Respite Care Services in Kentucky offer temporary, short-term care for individuals who typically receive ongoing support from unpaid family caregivers. These services are essential in preventing caregiver burnout and ensuring the continued safety and stability of participants in their home or community setting. Respite care is an authorized support under several Kentucky Medicaid Home and Community-Based Services (HCBS) waiver programs.

Adult Foster Care Services in Kentucky offer home-based living arrangements for adults who require 24-hour supervision, support with daily activities, and a safe, stable environment. These services are delivered in licensed private homes operated by trained providers and are a part of Kentucky Medicaid’s Home and Community-Based Services (HCBS) waiver programs. The goal of adult foster care is to promote independence, dignity, and community integration while avoiding institutional placement.

Supported Employment Services in Kentucky help individuals with intellectual/developmental disabilities (ID/DD) or brain injuries find, secure, and maintain competitive integrated employment. These services, covered under specific Medicaid Home and Community-Based Services (HCBS) waivers, promote workforce inclusion, skill development, and long-term job success with individualized supports.

Personal Care Services in Kentucky are designed to help individuals with physical, cognitive, or developmental disabilities remain safely in their homes by assisting with essential daily living tasks. Authorized under Kentucky Medicaid’s Home and Community-Based Services (HCBS) waivers, personal care supports functional independence, reduces caregiver burden, and prevents premature institutionalization.

Consumer Directed Option (CDO) Services in Kentucky allow Medicaid waiver participants to hire, train, and manage their own caregivers—often family members, friends, or trusted community members. This model provides individuals with greater control, autonomy, and flexibility over how their care is delivered. CDO is offered under several Kentucky Home and Community-Based Services (HCBS) waivers and is managed through Fiscal Management Agencies (FMAs) and Support Brokers.

Community Transition Services in Kentucky help Medicaid waiver participants transition from institutional or long-term care facilities into their own homes or community-based residential settings. These services provide essential support to ensure a smooth, stable move and to help individuals set up their new living environments safely. Covered under specific Home and Community-Based Services (HCBS) waivers, these services reduce institutional dependency and promote person-centered independence.

Community Living Support (CLS) Services in Kentucky help individuals with intellectual or developmental disabilities (ID/DD), brain injuries, or complex needs to develop skills, maintain independence, and participate in their communities. CLS is a key component of Kentucky Medicaid’s Home and Community-Based Services (HCBS) waivers and is delivered in non-institutional settings, such as a participant’s home or local community.

Adult Day Health Services (ADHS) in Kentucky provide structured, facility-based programs that offer health monitoring, social interaction, and assistance with daily activities to adults with disabilities, chronic health conditions, or age-related needs. These services are designed to prevent institutionalization and provide caregiver relief while enhancing participant well-being. ADHS is reimbursable under select Kentucky Medicaid Home and Community-Based Services (HCBS) waivers.

Assistive Technology (AT) Services in Kentucky provide Medicaid-eligible individuals with specialized devices and training to help them perform tasks they would otherwise be unable to do independently. These services enable greater autonomy, communication, mobility, and safety in the home and community. Covered under Kentucky Medicaid Home and Community-Based Services (HCBS) waivers, AT services support long-term independence and functional improvement.

Behavioral Health Services in Kentucky are designed to support individuals with mental health disorders, substance use disorders (SUD), and co-occurring conditions. These services help Medicaid members achieve stability, recovery, and community integration through person-centered, evidence-based interventions. Behavioral health services are covered under Kentucky’s State Plan Medicaid and may also be integrated into some Home and Community-Based Services (HCBS) waiver programs.

Home Modification Services in Kentucky support individuals with disabilities or chronic conditions by adapting their homes to meet functional needs and ensure safety. These modifications reduce fall risk, enhance mobility, and enable individuals to remain in their communities. Covered under specific Kentucky Medicaid Home and Community-Based Services (HCBS) waivers, home modifications are critical to supporting aging in place and reducing institutional care reliance.

Nursing Facility Transition Services in Kentucky help Medicaid participants who reside in nursing homes or other institutional settings transition to community-based living. These services are part of Kentucky’s commitment to rebalancing long-term care, promoting home and community-based options, and supporting the rights of individuals to live in the least restrictive environment. Transition services are typically authorized through Medicaid waiver programs and must align with the participant’s Person-Centered Service Plan (PCSP).

Community Integration Services in Kentucky help individuals with intellectual/developmental disabilities (ID/DD), brain injuries, and other complex support needs become active and valued participants in their local communities. These services are covered under specific Home and Community-Based Services (HCBS) waivers and focus on increasing social inclusion, building life skills, and supporting personal goals through structured, person-centered activities outside the home.

Homemaker Services in Kentucky provide non-medical assistance to Medicaid-eligible individuals who need help maintaining a clean, safe, and functional home environment. These services support independent living for individuals with disabilities, chronic conditions, or age-related limitations. Available through specific Home and Community-Based Services (HCBS) waiver programs, homemaker services help reduce the risk of institutional care while improving quality of life.

Case Management Services in Kentucky are a core component of Medicaid’s Home and Community-Based Services (HCBS) waiver programs. Case managers serve as the primary coordinators of services, ensuring that participants receive timely, appropriate, and person-centered support in the least restrictive environment. Through ongoing assessment, care planning, and service monitoring, case managers help participants maintain independence and improve quality of life.

Transportation Services under Kentucky Medicaid ensure that waiver participants can safely access medical appointments, adult day health centers, employment programs, and other approved destinations. These services reduce barriers to healthcare and community engagement and are typically offered through Non-Emergency Medical Transportation (NEMT) providers or as a component of Home and Community-Based Services (HCBS) waivers.

Home Health Services in Kentucky offer skilled, medically necessary care to individuals recovering from illness or managing chronic conditions while residing in their own homes. These services are covered under the Kentucky Medicaid State Plan and, in certain circumstances, may also support individuals enrolled in Home and Community-Based Services (HCBS) waivers. Home Health Services reduce unnecessary hospitalizations, support faster recovery, and promote long-term wellness and independence.

Meal and Nutrition Services in Kentucky are designed to help Medicaid-eligible individuals maintain proper nutritional health while living independently in the community. These services are offered under Kentucky Medicaid’s Home and Community-Based Services (HCBS) waiver programs and focus on supporting individuals with disabilities, seniors, or those with chronic conditions who are at risk of malnutrition or food insecurity.

Residential Care Services in Kentucky provide around-the-clock assistance in supervised, home-like settings for individuals who require support with daily living tasks, health monitoring, and community participation. Offered under several Kentucky Medicaid Home and Community-Based Services (HCBS) waivers, residential services aim to promote independence, dignity, and inclusion for participants who cannot live alone or with family caregivers.