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
HCB and Modell II Waiver Renewal: The current HCB and Model II Waiver applications expire in 2025 and must be renewed with the Centers for Medicare and Medicaid Services. As part of the renewal process, DMS is holding a formal public comment period for both waivers between March 13, 2025, and April 13, 2025. The waiver and corresponding summaries are available for review. To submit a public comment, please review the public comment notice.
Public Comment Notice
HCB Waiver Application
HCB Summary
Model II Waiver Application
Model II Waiver Summary
1915(c) HCBS Waiver Rates: New rates for all six 1915(c) HCBS waivers went into effect on Jan. 1, 2025. The new rate methodology incorporates rates based on the
1915(c) HCBS rate study and the
rate increases funded in the 2024-2026 state budget. The new rates are listed on the
DMS Fee and Rate webpage.
Before submitting the proposed rate amendments to the Centers for Medicare and Medicaid Services for approval, DMS held a 30-day public comment period. DMS' formal response to public comment is now available for review.
DMS Response to Public Comment
Medicaid Waiver Management Application (MWMA) Training Documents: Training materials for MWMA has moved from TRIS to the
Adobe Learning Management (ALM) System. To continue accessing MWMA job aids, user guides, and training modules, providers must self-register for an ALM account. Information on how to register and use the ALM is available on the
DMS MWMA website.
Legally Responsible Individual Participant Directed Services Employees: On July 1, 2024, DMS and the Department for Aging and Independent Living (DAIL) began a new process for reviewing requests to hire a legally responsible individual (LRI) as a Participant Directed Services (PDS) employee. Information for providers and participants is available on the
DMS PDS webpage.