Kentucky action guide · Verified July 29, 2026
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A child has high-intensity needs or is approaching age 21

Start the Kentucky CHILD waiver branch

For an eligible person under age 21 with high-intensity needs, use the official CHILD waiver application route and plan explicitly for the age-21 transition boundary.

Official sources checked 2026-08-27

Start here

Children with High Intensity Level of Need Waiver

Before you start

  • Age and identity, Medicaid and financial information, diagnosis and clinical records, current hospital, IPF, or ICF/IID level-of-care evidence, documentation that other supports have been exhausted, current risks and supports, representative documents, and transition questions.

Who to contact

Use the official destination above, the county-linked ADRC or CMHC, the case manager, the operating agency, or the exact contact on the controlling notice.

Find the ADRC region assigned to the county

Find the county CMHC Access and Referral route

Step by step

  1. Review the official CHILD criteria: under age 21, the stated institutional level of care, exhausted other supports, and special Medicaid financial requirements.
  2. Apply through kynect or an ADRC or CMHC and save both Medicaid and waiver confirmations.
  3. If approved, track stabilization and begin written transition planning no later than 120 days before age 21, including whether MPW, SCL, RISE, or State Plan services may fit next.

Expected next

An application confirmation, records request, assessment, eligibility decision, stabilization review, or documented transition-planning event.

Save this proof

Eligibility evidence, application confirmations, requests, assessments, decisions, service plan, stabilization reviews, and the age-21 transition plan.

If this stalls or the answer is no

Call the waiver Help Desk at 844-784-5614 or use the ADRC or CMHC application route; ask the assigned owner to identify the unresolved criterion and the next event.

Beyond Childhood planning aid

Start the Kentucky CHILD waiver branch checklist

A Beyond Childhood planning aid derived from the cited official sources.

  • Owner and date started
  • Documents supplied
  • Confirmation or notice
  • Current status
  • Next event and date
  • Escalation contact

Derived from How to Apply for Waiver Services, Michelle P. Waiver, Supports for Community Living Waiver, Children with High Intensity Level of Need Waiver

Official resources

Limits

CHILD is not interchangeable with MPW or SCL. It serves eligible people under age 21, may end after stabilization, and has an age-21 boundary; eligibility does not prove enrollment, service authorization, provider capacity, or a successful transition to another program.

Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.

Checked sources

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