The Kentucky Personal Care Attendant Program (PCAP) is a state-funded program designed for physically disabled 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 at least 14 hours of care per week, but less than 40 hours. They must 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, supervise, and fire their own care providers. They must also have the capability to take on the financial role of being an employer, such as doing payroll and filling out paperwork related to employer tax. Friends and relatives, including spouses and adult children can be hired to provide care. As of 2022, the hourly payment for attendant care is approximately $7.25, which is minimum wage for the state of Kentucky.
Financial – If an applicant is enrolled in Medicaid or receives SSI (Supplemental Security Income) payments, one is income eligible. (Please note that applicants are required to apply for a Medicaid waiver, such as the HCBS waiver or the Supports for Community Living waiver, prior to being accepted into this program). For those that are not enrolled in Medicaid or SSI, one is income eligible if he or she has an annual income less than 200% of the Federal Poverty Level (FPL). As of 2022, this means a single applicant must have an annual income no greater than $27,180 or $2,265 / month. For married applicants, the annual income limit increases to $36,620 or $3,051 / month. However, being over the income limit does not mean that one can’t qualify for this program. Certain expenses, such as prescriptions and doctor bills, can be deducted from one’s income in order to effectively lower their income.
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.
To learn more about the Personal Care Attendant Program, click here. 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 there may be a wait list for participation in this program.