List of Services

The Supports for Community Living Waiver Branch offers the following supports and services. These are based on the individual's needs and are identified through an individual plan.

• Adult Day Training
• Behavior Supports
• Case Management
• Children's Day Habilitation
• Community Living Supports
• Occupational Therapy
• Physical Therapy
• Psychological Services
• Residential Supports
• Respite
• Speech Therapy
• Supported Employment

Adult Day Training. This service supports the SCL recipient to participate in daily meaningful routines in the community, and it stresses training in the activities of daily living, self-advocacy, adaptive and social skills, and vocational skills. On-site services should lead to the acquisition of skills and abilities for work and/or community participation. Off-site services are provided in a variety of community settings, promoting inclusion and natural supports.

Behavior Supports. Because some individuals act differently, they may not always be accepted by others. Behavioral Supports are ways to enable individuals to make changes in their lives or environment so others will accept them.

Case Management. The person who helps the individual and/or his/her family to develop a plan to meet the individual's needs is called the case manager. The case manager also works closely with the individual to make sure he/she is pleased with the services he/she receives.

Children's Day Habilitation. This service provides support, training and intervention in the areas of self-care, sensory/motor development, daily living skills, communication, and adaptive and social skills. This service promotes inclusion and assists the individual in accessing community resources.

Community Living Supports. Training or assistance to an individual who does not live in one of the residential supports mentioned earlier. This can include a variety of activities such as shopping, household care and taking part in community activities, as long as the individual is being taught skills during the activities.

Occupational Therapy. The therapeutic use of self-care, work and play activities to enhance development and achieve as high a level of independence and quality of life as possible. This may include adaptation of tasks or environment to achieve maximum independence and to enhance quality of life. A licensed Occupational Therapist, or an Occupational Therapy Assistant supervised by a licensed Occupational Therapist, may provide this support.

Physical Therapy. The use of therapeutic exercise, cardiovascular endurance training, and training in self-care to alleviate pain and improve functional ability. A licensed Physical Therapist, or a certified physical therapist assistant supervised by a licensed Physical Therapist, may evaluate and treat people with health problems resulting from injury or disease.

Psychological Services. The administration of psychological tests for diagnosis, evaluation and treatment, as indicated by the individual. Dually diagnosed individuals may need this service to coordinate treatment for mental illness and psychological conditions such as emotional instability.

Residential Supports. Residential support options include a family home adult foster care, staffed residence (a small individualized home), or a group home. Residential Supports provide 24-hour supervision, and training in activities such as laundry, routine household care, self-care, shopping, money management, socialization, and leisure activities. No more than three individuals receiving waiver services can live in any residential setting.

Respite. A time of rest or relief for those persons normally caring for an individual. This service is only available to an individual living in a family home residence, and is not for those living in a group home or staffed residence.

Speech Therapy. Assists an individual in improving communication and is provided by a licensed professional.

Supported Employment. Intensive, ongoing support for an SCL recipient to maintain paid employment in an environment in which an individual without a disability is employed.

Service Providers

SCL providers include regional comprehensive care centers and public and private agencies across the state. These providers are reviewed and certified by the Department for Behavioral Health, Developmental and Intellectual Disabilities at least annually, in accordance with the standards and requirements set forth by the Kentucky Department for Medicaid Services. SCL providers are continuously monitored to maintain quality of supports. All SCL providers have agreed to provide services according to the best practice accepted by their professional organization and to provide services in compliance with federal and state statutes regardless of age, color, creed, disability, ethnicity, gender, marital status, national origin, race, religion or sexual orientation.

How to Obtain Services

The first step is to complete an application form for SCL services (MAP-620). You may obtain an application by calling an SCL provider in your area (see the "Provider Directory" link in Related Links), or using the Contact Information. There is currently a waiting list for services and supports, and an application will allow your name to be included on the list. Additional individuals are served in chronological order, as funding becomes available. After you are selected for funding, you must then be determined to need the level of care provided by an ICF/MR and to be eligible for Medicaid.

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