HOMEMAKER SERVICES PROVIDER IN KENTUCKY

Fatumata Kaba
Jul 25, 2025
3 min read

SUPPORTING DAILY INDEPENDENCE THROUGH HOUSEHOLD ASSISTANCE AND NON-MEDICAL HOME SUPPORT

Homemaker Services in Kentucky provide non-medical assistance to Medicaid-eligible individuals who need help maintaining a clean, safe, and functional home environment. These services support independent living for individuals with disabilities, chronic conditions, or age-related limitations. Available through specific Home and Community-Based Services (HCBS) waiver programs, homemaker services help reduce the risk of institutional care while improving quality of life.

1. GOVERNING AGENCIES

Agency: Kentucky Cabinet for Health and Family Services (CHFS) — Department for Medicaid Services (DMS)

Role: Manages Medicaid enrollment and reimbursement for homemaker services

Agency: Kentucky Department for Aging and Independent Living (DAIL)

Role: Defines HCBS waiver requirements and monitors provider standards for elderly and disabled participants

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures federal Medicaid compliance for community-based, non-medical services

Agency: Managed Care Organizations (MCOs) in Kentucky Medicaid

Role: Authorize homemaker services, process provider credentialing, and oversee documentation and billing

2. SERVICE OVERVIEW

Homemaker Services support individuals in completing routine household tasks that they cannot perform on their own due to disability, illness, or aging.

Approved providers may deliver:

Light housekeeping (sweeping, dusting, vacuuming, mopping)
Laundry and linen changes
Dishwashing and kitchen cleaning
Grocery shopping and errands
Meal preparation (non-skilled) and cleanup
Making and changing beds
Trash disposal and household organization
Escort and support for essential errands

All services must be outlined in the participant’s Person-Centered Service Plan (PCSP) and must not duplicate services offered by personal care or nursing staff.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Kentucky Secretary of State
Obtain an EIN from the IRS and Type 2 NPI
Enroll as a Medicaid provider through the Medicaid Partner Portal Application (MPPA)
Maintain liability and workers’ compensation insurance
Develop a Homemaker Services Policy & Procedure Manual
Train all homemaker staff on cleaning safety, emergency procedures, and HIPAA
Implement participant documentation, quality monitoring, and critical incident protocols

4. KENTUCKY PROVIDER ENROLLMENT PROCESS

Step 1: Medicaid Enrollment

Apply via MPPA as a Homemaker or Non-Medical Support Services provider
Complete MCO credentialing for Medicaid billing eligibility

Step 2: Documentation Submission

Submit business registration, liability insurance, staff qualifications, and policy manual
Provide service area descriptions and staffing model

Step 3: Service Authorization & Delivery

Collaborate with case managers to identify household support needs
Obtain MCO service authorizations
Deliver authorized homemaker tasks and document service logs
Submit claims using applicable HCPCS codes

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Kentucky business license
IRS EIN and NPI confirmation
General liability and workers’ compensation insurance
Homemaker Services Policies & Procedures Manual including:
- Cleaning checklist templates and service logs
- Staff training and supervision documentation
- Participant consent, emergency contact, and intake forms
- HIPAA and participant privacy policies
- Grievance procedures and rights documentation
- Incident reporting and safety response protocols
- Medicaid billing logs and audit-ready documentation systems

6. STAFFING REQUIREMENTS

Role: Homemaker / Home Support Worker

Requirements: Experience in housekeeping or caregiving; background check required; reliable transportation if errands are included

All staff must complete:

HIPAA and participant confidentiality training
Cleaning safety, infection control, and fall prevention procedures
Emergency response and incident reporting
Annual training in HCBS service guidelines and elder/disability sensitivity

7. MEDICAID PROGRAMS & HCBS WAIVERS

Homemaker Services are available under the following waivers:

Home and Community-Based (HCB) Waiver
Michelle P. Waiver (MPW)
Supports for Community Living (SCL) Waiver
Acquired Brain Injury (ABI & ABI-LTC) Waivers
Model II Waiver (MIIW) (limited availability)

Services may be delivered in:

Private homes
Supported living environments
Community-based settings (for errands and grocery support)

8. TIMELINE TO LAUNCH

Phase: Business Formation and Manual Development

Timeline: 1–2 months

Phase: Medicaid Enrollment and MCO Credentialing

Timeline: 60–90 days

Phase: Staff Hiring and Documentation Readiness

Timeline: 1–2 months

Phase: Service Launch and Claims Setup

Timeline: 30–45 days

9. CONTACT INFORMATION

Kentucky Department for Medicaid Services (DMS)

Website: https://chfs.ky.gov/agencies/dms

Kentucky Cabinet for Health and Family Services (CHFS)

Website: https://chfs.ky.gov

Medicaid Partner Portal Application (MPPA): https://mppa.ky.gov

Department for Aging and Independent Living (DAIL)

Website: https://chfs.ky.gov/agencies/dail

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KENTUCKY HOMEMAKER SERVICES PROVIDER

WCG helps housekeeping agencies, senior support programs, and caregiver organizations launch Medicaid-compliant homemaker services that promote independent living across Kentucky.

Scope of Work: