Supported Employment Funding – OVR to 1915c Waiver Supports

After you have billed the final Office of Vocational Rehabilitation (OVR) hourly rate, you can switch to Medicaid waiver dollars. This happens for:

• Supported employees under age 25: after the final Extended Services rate is paid and the OVR case is closed.
• Supported employees over age 25: once the Employment Stability Assessment Form is approved.

When requesting to bill any supported employment services for Michelle P. Waiver, Supports for Community Living Waiver, or Acquired Brain Injury Waiver:

• You will need to complete the Coordination of Funding Information Submission Form
  • Email this form (as an editable document) to DDID.SupportedEmployment@ky.gov
  • If you do not want to email an editable document, upload it to the Medicaid Waiver Management Application (MWMA) and email DDID.SupportedEmployment@ky.gov. Please let them know the case number and that it has been uploaded.
  • If requesting Long Term Support units, ensure the Extended Services Plan (if recently completing OVR supported employment) or a Long Term Support Plan is current in MWMA.
  • You will receive a response and be advised to contact OVR to reapply for services or to complete the Employment Services Prior Authorization form to request payment via Medicaid waiver.
  • If denied or an LOI is received, you may reach out to DDID.SupportedEmployment@ky.gov with questions or concerns
• Note: The Authorization of Long-Term Supports is valid for the job listed on the Long-Term Support Plan (or initial Extended Services Plan). If the individual changes jobs, complete a Coordination of Funding Information Submission Form and follow the guidance given to change the Prior Authorization (PA).

• Person Centered Job Selection:
  • New Person-Centered Employment Plan – up to 120 units over not more than 4 months or the end of the person’s plan year, whichever comes first. Remaining units may be requested with the person’s new plan.
  • Revised Person-Centered Employment Plan – up to 60 units over not more than 2 months or the end of the person’s plan year, whichever comes first. Remaining units may be requested with the person’s new plan.
• Job Development:
  • Up to 90 units over not more than 4 months or the end of the person’s plan year, whichever comes first. Remaining units may be requested with the person’s new plan.
• Job Acquisition with Support & Stabilization:
  • Up to 800 units over the span of time necessary for the person to reach proficiency in their job or the end of the person’s plan year, whichever comes first. Remaining units may be requested with the person’s new plan.
• Long Term Support:
  • Up to 24 units per month
  • If you need more than 24 units per month:
    • The Extended Services Plan (or Long Term Support Plan) must include full justification for the additional units as well as a fading plan for the additional units that follows a reasonable plan to reach 24 units or less per month.
    • With units exceeding 24 per month, the plan duration of the prior authorization must not exceed six months or the end of the person’s plan year, whichever comes first.

You can find suggestions for documentation and additional materials on the Supports for Community Living Waiver Branch website.

If you have questions about the provision of Supported Employment, please contact the Supported Employment Training Project Director, Katie Wolf Whaley, at kwolf@uky.edu or 859-218-5960. This information is shared as a courtesy by the Kentucky Supported Employment Training Project. Please direct all specific waiver-related supported employment services questions to DDID.SupportedEmployment@ky.gov. We believe this information to be current as of July 2025. Please note that the process is subject to change.