Page Reviewed / Updated – June 13, 2023

Program Description

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.

Eligibility Guidelines

General Requirements

This program is open to all Kentucky residents who:

  • Are at least 60 years of age
  • Are at risk of needing to live in an institutionalized setting, such as a nursing home
  • Are unable to preform 2 activities of daily living (which includes dressing, eating, brushing one’s teeth, and moving oneself from one location to another); OR 3 instrumental activities of daily living (such as cooking, shopping, driving, managing finances, and medication management)
  • Are not eligible for the same type of services via Medicaid

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.

Financial Requirements

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.

Benefits and Services

While the Kentucky Homecare Program is available throughout the state of Kentucky, the services offered may vary based on location.

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.

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How to Apply / Learn More

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. 

For more information about this program, or to request an application, contact the AAAIL in your area here or call 502-564-6930. You can also find limited information about this program here.

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.