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The Kentucky Personal Care Attendant Program (PCAP) is a state-funded program designed for Kentucky residents that have a functional loss of two or more limbs. Though not a Medicaid program, it is based on the Medicaid concept of Cash and Counseling. Also referred to as consumer direction, this approach allows the program participant to select and manage their own care providers, rather than rely on the state agency to manage providers on their behalf. An objective of this program is to prevent the unnecessary or premature institutionalization of the disabled, and therefore, persons participating in this program must be willing to live at home.
Age - This program is open to all Kentucky residents aged 18 and older.
Disability - Candidates must have a loss of function in two or more of their limbs and require more than 14 hours of care per week, but less than 40 hours, and be at risk of needing to be institutionalized if not for this program. PCAP is intended for individuals that have physical limitations, but still have the mental capacity to instruct and supervise their own care providers.
Financial - If an applicant is enrolled in Medicaid or receives SSI payments, one is income eligible. For those that are not enrolled in either, one is income eligible if he or she has an annual income less than 200% of the Federal Poverty Level (FPL). As of 2017, this means a single applicant must have an annual income no greater than $24,120 or $2,010 / month. For married applicants, the annual income limit increases to $32,480 or $2,706 / month.
This program provides financial assistance to eligible applicants to get services and supports they need to remain living independently. Below are some of the activities / tasks a personal care attendant may provide.
The application process begins by contacting one of Kentucky’s local Area Agencies on Aging and Independent Living. These agencies are specific to one’s county of residence; one can find their local office on this webpage.
The agency will provide a coordinator that guides the applicant through the process. Interested parties should be aware that in past years that there has been a wait list for participation in the program.