Kentucky Medicaid's Division of Long-Term Services and Supports (LTSS) oversees programs for Kentuckians who need ongoing support due to their age, a medical condition, or a disability. LTSS offers a variety of options to meet each individual’s unique needs.
Programs and Services
1915(c) Home- and Community-Based Services Waiver Programs
For individuals with a disability who need nursing facility level of care and want to remain living at home or in the community
Program of All-Inclusive Care for the Elderly (PACE)
For individuals age 55 or older who need nursing facility level of care but want to continue living at home
Kentucky Transitions
For individuals who wish to move out of a nursing home or institution and into the community
Home Health
For individuals who need short-term medical care at home due to an illness or injury
Private Duty Nursing (PDN)
For individuals who need continuous skilled nursing due to a disease, illness, or injury.
Nursing Facilities
For individuals who require facility-based skilled nursing care or rehabilitation
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
For individuals with intellectual disability (ID) or related conditions who facility-based care
Intermediate Care Clinic
Provides comprehensive medical, dental, vision, and psychiatric services to individuals with intellectual disabilities or related conditions
Hospice
Providers a range of services to individuals and their families at the end of life
LTSS News and Updates
Community Health for Improved Lives and Development (CHILD) Waiver: DMS is now certifying providers and accepting participant applications for the new CHILD program. The waiver will provide 1915(c) Home and Community Based Services to children, youth, and young adults aged 21 and younger with multi-system needs and complexities. More information is available on the CHILD waiver website.
Slot Allocation Plan: New slots in the ABI LTC, HCB, MPW, and SCL waivers will become available July 1, 2025. Slots will be allocated gradually over several months. Review the slot allocation plan (PDF) for details.