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What It Is

Participant Directed Services (PDS) allows people eligible for Medicaid waiver services to choose their own providers for nonmedical waiver services. Provider choice gives members greater flexibility in the delivery of services received.

Kentucky Medicaid members may participate in PDS who currently receive or are eligible for services through these waiver programs:

Home- and Community-Based Waiver (HCB) targets assistance for those with aging-related and/or physical disabilities.

Supports for Community Living Waiver (SCL) targets assistance for those with intellectual or developmental disabilities. There is a waiting list for allocation of this waiver to individuals. Placement on the waiting list is determined by the Department for Behavioral Health, Developmental and Intellectual Disabilities. This waiver may provide residential accommodations.

Acquired Brain Injury Acute Waiver (ABI-A) and Long-Term Care Brain Injury Waiver (ABI-LTC) target assistance for those with acquired brain injuries. There is a waiting list for allocation of these waivers to individuals. Placement on the waiting list is determined by the Department for Medicaid Services. These waivers may provide residential accommodations.

Michelle P Waiver (MPW) The Michelle P Waiver targets assistance for those with intellectual or developmental disabilities. There is a waiting list for this waiver.

How to Enroll

Current participants receiving services under HCB, SCL, ABI/LTC or MP waivers may consult with their case managers to discuss enrollment in PDS.

Those currently not served under an eligible waiver, but who may qualify, can get help from home health agencies, adult day health centers, supports for community living providers or acquired brain injury service providers. Regional area agencies on aging and Independent Living and regional community mental health centers can help eligible recipients interested in enrolling with PDS. Support brokers are available 24 hours a day, seven days a week. A representative from any of these agencies can help you with an application for a waiver through the Kentucky Kynect website.

Once enrolled in the PDS program, participant case managers are replaced by support brokers/service advisors who help arrange for needed services. These agency representatives also help develop plans of care and budgets, direct participants to training and help with hiring service providers.

PDS Participant Responsibilities

  • Work with assigned support brokers/service advisors to develop individual plans of care that include support spending and emergency backup plans.
  • Hire, train, schedule and terminate staff as necessary.
  • Follow the plan of care and support spending plan and stay within budget limits.
  • Meet any patient liability obligations as determined by the Department for Community Based Services.
  • Choose a representative, if needed or desired.
  • Submit paperwork correctly and on time.
  • Follow PDS rules and guidelines.

Choosing Between PDS or Traditional Services

If PDS participant does not meet expectations and personal preferences in care and service delivery, participants may return to traditional services without loss of eligibility. The Department for Medicaid Services also may terminate a PDS participant who does not continue to meet regulatory criteria. The support broker will help you understand your options.