Model II Waiver

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​The Model II Waiver (MIIW) is part of the Kentucky 1915(c) HCBS Medicaid waiver program. MIIW provides assistance to individuals who use a ventilator for 12 or more hours a day to allow them to live in the community independently as possible. 


  • Private duty nursing (PDN): An MIIW participant may receive up to 16 hours of PDN a day from a registered nurse, licensed practical nurse or respiratory therapist. Participant assessment, ventilator dependency needs and provider staffing determine how many hours of PDN received.


You may qualify for MIIW services if you: 

  • Are ventilator dependent for 12 or more hours a day as defined in 907 KAR 1:022  Section 7(2)(a).
  • Have a permanent tracheostomy for positive pressure ventilation.
  • Require 24-hour a day, high-intensity nursing care services.
  • Have a strong family support system, including a primary and secondary caregiver.
  • Have a primary caregiver who understands the purposes, responsibilities, risks and benefits of home ventilator therapy.
  • Meet the financial qualifications for Medicaid. Special financial qualifications apply to the MIIW program. Read the Medicaid Waiver Services Fact Sheet for details. 
MIIW services, eligibility, and other requirements are outlined in the approved MIIW application and state regulation 907 KAR 1:595​


If you are interested in applying for MIIW 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 the MIIW 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

A registered nurse will help finish the application process by:

  • Completing a MAP-350  form.
  • Collecting a completed MAP-10  form.
  • Conducting an assessment of the applicant using the MAP-351A  form.
  • Completing a person-centered service plan (PCSP) that details the services the applicant needs.

These documents will be submitted to the Department for Medicaid Services to determine if the applicant meets the level of care (LOC) required to receive MIIW services.

Continuing MIIW Services

To continue receiving MIIW services submit a completed M​AP-10 every 60 days and have your LOC reassessed every six months.

MIIW Participant Resources 

Available Waiver Services
How to Apply for Waiver Services
Search for a Provider
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 Information
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
Home- and Community-Based Waiver
Michelle P. Waiver
Supports for Community Living

Related Pages

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


Additional Information