KY Medicaid Waiver & Eligibility Support

Understanding Kentucky Medicaid eligibility rules for waiver programs and long-term care (LTC) can feel overwhelming. RCOM Consulting helps individuals, families, and caregivers navigate the technical, income, and resource criteria required to qualify for Medicaid coverage in KY.

Whether you're applying through Anthem Medicaid KY or another managed care organization (MCO), we help you make sense of eligibility rules and avoid costly mistakes that lead to denial or delay.

What We Help With

Medicaid Waiver Program Eligibility

  • Clarification on Home and Community-Based (HCB) Waiver, Michelle P. Waiver, and Supports for Community Living (SCL)

  • Explanation of medical necessity, level-of-care determinations, and how to meet waiver criteria.

  • Support with income limits, resource caps, and required documentation.

Long Term Care (LTC) Medicaid Eligibility

  • Understanding technical, income, and resource eligibility rules for nursing facility care.

  • What the Cabinet for Health and Family Services (CHFS) considers acceptable for asset transfers and income shielding.

  • Guidance on spend-down planning, bank statements, and supporting documents.

Hardship Requests & Penalty Disputes

  • Assistance preparing hardship claims when a transfer penalty is applied

  • Help crafting narrative statements and evidence for CHFS review teams

  • Clarification of timelines and appeal rights for resource-related penalties

Common Questions We Answer

❓ “Can I qualify for a KY Medicaid waiver while owning property?”
❓ “Does Anthem Medicaid KY cover long-term care?”
❓ “What happens if I’m denied based on resources or income?”
❓ “How do I appeal a Medicaid waiver denial in Kentucky?”

Why Choose RCOM for KY Medicaid Eligibility Support?

  • Extensive knowledge of CHFS policy manuals, waiver enrollment rules, and eligibility standards

  • Experience helping families across Kentucky qualify for Medicaid—even in difficult cases

  • We work with individuals applying under Anthem Medicaid KY, as well as other MCOs, across all regions of the state

Confused by Medicaid rules in Kentucky? Need help qualifying for a waiver or LTC program?
Let RCOM guide you through Medicaid eligibility the right way.

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