Home & Community Based Waiver (HCB)
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.
This program serves family caregivers of any age who provide care to people at least 60 years of age, or as young as 55 years of age with a diagnosis of Alzheimer’s Disease-related dementia, as well as grandparents and older relative caregivers of at least 55 years of age who provide primary care to grandchildren up to 18 years of age. There are no income restrictions nor is there any income or asset testing to be eligible for program services. To be eligible for grandparent assistance services, you must be at least 55 or older and be the grandparent, step-grandparent, or other relative of a child by blood or marriage and: 1. Live with the child. 2. Be the primary caregiver of the child. 3. Have a legal relationship to the child such as legal custody or guardianship.
An application for program services can be obtained by contacting the Aging and Disability Resource Center (ADRC) at 859-266-1116 or toll free at 866-665-7921.
Michelle P Waiver (MPW)
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.
An application for program services can be obtained by contacting the Aging and Disability Resource Center (ADRC) at 859-266-1116 or toll free at 866-665-7921.
Supports for Community Living Waiver
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.
An application for program services can be obtained by contacting the Aging and Disability Resource Center (ADRC) at 859-266-1116 or toll free at 866-665-7921.