for Medicare and Medicaid Services. The official DMS response to ABI public comment is now available.

ABI Public Comment Response
ABI Public Comment Response - Occupational and Speech Therapy

Additional information also is available on the waiver renewal and coverage of occupational and speech therapy as extended state plan services.

ABI Renewal Information for Providers
ABI Renewal Information for Participants

If you have questions about the renewal process, please email DMS.

Home and Community Supports Update: Effective March 1, 2022, the home and community supports service in the HCB waiver will become attendant care. More information is available in the home and community supports participant letter​ and provider letter.​​