Medicaid Waiver Guide – Kentucky

Breaking Down the Medicaid Waiver Program KY

Kentucky currently has four waivers that are open to children. All are HCBS 1915(c) Medicaid waivers. Three of these programs waive parental income; we have not been able to obtain information about the other. For information on Kentucky’s programs, visit their Home and Community Based Services page.

Types of Medicaid Waiver Programs

Model Waiver II

• Description from medicaid.gov: Provides skilled services by a licensed practical nurse, skilled services by a registered nurse, and skilled services by a respiratory therapist for individuals who are technology dependent, ages 0 – no max age.
• Online State Information: Model II Waiver Page
• Official Federal Information
• How to Apply: Your physician or hospital will make a PDN referral. You must also apply for Medicaid using the Kynect self-service portal or in person at your local Department for Community Based Services (DCBS) Office.

Michelle P

• Description from medicaid.gov: Provides adult day health, case management, community access, day training, personal assistance, respite, shared living, supported employment, occupational therapy, physical therapy, speech therapy, community guide, goods and services, natural supports training, transportation, assessment/reassessment, community transition, consultative clinical and therapeutic service, environmental accessibility adaptation services, person centered coaching, positive behavior supports, specialized medical equipment and supplies, and vehicle adaptation services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
• Online State Information: Michelle P Waiver Page
• Official Federal Information
• How to Apply: You must also apply for Medicaid using the Kynect self-service portal or in person at your local Department for Community Based Services (DCBS) Office. Then apply for the waiver through the Kynect self-service portal or at a Community Mental Health Center (CMHC) or Area Agency on Aging (AAA).

Supports for Community Living

• Description from medicaid.gov: Provides case management, consultative clinical and therapeutic – nutritional services, consultative clinical and therapeutic – psychological services, consultative clinical and therapeutic services – positive behavior supports, day training, personal assistance, residential support level I, respite, shared living, supported employment, financial management services, community access, community guide, community transition, environmental accessibility adaptation services, goods and services, natural supports training, positive behavior supports, residential support level II, specialized medical equipment and supplies, technology assisted residential, transportation, and vehicle adaptation services to individuals with intellectual disabilities or developmental disabilities ages 3 or older who meet an ICF/IID level of care.
• Online State Information: Supports for Community Living Page
• Official Federal Information
• How to Apply: You must also apply for Medicaid using the Kynect self-service portal or in person at your local Department for Community Based Services (DCBS) Office. Then apply for the waiver through the Kynect self-service portal or at a Community Mental Health Center (CMHC) or Area Agency on Aging (AAA). You may may also call (502) 564-1647.

Home and Community Based Waiver

• Description from medicaid.gov: Provides adult day health, case management, specialized respite, participant directed coordination, attendant care, environmental and minor home adaptation, goods and services, home and community supports, home delivered meals, and non-specialized respite services to individuals with physical or other disabilities ages 0-64 years and individuals ages 65 or older who meet a nursing facility level of care.
• Online State Information: HCB Page
• Official Federal Information
• How to Apply: You must also apply for Medicaid using the Kynect self-service portal or in person at your local Department for Community Based Services (DCBS) Office. Then complete an application at your local Department for Community Based Services (DCBS) Office or call (844) 784-5614.

Helpful Resources

• Kentucky Family to Family
• Kentucky Protection and Advocacy
• Center for Accessible Living

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.

This post was originally published on 02/16/2021. It was updated on 03/19/2025.