Kentucky Cabinet for Health and Family Services (Banner Imagery) - Go to home page

Home and Community Based Waiver Program

The Home and Community Based (HCB) Waiver program provides services and support to elderly people or children and adults with disabilities to help them to remain in or return to their homes.

What's new

(Aug. 22, 2016) - read the notice regarding HCB Waiver Providers - Conflict Free Case Management - New

(Aug 17, 2016) - read the notice regarding Home and Community Based Services Wavier Services - New

(Aug. 15, 2016) - Read the notice regarding the HCB Waiver 2 Announcement- New

Attention HCB Waiver Providers

The Department for Medicaid Services (DMS) will be completing a sampling of a new assessment for Home and Community Based Waiver (HCB). This will be conducted by DMS independent nurse assessors and is voluntary. The purpose of the sampling is to gather information about the impact of the new assessment tool and to assist in training on the implementation of the assessment. This assessment interview will not take the place of the yearly reassessment and will not impact eligibility or services.

Attention HCB Waiver Providers

(July 1, 2016) - On April 1, 2016, the new Home and Community Based (HCB) Waiver Program regulations, 907 KAR 7:010 and 907 KAR 7:015, became effective. However, DMS filed an e-regulation on June 30, 2016 amending the regulation to make it contingent upon Centers for Medicare and Medicaid Services (CMS) approval of the HCB Waiver Renewal. DMS is currently waiting for approval from CMS for the Waiver Renewal. Therefore, the HCB Waiver Program will continue to operate under the current Waiver as well as the regulations which may be found at 907 KAR 1:160 and 907 KAR 1:170. Notification of CMS approval will be provided once it is received. DMS anticipates approval in the next 15 to 30 days. If you have any questions, please contact DMS at 502-564-5560.

Attention CDO-PDS Waiver Members

The Department for Medicaid Services (DMS) issued a letter to Home and Community Based Waiver Members who use the Bluegrass Area Development District (BGADD) agency for Consumer Directed Option or Participant Directed Services. Medicaid members using BGADD for support broker or fiscal intermediary services will not be losing Medicaid eligibility or services. The Department for Aging and Independent Living (DAIL) will transition those services to a different agency with no disruption in service. For questions or concerns, please contact DAIL at 502-564-6930 and ask to speak to a CDO/PDS staff person. You may also call DMS at 502-564-5560.

View a copy of the DMS letter to CDO-PDS Waiver Members on BGADD

Older Announcements

Home and Community Based Provider Letter #A-2; Adult Day Care Provider Letter #A- 42 - Survey of Non-Residential Waiver Providers (October 7, 2014)

Waiver Provider Letter #WP-A1 - New Federal Rule for HCB Settings

March 10,2014 - Notice: Adult day health care providers (Provider Type 43) - The CPT code 92506 (evaluation of speech, language, voice and communication) was deleted by CMS on Jan. 1, 2014. This code has been replaced with the following CPT codes:

  • 92521-Evaluation of speech fluency (stuttering, cluttering).
  • 92522- Evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria).
  • 92523- Evaluation of speech sound production (articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (receptive and expressive language).
  • 92524- Behavioral and qualitative analysis of voice and resonance.
  • 92610-Evaluation for Dysphagia
  • 96105- Evaluation for Aphasia
  • 96125- Cognitive performance testing
  • 92507- Treatments for speech/auditory disorders
  • 92526- Treatment sessions for dysphagia

The speech therapy provider must use the most descriptive CPT code for the service being provided to the member.

July 1, 2013 - Home and Community Based Waiver Program Provider Letter #A-1; Adult Day Healthcare Provider Letter #A-41 - HCBW/ADHC On-Site Provider Survey Changes

May 31, 2013 - The Department for Medicaid Services has contracted with Carewise Health to perform first-line monitoring/survey of the HCBW and ADHC services.

Who is eligible for services?

Those who:

  • Are elderly or disabled
  • Meet nursing facility level of care (as defined in 907 KAR 1:022), who, without services, would be admitted to a nursing facility.
  • Are financially eligible for Medicaid services (special financial eligibility for Medicaid is applied for this program).
How do I apply?
What services are covered?
  • Assessment
  • Re-assessment
  • Case Management
  • Minor Home Adaptation
  • Adult Day Health Care
  • Homemaker
  • Personal Care
  • Attendant Care
  • Respite Care
What is Consumer Directed Option?

The Consumer Directed Option (CDO) is an alternative approach for delivery of non-medical, non-residential HCB services. These services now include:

  • Support Broker
  • Homemaker
  • Personal Care
  • Attendant Care
  • Unskilled Respite Care
  • Goods and Minor Home Adaptation

For more information about Consumer Directed Option Services for HCB, visit the DMS CDO page.

 

Regulations, Policy Information, Letters, Forms, Publications and Billing Manuals
 

Regulations

Policy Information

Provider Letters

View other provider letters on the Provider Letter page.

Forms

Provider Billing Manuals

Publications

 

For questions?
 

Division of Community Alternatives
Home and Community Based Services Branch
275 East Main St.
6 W-B
Frankfort, KY 40621
Phone:
(502) 564-5560
Email:
CHFS DMS Webmaster

 

Last Updated 8/23/2016