Medicaid Waiver Programs

The Home and Community Based (HCB) Waiver program provides services and supports to the elderly or to adults and children with physical disabilities to help them continue to live in or return to their own home. 

You may qualify for Home and Community Based (HCB)  Waiver services if you:

• Are elderly or have a physical disability.
• Meet nursing facility level of care as defined in Kentucky Administrative Regulation 907 KAR 1:022 and would be admitted to a nursing facility if you did not have waiver services.
• Meet the financial qualifications for Medicaid. There are special financial qualifications applied to the HCB waiver program. 

The following are some of the services offered as part of the HCB Waiver program.

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.

Environmental & Minor Home Adaptation

Changes to a person’s home that ensure their health, safety, and welfare, increase independence, and allow them to continue to live at home.

Home Delivered Meals

Respite Care

Provides a short term break for a person’s primary, unpaid caregiver.

Participants in the HCB Waiver program 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.

PDS services include:

• Home & Community Supports
• Environmental and Minor Home Adaptation
• Support Broker
• Unskilled Respite Care

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

The Michelle P. Waiver (MPW) provides Medicaid-paid services to adults and children with intellectual or developmental disabilities.

These supports allow an individual to live at home rather than an institutional setting. 

To be eligible for the Michelle P Waiver (MPW), you must:

• Have an intellectual or developmental disability.
• Require a protected environment while learning living skills, gaining educational experiences, and developing an awareness of your environment.
• Meet the financial qualifications for Medicaid.

MPW offers 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 participant in meaningful, daily routines within the community.

Environmental Accessibility Adaptation Services

Changes to a person’s home or vehicle that ensure their health, safety, and welfare, increase independence, and allow them to continue to live in the community.

Personal Assistance

Help with tasks a person cannot do on his or her own due to an intellectual or developmental disability including bathing, dressing, grooming, light housework, laundry, and meal planning and preparation.

Positive Behavior Supports

Help to identify and reduce behaviors that interfere with activities of daily living, social interaction, or work.

Occupational, Physical, and Speech Therapy

These services are only offered to individuals older than 21.

Respite 

Provides a short term break for a person’s primary, unpaid caregiver.

The ​Supports for Community Living (SCL) waiver provides Medicaid-paid services to adults and children with intellectual or developmental disabilities.

These supports allow individuals to live at home rather than an institutional setting. 

To be eligible for the Supports for Community Living (SCL) Waiver, you must:

• Have an intellectual or developmental disability
• Meet the requirements for residence in an intermediate care facility for individuals with an intellectual disability (ICF/IID).
• Meet the financial qualifications for Medicaid.

SCL offers a variety of services to support an individual’s goals, choices, and priorities including:

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.

Environmental Accessibility Adaptation and Vehicle Adaptation Services

Changes to a person’s home or vehicle that ensure their health, safety, and welfare, increase independence, and allow them to continue to live in the community.

Personal Assistance 

Help with tasks a person cannot do on his or her own due to an intellectual or developmental disability including bathing, dressing, grooming, light housework, laundry, and meal planning and preparation.

Positive Behavior Supports

Help to identify and reduce behaviors that interfere with activities of daily living, social interaction, or work.

Residential Support Services

Offered in a variety of settings and supervision levels to allow individuals to live as independently as possible.