Kentucky Medicaid Resources

• State Medicaid Website: Kentucky
• Kentucky Council on Developmental Disabilities Website
• The Arc of Kentucky

Kentucky Medicaid Facts: From Kaiser Family Foundation Medicaid Fact Sheet (2009)

There are 215,500 people with disabilities covered by Medicaid in Kentucky. Kentucky spent $9,456 on each Medicaid recipient with a disability in 2007.

26% of all people covered by Medicaid in Kentucky have a disability, which is much higher than the national percentage of 15%.

However, the state spends 47% of all the money it spends on Medicaid on services for people with disabilities—not that much higher than the national percentage of 42%.

Kentucky Health Care Partnership Program

This program is available in Louisville and the surrounding sixteen counties as the Passport Health Program, and is designed to provide a variety of health services to adults and children with disabilities. People who are covered under an HBCS waiver or people living in an intermediate care facility or nursing facility are not covered. Most people who are dual eligible for Medicare are covered.

• Community: transportation
• Health: alternative birth centers, ambulatory surgical centers, chiropractic, dental, durable medical equipment, end-stage renal dialysis, early and periodic screening, diagnosis, and treatment, family planning, hearing, hospice, immunization, laboratory, hospital, detoxification, pharmacy, physician, preventive health, therapeutic evaluation and treatment, emergency care, vision, x-ray
• Home:  home health care
• Social Services: case management

Human Service Transportation Program

This program can help pay for transportation to and from routine, scheduled doctor’s appointments and related medical errands. Some people who are also eligible for Medicare will not be covered.

• Community: transportation (medical)

Supports for Community Living waiver

The aim of this program is to help people with disabilities avoid moving into institutions or help them return to living in the community. It covers people with disabilities who meet the requirements for intermediate care facilities, but wish to receive services in their own homes. Services are delivered as part of an individualized support plan.

Level of Care: intermediate

• Community: adult day training, community living supports
• Health: behavioral supports, children’s day habilitation, occupational therapy, physical therapy, psychological services, speech therapy
• Home: residential supports, respite care
• Social Services: case management
• Work: supported employment

Aged and Disabled

This waiver applies to people with disabilities and also to older people who need care usually provided in a nursing home. Under this waiver these clients can receive care in their own homes or in community settings.

Ages: adults with disabilities, or 65 and over for people with or without disabilities

Level of Care: nursing

• Community: adult day health care
• Health: assessment and periodic reassessment
• Home: minor home adaptations, homemaker services, personal care, attendant care, respite care
• Social Services: case management

Model Waiver II (Ventilator Dependent)

This program ensures that people with physical disabilities who rely on ventilators can remain in their own homes instead of in hospitals or nursing facilities.

• Health: private duty nursing, ventilator services