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DMS reports rising HCBS waitlist totals, rollout of new waiver slots and reentry demonstration progress
Summary
DMS reported an unduplicated HCBS waiting list of about 18,910 people, said 405 new waiver slots are being released over the next three months, and provided metrics on provider recruitment and the child waiver; DMS also updated the council on a prerelease reentry demonstration that has enrolled roughly 1,000 individuals in prerelease eligibility periods.
DMS staff told the MAC that the unduplicated waiting list across several home‑and‑community‑based waivers is roughly 18,910 people, a figure that has grown since 2024. Carmen Hancock said 405 newly allocated waiver slots (spread over two years and across three waivers) began releasing on July 1 and will be made available over about three months; staff cautioned the total does not meaningfully dent the overall need given current waiting‑list growth.
On provider recruitment, Anne Holland reported 148 provider application downloads for a new program (iRISE) with 43 packets submitted and 24 providers certified; 235 individuals are enrolled with 125 holding active prior authorizations. On the child waiver, DMS said 70 participants have applied and 23 were approved; DMS noted a need for more providers, particularly for supervised residential services outside Jefferson and Fayette counties. Angela Sparrow summarized the reentry demonstration (implemented April 1) that reimburses selected prerelease case management and limited services in state prisons and youth centers; MCOs have enrolled roughly 1,000 individuals in prerelease eligibility periods and are making in‑facility visits as part of care transitions.
