MedicaidAdministrativeMedium impact
40-Hour Limit for Legally Responsible Individual Participant Directed Services Employees
Kentucky Medicaid·KY·Provider Letter
Effective date
May 31, 2026
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid has established a 40-hour per week limit for Legally Responsible Individuals (parents, guardians, spouses) providing paid services under the 1915(c) Home and Community Based Services waiver Participant Directed Services program. Case managers must modify service plans by May 31, 2026 to comply with this limit.
Action Required
By May 31, 2026: Billing teams working with Kentucky Medicaid 1915(c) waiver participants must coordinate with case managers to ensure Legally Responsible Individual employees are not billed for more than 40 hours per week total across all participants. Update billing system edits to flag and prevent claims exceeding this limit. Contact Department for Aging and Independent Living at (877) 315-0589 or HCBInquiries@ky.gov with questions.