Kentucky Medicaid's Division of Long-Term Services and Supports (LTSS) oversees programs for Kentuckians who need ongoing support due to their age, a medical condition, or a disability. LTSS offers a variety of options to meet each individual’s unique needs.
Programs and Services
Home- and Community-Based Services
Acquired Brain Injury (ABI) Acute and Long-Term Care Waivers
For individuals who require acute rehabilitation or long-term support due to an acquired brain injury
Home and Community Based (HCB) Waiver
For individuals age 65 or older and/or individuals with a physical disability
Model II Waiver (MIIW)
For individuals who are ventilator-dependent for 12 or more hours per day or on an active weaning program
Michelle P. Waiver (MPW) and Supports for Community Living (SCL) Waiver
For individuals with intellectual and/or developmental disabilities
In-Home and Facility Based Long-Term Care
Home Health
For individuals who need short-term medical care at home due to an illness or injury
Private Duty Nursing (PDN)
For individuals who need continuous skilled nursing due to a disease, illness, or injury.
Nursing Facilities
For individuals who require facility-based skilled nursing care or rehabilitation
Program of All-Inclusive Care for the Elderly (PACE)
For individuals age 55 or older who need nursing facility level of care but want to continue living at home
Kentucky Transitions
For individuals who wish to move out of a nursing home or institution and into the community
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
For individuals with intellectual disability (ID) or related conditions who facility-based care
Intermediate Care Clinic
Provides comprehensive medical, dental, vision, and psychiatric services to individuals with intellectual disabilities or related conditions
Hospice
Providers a range of services to individuals and their families at the end of life
Related Pages
Appendix K Information for 1915(c) HCBS Waivers
Improving Home- and Community-Based Services
Electronic Visit Verification
Medicaid Waiver Management Application Information
Nurse Aide Training
Kentucky Level of Care System
Helpful Links
How to Apply for Medicaid and Waiver Services
Apply for Benefits Using kynect
Subscribe to Email Updates
Find Fee and Rate Schedules
Search for MAP Forms
LTSS Regulations
907 KAR 3:130 Medical Necessity
907 KAR 1:022 Nursing Facility and ICF/IID
907 KAR 1:563 Appeals
907 KAR 3:090 ABI Acute
907 KAR 3:100 ABI Reimbursement
907 KAR 3:210 ABI LTC
907 KAR 7:010 HCB
907 KAR 7:015 HCB Reimbursement
907 KAR 1:595 MIIW
907 KAR 1:835 MPW
907 KAR 12:010 SCL
907 KAR 12:020 SCL Reimbursement
907 KAR 1:030 Home Health
907 KAR 1:031 Home Health Reimbursement
907 KAR 13:010 PDN
907 KAR 13:015 PDN Reimbursement
Nursing Facility Regulations
907 KAR 1:450 Nurse Aide Training
907 KAR 3:250 PACE
907 KAR 1:330 Hospice
907 KAR 1:340 Hospice Reimbursement
LTSS News and Updates
Appendix K Ends May 1, 2024: The Centers for Medicare and Medicaid Services (CMS) has approved all 1915(c) HCBS waivers submitted in Nov. 2023. The amended ABI, ABI LTC, HCB, MPW, and SCL waiver applications take effect on May 1, 2024. Any Appendix K flexiblity not included in the waiver application will end on May 1. The following resources are available to help stakeholders understand which Appendix K policies are becoming permanent and which will be discontinued.
As part of the CMS submission and approval process, DMS held a 30-day public comment period for the amended waiver applications. The public comment period ended on Oct. 27, 2023. DMS reviewed all submitted comments and issued a formal response. Additionally, DMS created a summary for stakeholders to explain the updates made to the waivers before CMS submission.
1915(i) State Plan Amendment: DMS is developing a 1915(i) State Plan Amendment (SPA) to offer long-term services and support to individuals with severe mental illness (SMI) and substance use disorder (SUD). Interested stakeholders can review the 1915(i) SPA section of the DMS Behavioral Health Initiatives website.