Acquired Brain Injury Branch

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​The Acquired Brain Injury Branch operates two 1915(c) HCBS Medicaid waivers. These waivers provide assistance to adults with an acquired brain injury who want to live in the community as independently as possible.

Programs and Services

Acquired Brain Injury (ABI) waiver: The ABI waiver is for adults with an acquired brain injury who can benefit from intensive rehabilitation services. The services are designed to help participant re-enter the community and functioning independently.

Acquired Brain Injury Long Term Care (ABI LTC) waiver: The ABI LTC waiver is for adults with an acquired brain injury who have reached a plateau in their rehabilitation level. They require maintenance services to live safely in the community.


ABI and ABI LTC offer a variety of services​ to support each participant's goals and preferences. Services include but are not limited to:

  • Adult Day Training
  • Individual and Group Counseling
  • Environmental and Minor Home Modifications
  • Respite
  • Supervised Residential Care (ABI LTC Only)
  • Companion Services (ABI only)
  • Personal Care (ABI) or Community Living Supports (ABI LTC)
  • Nursing Supports (ABI LTC only)​
ABI Waiver Brochure: English and Spanish 
ABI LTC Waiver Brochure: English and Spanish

Participants in the ABI and ABI LTC program can choose to have their non-medical, non-residential services delivered by a traditional provider agency, hire their own employees, or a combination of both. This is called Participant Directed Services (PDS). Visit the DMS PDS page​ for more information. 


You may qualify for ABI or ABI LTC waiver services if you:

  • Have an acquired brain injury. There are exclusions. Read section seven of the ABI regulation or ABI LTC regulation for the list.
  • Are age 18 or older
  • Meet the requirements for residence in a nursing facility. These are defined in Kentucky Administrative Regulation 907 KAR 1:022
  • Are expected to benefit from waiver services
  • Meet the financial qualifications for Medicaid. There are special financial qualifications applied to the ABI and ABI LTC waiver programs. Read the Medicaid Waiver Services Fact Sheet for details.
ABI services, eligibility, and other requirements are outlined in the approved ABI waiver application and state regulations 907 KAR 3:090 and 907 KAR 3:100​. ABI LTC services, eligibility, and other requirements are outlined in the approved ABI LTC waiver application and state regulation 907 KAR 3:210​


If you are interested in applying for ABI or ABI LTC waiver services, you must first obtain financial eligibility for Medicaid. You can apply for Medicaid online using kynect, by calling the Department for Community Based Services (DCBS) at (855) 306-8959 or in-person at a DCBS office. It is helpful to have some documents when applying. The Medicaid Waiver Services Fact Sheet lists those documents.

Once you are ready to apply for ABI or ABI LTC waiver services​​​​, you can complete your application online using kynect or in-person at an Aging and Disability Resource Center or a Community Mental Health Center.

If you need more information about the ABI or ABI LTC program, please email DMS or call (844) 784-5614.

ABI and ABI LTC Participant Resources

Available Waiver Services
How to Apply for Waiver Services
Find a Provider: ABI/ABI LTC Providers and Case Managers or Search Medicaid Providers​
Community Resource Listing for Waiver Participants
Contact Listing for Common Waiver Questions
Who to Call: Help with 1915(c) HCBS Waiver Programs
Waiver Documents Available in Spanish (Documentos de exención disponibles en español)​
File a Grievance
Find Waiver Related Forms
What You Need to Know about Patient Liability
Get Help Paying Employer Sponsored Health Insurance Premiums

ABI and ABI LTC Training Materials

Brain Injury 101
Community Inclusion
Road to ABI
Person Centered Planning Training
Person Centered Principles
Case Management for the Acquired Brain Injury
Rancho Levels

Learn More about 1915(c) HCBS Waivers

Medicaid Waiver 101
Choosing Your Path: Waiver Services Brochure
The Medicaid Waiver Review Newsletter
What Waiver Services Mean to Me: Sharing Participant Stories

Other Waiver Programs

Home- and Community-Based Waiver
Model II Waiver
Michelle P. Waiver
Supports for Community Living

Related Pages

Information for ABI and ABI LTC Providers
Traumatic Brain Injury Trust Fund
Division of Long-Term Services and Supports
Improving Home- and Community-Based Services
Electronic Visit Verification

Additional Information