Get Ky Application For A 1915(c) Home And Community - Based Services Waiver 2017-2025

Filling out the KY Application For A 1915(c) Home And Community-Based Services Waiver online is an important step for individuals seeking access to essential services that promote independence and community living. This guide will provide clear, step-by-step instructions to help users navigate the application process efficiently.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application form and open it in your browser's document viewer.
2. Begin with the Request Information section (1 of 3). Fill in the State of Kentucky's request for approval under 1915(c) of the Social Security Act. Include the Program Title if applicable, and choose the Type of Request as either original or renewal.
3. In the same section, indicate the requested approval period (3 or 5 years) and input the Original Base Waiver Number and Waiver Number.
4. Proceed to the Level(s) of Care section (1 of 3). Mark the applicable levels of care that the waiver supports, focusing on care options like Hospital, Nursing Facility, or ICF/IID.
5. Follow through to Section 2, briefly describing the purpose of the waiver and specifying its goals, objectives, and organizational structure.
6. Continue filling each component of your waiver request by addressing the Participant Access and Eligibility criteria, clearly indicating who is eligible for the services provided under this waiver.
7. Complete Section 3, detailing participant services, including specifics on case management, participant direction, and additional services that may be provided.
8. In the final sections, ensure all relevant appendices are completed. Review the financial accountability and quality improvement sections to ensure compliance and readiness for state review.
9. Once all sections are filled out thoroughly, save your changes. You can then download the completed application, print it if necessary, or share it via email.

Start your application now to access much-needed community-based services.