What Programs Are Available To Assist People With Disabilities in Kentucky?

Is there a Medicaid waiver program in Kentucky? Yes, there are several Medicaid waiver programs in Kentucky.

  • Home and Community Based Waiver (HCBW);
  • Supports for Community LIving (SCL);
  • Model Waiver II;
  • Michelle P (MPW);
  • Acquired Brain Injury (ABI), Acquired Brain Injury Long Term Care (ABI LTC)

What state department handles the med waiver program in Kentucky? The Department for Medicaid Services handles the Medicaid Waiver programs in Kentucky.

What programs assist people who have developmental disabilities in Kentucky? The Supports for Community Living (SCL) and Michelle P (MPW) Waivers provide services to persons with intellectual and developmental disabilities in Kentucky. To qualify for the Supports for Community Living waiver you must have Intellectual & Developmental Disabilities (IDD).

What is the best number to call to get started? For more information about the Kentucky Medicaid waiver programs -Supports for Community LIving (SCL) and Michelle P (MPW)- call 502-564-1647.

Is there a website?
MP Waiver: http://chfs.ky.gov/dms/mpw.htm
SCL Waiver: http://chfs.ky.gov/dms/SCL.htm

Who Qualifies For Assistance?

What is considered a developmental disability in Kentucky? Developmental Disability (DD) are severe, life-long disabilities attributable to mental and/or physical impairments, manifested before age 22. Developmental Disability (DD) results in substantial limitations in 3 or more of the following major life activities: Self-care, Understanding and use of language, Learning, Mobility, Self-direction or Capacity for independent living.

Are there income limits to receive services in Kentucky? Yes. After you are selected for funding, you must then be determined to need the level of care provided by an ICF/MR and to be eligible for Medicaid. You must meet the Medicaid income limits.

How old do you have to be to start receiving services in Kentucky? There isn’t an age requirement for Michelle P (MPW) or Supports for Community LIving (SCL) waivers.

Is There a Waiting List For Services?

How long is the waiting list? Currently the Supports for Community LIving (SCL) waiver is the only program that has a waiting list. Contact DDID for waiting list information at 502-564-7702.

How many people are on the waiting list in Kentucky? Currently there are 2018 people on the Supports for Community LIving (SCL) waiting list and 2001 of these people are on the “Future Planning” list. People on the "Future Planning" list do not require services at this time.

How many people are currently receiving services? There are about 4,000 people on the Supports for Community LIving (SCL) waiver and 9,500 on Michelle P (MPW). These totals increase monthly.

What assistance is available while you wait? Kentucky provides emergency, urgent, and future planning services to those on the waiting list. A person could receive services through MPW or HCBW while they are on a waiting list for Supports for Community LIving (SCL). Once they are approved for the Supports for Community LIving (SCL) waiver, they will have to drop one of the other waivers. A person cannot be on two waivers at the same time.

Is there priority preference for people who are in crisis? Yes, if you need emergency assistance ask about "Emergency" or "Urgent" care services for the Supports for Community LIving (SCL) program. .

What Services Are Offered & What Are The Service Limitations?

What services does the Medicaid waiver program offer in Kentucky?
* Services offered under the Supports for Community LIving (SCL) Waiver include: Adult Day Training, Behavior Supports, Case Management, Children's Day Habilitation, Community Living Supports, Occupational Therapy, Physical Therapy, Psychological Services, Residential Supports, Respite, Speech Therapy, and Supported Employment.
* Services offered under Michelle P (MPW)
include: Case Management, Personal Care, Respite, Homemaker, Adult Day Healthcare, Supported Employment, Behavior Supports, Adult Day Training, Occupational Therapy (over 21 only), Physical Therapy (over 21 only), Speech Therapy (over 21 only), Minor Home Adaptations, Community Living Supports and Attendant Care.

What services are available to people living in the family home? Kentucky offers a variety of supports and services. These are based on the individual's goals, choices and priorities as identified through a plan of care. Under the Michelle P (MPW) waiver, services alone or in any combination are limited to 40 hours per calendar week.

Does Kentucky offer community group homes? Most people with Intellectual & Developmental Disabilities (IDD) in Kentucky live in their family homes or they receive residential supports through the Supports for Community LIving (SCL) waiver.

Does Kentucky offer supported living? Yes, Kentucky offers support to live in your own home.

Are there still state owned institutions in Kentucky? The department operates several inpatient facilities that provide psychiatric, rehabilitative and nursing care services. In addition, the department contracts with a private provider, Appalachian Regional Healthcare in Hazard, to provide 100 psychiatric beds for psychiatric assessment, evaluation and treatment 24 hours a day, seven days a week, on an as-needed basis.

Kentucky also has Intermediate Care Facilities for Persons with Intellectual Disabilities. These facilities include: Bingham Gardens, Del Maria ICF, Windsong ICF, Outwood ICF, Hazelwood ICF, Meadows ICF, and Oakwood ICF

How Do You Select A Provider?

Do providers work for the state in Kentucky? No, Kentucky has independent and agency providers.

About how many providers are there in the state of Kentucky? The total amount estimated of Medicaid SCL and HCB waiver providers is 293.

Do you have a choice in providers? Yes, you select your services and your providers.

How Do You Become A Provider?

To become an Supports for Community LIving (SCL) provider in Kentucky, call (502) 564-7702. You can find the application at http://dbhdid.ky.gov/ddid/scl-newprovider.aspx Quality SCL Providers are needed in all areas of community-based supports, and Supported Employment Providers are currently in the greatest demand throughout Kentucky. SCL New Provider Development Specialists offer an orientation at least every quarter. The required orientation is designed to answer your questions about becoming a certified SCL Provider and will provide you with step-by-step directions for assembling an enrollment packet. To be provider of HCB services in Kentucky you have to be a Home Health provider or an Adult Day Healthcare provider. Call 502-564-5560.
To be a provider of Michelle P (MPW) services you have to either be an SCL or HCB provider as Kentucky does not have individual MPW providers.

Additional Information

Kentucky contracts for services through 14 Regional Boards. The 14 Regional Boards provide services for all persons living in the state of Kentucky, not just those with IDD.

KY Providers

Kentucky Providers

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Home Health Plus 502.459.4647
Serving Kentucky
Provides quality care through a staff of skilled professionals includes: registered licensed nurses, physical, occupational and speech therapists, and home health aides.


Dreams With Wings (866) 477-5345
Serving Kentucky
Supports individuals through three different residential options, Staffed Residences, Family Home Providers and Supported Apartments.


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