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Kentucky launches 1915(c) child waiver to support youth with complex needs
Summary
Kentucky’s new 1915(c) child waiver targets youth up to 21 with complex behavioral or developmental needs, offering six services (case management, respite, community living supports, minor home modifications, clinical therapies, supervised residential care); CMS approved the waiver but regulations remain under review.
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Carmen Hancock, division director for long‑term services and supports at Kentucky Medicaid, briefed meeting participants on the new 1915(c) child waiver — Community Health for Improved Lives and Development — which launched Jan. 1 to serve youth up to age 21 with complex behavioral-health or developmental needs.
Hancock said the waiver aims to prevent institutionalization by investing in home‑ and community‑based services. The waiver includes six services: case management, respite, community living supports, environmental minor home modifications, clinical and therapeutic services, and supervised residential care. She described the target population as youth at risk of hospitalization, residential placement or involvement with child welfare due to gaps in community services.
Hancock provided early uptake data: 10 provider application packets submitted (2 certified), and 14 participant applications (3 approved, several pending for additional information, and one assessment scheduled). She said waiver regulations are still under review, though CMS has approved the waiver itself, allowing operational work to proceed while administrative rules are finalized.
Hancock encouraged providers and families to consult the waiver’s participant and provider webpages and contact the waiver help desk for support.

