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Kentucky Disability Resource Guide
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Community Living

What is the ABI Long-term Care Waiver Program?
The Acquired Brain Injury Long Term Care Waiver program provides an alternative to institutional care for individuals who have reached a plateau in their rehabilitation level and require maintenance services to avoid institutionalization and to live safely in the community. Services include case management, community living supports, respite care, adult day health care, adult day training, environmental modifications, behavior programming, counseling, group counseling, specialized medical equipment and supplies, supported employment, occupational therapy, speech therapy, nursing supports, family training, physical therapy, assessment and reassessment, and supervised residential care.

(866) 878-2626
(502) 564-0249

What is the ABI Waiver Program?
This program is designed to provide intensive services and supports to adults with acquired brain injuries as they work to re-enter community life. Services include case management, personal care, companion services, respite care, environmental modifications, behavior programming, counseling and training, structured day programs, specialized medical equipment and supplies, prevocational services, supported employment, occupational therapy, community residential services, and speech and language services. Services can only be provided in community settings.

Kentucky ABI Website
(866)878-2626
502)564-0249

What are Centers for Independent Living (CILS)?
CILs are non-residential, private, non-profit, consumer-controlled, community-based organizations providing services and advocacy by and for persons with all types of disabilities. CILs are unique as they provide peer based services, where the staff and board of directors are made of at least 51% people with disabilities. CILs believe that people with disabilities know what is best for people with disabilities. The goal is to assist individuals with disabilities achieve their maximum potential.

What services do CILs offer?
CILs work to assure physical and programmatic access to housing, attendant services, employment, transportation, communities, recreational facilities, health and other social services. CILs offer services including: information and referral, peer counseling, advocacy, independent living and self-help skills, information about other disability programs and how to access services.

The Hart-Supported Living program is for Kentuckians with disabilities to request grants so they can live in, contribute to and participate in their communities. Any Kentuckian with a disability recognized under the Americans with Disabilities Act (ADA) is eligible to apply for a Hart-Supported Living grant. The program is administered through the Department for Aging and Independent Living (DAIL). Supported Living allows people with all disabilities to request funds for a broad category of highly flexible, individualized services, combined with natural unpaid or other eligible paid supports. Funded grants may include, but are not limited to, homemaker services, personal care services, in home training and home management support, start-up grants, transportation, home modifications, adaptive and therapeutic equipment. Grants may be one-time, i.e., bathroom modification or ongoing or both. The Funding Teams will look at other sources you have applied to for possible assistance.

What is the HCB Waiver?
The Home and Community-Based Waiver program provides Medicaid coverage to eligible persons who are aged or disabled, who would otherwise require nursing facility level of care. Services include but are not limited to the following: assessment and reassessment, case management, homemaker services, personal care services, respite care, minor home adaptations, attendant care, and adult day health care.

(502) 564-5707

The Homecare Program helps older adults who are at risk of institutional care to remain in their own homes by providing supports and services to ensure daily needs are provided. This is accomplished primarily by coordinating the help of caregivers and provider agencies. Assessment and case management, home management and personal care, home delivered meals, chore services, home repair, respite for family caregivers, and home health aide service are among the assistance provided. The program is offered statewide through the Area Agencies on Aging and Independent Living. Some areas may have waiting lists and not all services are provided in all areas.

Homecare Website
(502) 564-6930
(502) 564-4595

Using funding from the Money Follows the Person Demonstration Grant (MFP), the Department for Medicaid Services assists eligible individuals to transition from institutional settings back into the community. This program allows for flexibility in the individual’s choice over the location and the type of services the person receives as his or her needs and preferences change. Upon transition, services will be provided through one of the appropriate existing waiver programs (ABI or HCBW).

(877) 564-0330

The Michelle P. Waiver is a home- and community-based waiver program of the Kentucky Medicaid program. The Michelle P. Waiver program is designed as an alternative to institutional care for people with intellectual or developmental disabilities. The services available through the wavier support individuals to remain in their homes and local communities.

(502) 564-1647

Participant-Directed Services (PDS) are part of the Supports for Community Living (SCL) Medicaid Waiver program. PDS services allow individuals to receive non-medical services. The individual assists with the design of the program, chooses the providers of services, and directs the delivery of services to his or her needs. PDS services available through the SCL Medicaid Waiver are:

  • Community Access
  • Community Guide
  • Day Training
  • Environmental Accessibility Adaptation
  • Goods and Services
  • Natural Supports
  • Personal Assistance
  • Respite
  • Shared Living
  • Supported Employment
  • Transportation
  • Vehicle Adaptations
(502) 564-6930