Kentucky Acquired Brain Injury Waivers and Medicaid Appeal Help
Kentucky operates two Medicaid home and community-based waivers for adults with acquired brain injury: the ABI waiver and the ABI Long-Term Care waiver. This page connects the official application, service, and appeal starting points.
Start here
If you need intensive rehabilitation after an acquired brain injury: review the Kentucky ABI waiver.
If rehabilitation has plateaued and long-term community support is needed: review the ABI Long-Term Care waiver.
If Medicaid eligibility or services were denied or reduced: use the notice and Kentucky Medicaid appeal or fair-hearing process.
ABI and ABI Long-Term Care waivers
Kentucky's Acquired Brain Injury Branch explains that the ABI waiver supports adults who can benefit from intensive rehabilitation, while ABI Long-Term Care supports adults who have reached a rehabilitation plateau and need maintenance services to live safely in the community. Listed services include case management, counseling, environmental modifications, respite, supported employment, and residential supports.
The official page explains Medicaid financial eligibility and application routes through kynect, Aging and Disability Resource Centers, or Community Mental Health Centers. Kentucky lists its 1915(c) Waiver Help Desk at 844-784-5614 and 1915cWaiverHelpDesk@ky.gov.
Applications and service records
Kentucky's HCBS waiver programs page provides accessible application guidance, waiver documents, participant resources, provider lists, grievance information, and rights materials.
Write down:
The applicant or participant name and Medicaid ID.
The exact service, waiver, assessment, or accommodation requested.
The date requested and who received it.
Every notice, assessment, service plan, email, and call reference number.
How the decision affects safety, health, communication, mobility, work, or community living.
If you disagree with a decision
The Kentucky Medicaid Appeals and Complaints Branch manages member and provider appeals, administrative hearings, and state fair hearings involving decisions that deny or reduce Medicaid services. Follow the exact instructions and deadline on the written notice.
Ask for the complete written reason and rule used, all records relied on, an accessible copy, communication assistance, and written confirmation that an appeal or hearing request was received.
Communication support
You can ask the agency or health plan for plain language, extra processing time during calls, written follow-up, an authorized representative, an interpreter, large print, audio, Braille, or another effective communication method. Put the request in writing when possible and keep a copy.
Official sources
Scope and safety
ABI Resources provides direct care services in Connecticut. This Kentucky page is national informational content and does not claim that ABI Resources provides Kentucky services or represents any government agency. Program rules and deadlines can change. Verify details with the agency and follow your written notice. This is general information, not medical or legal advice. Call 911 for an emergency. Call or text 988 for a suicide or mental-health crisis.
Reviewed: September 19, 2026.
