Medicaid Provider Enrollment Overview

Kentucky offers 4 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Kentucky Cabinet for Health and Family Services - Department for Medicaid Services. Currently, Kentucky is actively enrolling new home care providers.

The average enrollment timeline is 90-120 days from initial application to receiving your first client. With medium demand for home care services, Kentucky represents a solid opportunity for agencies looking to serve Medicaid clients.

Kentucky Medicaid Waiver Programs

Home care agencies in Kentucky can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

Home and Community Based (HCB) Waiver

1915(c) Waiver

Services for elderly and disabled adults

2

Supports for Community Living (SCL) Waiver

1915(c) Waiver

Services for individuals with intellectual disabilities

3

Michelle P Waiver

1915(c) Waiver

DD services with consumer direction

4

Acquired Brain Injury (ABI) Waiver

1915(c) Waiver

Services for individuals with brain injuries

Kentucky Provider Requirements

To become a Medicaid provider in Kentucky, your home care agency must meet the following requirements:

  • Kentucky business registration
  • Personal Services Agency certification from CHFS
  • Criminal background checks
  • Professional liability insurance
  • Staff training compliance
  • Quality assurance program

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in Kentucky:

1

Obtain Kentucky personal services agency certification

2

Apply for NPI

3

Complete Kentucky Medicaid Provider Enrollment

4

Register in KY MMIS

5

Contract with MCOs (Aetna, Humana, Passport, etc.)

6

Complete waiver provider training