Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Kentucky?
Last verified October 17, 2026 · All Kentucky resources
In Kentucky, the income limit is $2,982/month and the asset limit is $2,000 single. Kentucky's waiver and nursing home Medicaid uses a special income level of 300% of the SSI benefit, which is $2,982 a month in 2026. Waiver participants can also qualify as medically needy, and income placed in a qualifying income trust can be used to meet the limit. The resource limit is $2,000 for one person and $4,000 for a family of two. People whose home equity exceeds the federal limit are not eligible for long-term care services unless a spouse or dependent relative lives in the home.
| Program | Kentucky Medicaid 1915(c) home and community-based waivers (such as Home and Community Based (HCB), Michelle P., Supports for Community Living and Acquired Brain Injury), PACE and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (special income level, 300% of SSI) |
| How income is counted | special income limit (300% SSI) |
| Medically needy spend-down | Yes |
| Qualified income (Miller) trust used | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $4,000 for a family of two |
| Home equity limit | $752,000 (federal minimum under 42 U.S.C. 1396p(f), adopted by reference) |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Kentucky Medicaid waivers that pay for home care.
How to apply in Kentucky (Kentucky Cabinet for Health and Family Services, Department for Medicaid Services (DMS))
More for Kentucky
Medicaid eligibility by state: other states
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