Skip to content
Call 911Crisis 988Never Use Alone 800-484-3731
Leave this site ›
Find help

Resource pages currently cover Kentucky and Indiana.

IndianaChange state

This directory is under active review and may be incomplete. Confirm urgent details directly; No One Left Outside does not guarantee eligibility, availability, funding, acceptance, or placement.

Leave this site ›
All forms and portals
Disability and agingInstructions pageconditional

Kentucky HCBS waiver application instructions

Official owner Kentucky Cabinet for Health and Family Services

Separate Medicaid and waiver steps with current waiver-specific evidence and assisted intake routes.

What problem this helps solve

Separate Medicaid and waiver steps with current waiver-specific evidence and assisted intake routes.

Who completes it: Applicant/helper with Medicaid staff and waiver intake assistance; clinical evidence must come from appropriate sources.

What this does not prove

Official instructions and the person's notice control; an application is not an eligibility or approval decision.

Dated source check

Official destination checked

Four-page guide updated 01/13/26 read. Seven waiver types include CHILD. Medicaid eligibility and waiver review are separate; required clinical evidence varies.

Last checked Sep 30, 2026. A working link does not establish the current edition, suitability, agency acceptance, or service availability.

Open official source page

Direct document

Before downloading, confirm the agency, form number, and revision date match the summary below.

Open official document

Use the official pathway

NOLO's preparation notes summarize the dated sources in this record. Follow the agency's official instructions and current edition when they differ.

1. Check that this route fits

Stage and purpose
Apply for Medicaid support and a separate waiver determination
Who completes it
Applicant/helper with Medicaid staff and waiver intake assistance; clinical evidence must come from appropriate sources.
Jurisdiction
Kentucky
Application mode
Online; DCBS phone for Medicaid; In-person ADRC/CMHC for waiver

2. Prepare before starting

  • Select the waiver fitting the person's needs.
  • Medicaid may be approved or pending when applying for waiver.

Documents named by the source

  • Helpful Medicaid identity, income/resource and insurance evidence.
  • Waiver-specific diagnoses, functional assessment or clinical reports; consult the current guide.
  • MAP-10 when the selected waiver requires it.
Fees and fee waivers
UNKNOWN — service cost share and eligibility are agency decisions.
Account
Current state sign-in account for online kynect; in-person help is published.
Appointment
UNKNOWN — arrange ADRC/CMHC intake before traveling.
Signature
Application attestation and Medicaid signature vary by route; MAP-10 has a separate practitioner signature.
Third-party certification or assessment
Unknown — confirm any certification, referral, or assessment with the official owner.

3. Follow official submission instructions

Read official instructions
  • Waiver-supportive Medicaid: online, DCBS phone 855-306-8959 or local DCBS
  • Waiver application: online kynect or in-person ADRC/CMHC

4. Get help or an accommodation

Languages: English source read; other versions UNKNOWN.

Accessibility: External source conformance was not evaluated; request agency assistance for an inaccessible process.

5. Know the supported next step

  • DMS reviews and sends next-step/requirement notice.
  • Follow evidence and waiver-program instructions.

Restrictions and unresolved details

  • January2026 guide expressly says mailed applications are not accepted for these listed intake steps.
  • A waiver application does not establish an available slot or approval.
  • Do not use a single clinical checklist for all seven waivers.

Official instructions and the person's notice control; an application is not an eligibility or approval decision.

PDF filling support

Print-only PDF (no interactive fields found). Checked 2026-10-05. Signature support and agency acceptance still need confirmation.

Continue with your journey

Return to the connected step to decide what to do next. Opening this record does not complete that step or submit an application. If the official route is unavailable, use the assistance options above or browse help in the journey.

Back to all forms and portals

Form record

Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.

Official title
Kentucky HCBS waiver application instructions
Form number
Unknown / not established
Program
1915(c) HCBS waivers
Jurisdiction
Kentucky
Revision / edition
Jan 13, 2026
Who completes it
Applicant/helper with Medicaid staff and waiver intake assistance; clinical evidence must come from appropriate sources.
Signature
Application attestation and Medicaid signature vary by route; MAP-10 has a separate practitioner signature.
Submission methods
Waiver-supportive Medicaid: online, DCBS phone 855-306-8959 or local DCBS, Waiver application: online kynect or in-person ADRC/CMHC
Supporting documents
  • • Helpful Medicaid identity, income/resource and insurance evidence.
  • • Waiver-specific diagnoses, functional assessment or clinical reports; consult the current guide.
  • • MAP-10 when the selected waiver requires it.
Languages
English source read; other versions UNKNOWN.
Accessibility
External source conformance was not evaluated; request agency assistance for an inaccessible process.

Related NOLO journeys

Use a journey to prepare for documents, blockers, and backup routes around this destination.

Related documents and starting points

These records share a journey—not necessarily a submission package. Check each purpose and source state separately.

Before sharing information

  • • Check that the address begins with https:// and matches the agency above.
  • • Read the agency’s privacy and consent language before entering personal information.
  • • Save a confirmation or reference number if one is provided.
  • • If a page asks for payment unexpectedly, stop and confirm the fee with the agency.

Source note: Official instructions and the person's notice control; an application is not an eligibility or approval decision.

NOLO does not process this form, receive your answers, decide eligibility, or represent the agency. A destination check does not confirm current funding, acceptance, or an outcome.

Report a broken or changed source