• 907 KAR 7:010 – Home and Community-Based Waiver Services 

• 907 KAR 12:010 – Supports for Community Living Waiver Service Policies 

• 910 KAR 1:170 – Standards for Supportive Services Programs 

3. Licensing or Certification 

No specific licensing or certification is required for agencies providing home modifications under Medicaid waivers. However, providers must comply with Medicaid enrollment requirements and ensure contractors performing modifications meet all state and local building codes. 

4. Responsible State Agency 

The Kentucky Cabinet for Health and Family Services, Department for Medicaid Services (DMS), oversees home modification services under Medicaid waivers. The Department for Aging and Independent Living (DAIL) also administers programs like the Hart-Supported Living Program. 

5. Application Process 

Providers interested in offering home modification services under Medicaid waivers must enroll as a Medicaid provider through the Department for Medicaid Services. The process includes: 

• Completing the Medicaid Provider Enrollment Application 

• Submitting documentation as required by the specific waiver program 

• For non-Medicaid programs like the Hart-Supported Living Program, applications can be submitted through DAIL. 

6. Required Documentation 

Providers must submit: 

• Proof of Medicaid enrollment (if applicable) 

• Contractor licenses or certifications (if performing construction work) 

• Compliance with state and local building codes 

• Documentation of prior experience in home modifications or related services 

• Background checks for staff involved in service delivery 

• For participants applying for funding under programs like the SCL or HCB waivers, additional documentation may include: 

• Proof of disability or medical necessity 

• Assessment of required modifications 

• Written cost estimates from contractors 

7. Timeline for Approval 

The timeline varies depending on the program: 

• Medicaid Waivers: Approval generally takes several weeks to months, depending on the complexity of the modification and funding availability. 

• Hart-Supported Living Program: Applications are reviewed annually, with funds typically distributed on a first-come, first-served basis. 

8. Pre-Application Process 

For Medicaid waiver programs, participants must first be assessed by their case manager to determine eligibility for home modifications. This includes: 

• Developing a person-centered plan that identifies the need for modifications. 

• Submitting a request through the appropriate waiver program. 

• Obtaining prior authorization from Medicaid. 

9. Pre-Application Training 

No specific pre-application training is required for providers offering home modification services. However, contractors performing these services should have expertise in accessibility standards (e.g., ADA compliance) and aging-in-place design principles. 

10. Additional Notes 

Funding Limits: 

• SCL Waiver: Lifetime limit of $8,000. 

• HCB Waiver: $2,500 per modification. 

• Hart-Supported Living Program: $2,500 limit for rental properties. 

• Eligibility: Modifications must be directly related to the individual’s disability or medical needs. 

• Exclusions: Modifications that increase property value or are unrelated to accessibility/safety may not be covered.