The Kentucky Homecare Program provides elderly Kentucky residents who are at risk of being placed in a nursing home with necessary in-home services. This allows the individual to continue to live at home. Assistance might include a variety of services, such as care coordination, personal care, bathing, dressing, meals delivered to the home, house cleaning, and respite relief for family caregivers.
This category of program is sometimes called a nursing home diversion program. In addition to helping seniors, its intent is to reduce wasteful spending by preventing individuals from unnecessarily entering into Medicaid-funded nursing homes simply because they lack the funds for limited home care.
This program is open to all Kentucky residents who:
Applicants who are currently residing in a nursing home but could live in a home setting with needed assistance are also eligible for this program.
While this program is available to anyone who is over the age of 60 that has deficits in their daily living activities, income does play a role. A sliding scale based on income is used to determine the fee (if any) for services. However, certain medical expenses, such as outstanding bills and prescription co-payments, may be deducted from one’s income in order to lower the fee.
While the Kentucky Homecare Program is available throughout the state of Kentucky, the services offered may vary based on location.
ADLs & IADLs
Services offered may include a home health aide who can assist with ADLs, such as bathing, dressing, and other personal care needs, as well as IADLs, like delivery of meals, coordination between caregivers and local non-profit agencies in the area, household chores and laundry, and doing minor household repairs.
This program may also allow for respite, including Alzheimer’s respite care services, giving caregivers a needed break from providing care for the eligible applicant. Respite care may be provided in-home or in an adult day care facility.
As mentioned before, there may be a fee for services based on a sliding scale, which is based on the applicant’s income. Any fees, should they apply, are well below the market rate for similar services.
The Kentucky Homecare Program is administered by the Kentucky Department for Aging and Independent Living (DAIL) through Area Agencies on Aging and Independent Living (AAAIL). There are 15 area agencies throughout the state.
Make note that there may be waiting lists in some areas. The waiting list is needs-based, meaning applicants with lower income and greater functional need are given priority.