Home and Community Based Waiver

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​The Home and Community Based (HCB) waiver is part of Kentucky's 1915(c) HCBS Medicaid waiver program. HCB provides assistance to the elderly or to adults and children with physical disabilities to help them live in the community as independently as possible. ​​


HCB offers a variety of services to support each participant's goals and preferences. Services include but are not limited to: 

  • Adult Day Health Care
  • Attendant Care
  • Environmental and Minor Home Adaptation
  • Home Delivered Meals
  • Non-Specialized and Specialized Respite Care
Service Delivery Options 

Participants in the HCB 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 HCB waiver services if you:

  • Are age 65 or older and/or have a physical disability.
  • Meet the requirements for residence in a nursing facility. These are defined in Kentucky Administrative Regulation 907 KAR 1:022 .
  • Meet the financial qualifications for Medicaid. There are special financial qualifications applied to the HCB waiver program. Read the Medicaid Waiver Services Fact Sheet for details. 
HCB services, eligibility, and other requirements are outlined in the approved HCB waiver application and state regulations 907 KAR 1:010 and 907 KAR 1:015​Information for HCB providers is available on the HCB provider type page


If you are interested in applying for HCB 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. There are some documents that are helpful to have when applying. The Medicaid Waiver Services Fact Sheet lists those documents. 

Once you are ready to apply for HCB 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

Currently, there is a waiting list for HCB services and supports. Placement on the waiting list is determined by the date your completed application is received. 

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

HCB Participant Resources

Available Waiver Services 
How to Apply for Waiver Services 
Find a Provider: HCB Provider Directory or Search all 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
EPSDT Informatio​n ​
What You Need to Know about Patient Liability
Get Help Paying Employer Sponsored Health Insurance Premiums​​

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

Acquired Brain Injury Waivers 
Model II Waiver
Michelle P. Waiver
Supports for Community Living

Related Pages

Information for HCB Providers
Division of Long-Term Services and Supports
Improving Home- and Community-Based Services
Electronic Visit Verification


Additional Information