The Supports for Community Living (SCL) Waiver was established as the result of a 1999 United States Supreme Court decision, Olmstead v. L.C., which held that people with disabilities have a right to received state funded supports and services in the community rather than institution based.

The Olmstead v. L.C. decision determined that state funded community supports and services are appropriate if the following criteria has been met: the person’s treatment professionals determine that community supports are appropriate, the person does not object to living in the community and the provision of services in the community would be a reasonable accommodation when balanced with other similarly situated individuals with disabilities.

The SCL Waiver is a Kentucky Medicaid home and community-based waiver providing an alternative to institutional care for individuals with intellectual and developmental disabilities. SCL allows individuals to remain in or return to the community in the least restrictive setting.

The following services are offered through the SCL Waiver:

  • Adult Day Health Care
  • Case Management
  • Community Access Services
  • Community Guide Services
  • Community Transition Services
  • Consultative Clinical and Therapeutic Service
  • Day Training
  • Environmental Accessibility Adaptation Services
  • Goods and Services
  • Natural Supports Training
  • Person-Centered Coaching
  • Personal Assistance Services
  • Positive Behavior Supports
  • Residential Support Services
  • Respite
  • Shared Living
  • Specialized Medical Equipment and Supplies
  • Supported Employment
  • Transportation Services
  • Vehicle Adaptation Services

Eligibility/Application Process

Individuals with intellectual and developmental disabilities who meet requirements for residence in an intermediate care facility for people with intellectual disabilities and who meet other Medicaid requirements are eligible for these services. There is currently a waiting list for services and supports. Placement on the waiting list is determined by chronological date of receipt of complete application. Applicants will be served based on category of need and chronological order as funding becomes available.

For placement on the waiting list, individuals are encouraged to Kentucky Benefind website to fill out an application.