The Homecare Program provides an array of essential services in the home of those Kentuckians over the age of 60 whose functional limitations and lack of adequate informal support creates a danger of institutional placement. Services include homemaker, personal care, home management, home delivered meals, respite, escort and assessment/case management.

Assessment: The collection and evaluation of information about a person’s situation and functioning to determine the applicant’s or recipient’s service level and development of a plan of care utilizing a holistic, person-centered approach by a qualified case manager.

Case Management: A process, coordinated by a case manager, for linking a client to appropriate, comprehensive, and timely home or community based services as identified in the Plan of Care.

Home Management: Provision of assistance with Instrumental Activities of Daily Living (IADLS) that include general household activities such as shopping, laundry and routine household care, provided by a trained homemaker.

Personal Care: Provision of assistance with Activities of Daily Living (ADLs) such as dressing, bathing, toileting, transferring in and out of bed/chair and walking. This service is provided when the person regularly responsible for these activities is temporarily absent or unable to manage the home and care for themselves or others in the home.

Respite: Care provided by an approved caregiver of an agency for a designated time period because of absence or need for relief of a primary caregiver.

Escort: Personal accompaniment of a frail elderly person who requires assistance to and from a medical appointment.

The Aging and Disability Resource Center provides information and assistance regarding programs and services that assist the elderly and disabled population throughout our BRADD ten-county region. The ADRC is housed within the BRADD/AAAIL and serves as a valuable tool to connect the aging and disabled population with the resources they need.

The BRADD State Health Insurance Assistance Program (SHIP) provides information, counseling and assistance to seniors and disabled individuals, their families and caregivers with the sometimes complicated red tape of Medicare, Medicaid, and other private and public health insurance programs. This service is provided at no charge, by local and well-trained counselors. The program seeks to educate the general public and Medicare beneficiaries so they are better able to make informed decisions about their health care. SHIP does not sell any health insurance products.

Funded under the Title III-E of the Older Americans Act, the Barren River Family Caregiver Support Program provides assistance to Family Caregivers caring for an elderly individual 60 years of age and older, or a relative caregiver 55 years of age and older caring for children not more than 18 years of age. Services provided for caregivers include:

Information about services,
assistance in gaining access to supportive services,
caregiver counseling,
education and support groups,
respite and supplemental services.

Grandparents Raising Grandchildren, or relative caregiver, may be eligible for services if they are 55 years of age or older and are caring for a grandchild or a child who is related to them by blood, marriage, or adoption. The grandparent or relative caregiver must live with the child who is age 18 or younger, be the primary caregiver of the child, and have a legal relationship to the child such as legal custody or guardianship, or is raising the child informally. The parents of the child cannot live in the same household. An adult age 19-59 with a disability may also receive services if they are under the care of a grandparent or relative caregiver. Services include information, access to supportive services, grandparent counseling, education and support groups, respite and supplemental services.

The Home and Community Based Waiver provides in-home supports for older adults and persons with physical disabilities that want to remain in their own home rather than in a Long-Term Care Facility. Anyone who is Medicaid-eligible and requires assistance with personal care, homemaking and supervision for safety may be eligible for this program. The program allows for Participant Directed Services which allows the member greater choices of their care providers. Under Participant Directed Services, a participant may hire a person of their choosing or the participant may choose a traditional agency also known as traditional waiver, to meet their care needs. HCBW Participant Directed Services and Traditional waiver provides in-home supports such as personal care, homemaking, respite and adult day care services.

Michelle P Waiver Services

Michelle P Waiver (MPW) is a Medicaid Waiver program developed as an alternative to institutional care for individuals with intellectual or developmental disabilities. MPW allows individuals to remain in their homes with services and support. Persons with developmental or intellectual disabilities who require a protective environment while learning skills, educational experience, awareness of their environment and meet Medicaid financial eligibility requirements are eligible for MPWs. MPW services may include community living supports, personal care, homemaking, and respite services. BRADD/AAAIL offers service advisor services for Michelle P Waiver Members.

Services will be provided by the BRADD/AAAIL to locate and assist Medicare beneficiaries

with completing applications for Low Income Subsidy (LIS) or “Extra Help,” which assists with Medicare Part D costs, as well as assisting with Medicare Savings Program applications, which help pay for the Medicare Part B Premiums.

Low Income Subsidy (LIS) program helps Medicare recipients pay for their Part D drug costs, assisting with co-pays, monthly premiums, and deductibles.

Medicare Savings Program (MSP) can help lower Medicare Part B costs, assisting with premiums, co-pays, and deductibles.

The ombudsman program is designed to receive, investigate, resolve and report complaints on behalf of residents in Long-Term Care Facilities. The Ombudsman assists with residents by empowering them to have a voice and understand their rights regarding their care. The LTC Ombudsman program recruits volunteers who advocate for and assist elderly and disabled individuals throughout their care. 

Elder Abuse Prevention program is utilized to develop and strengthen community activities to prevent and treat elder abuse, neglect, and exploitations. The program also provides for a comprehensive approach to identifying and assisting older individuals subject to abuse, neglect and exploitation. This takes place in coordination with other state and local programs and services to protect vulnerable elderly individuals.

A grandparent or older individual who is a relative caregiver means a grandparent or step-grandparent of a child, or a relative of a child by blood, marriage, or adoption (does not include a parent) who is 55 years of age or older and—

Lives with the child (age 18 or younger)

Is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as the primary caregiver of the child; and

Has a legal relationship to the child, as such legal custody or guardianship, or is raising the child informally

Or is caring for an adult 18yrs old or older with a disability, if under care of grandparent or other relative.

Must be a grandparent related to the child by blood, marriage, or adoption.

The grandparent is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as the primary caregivers of the child.

The total family household must be at or below 150% of the federal poverty guidelines.

Child must be 18 years of age or younger.

BRC 1:1 Application: A grandparent shall complete, sign, and submit a DAIL-KFC-1 Application for Kentucky Caregiver Support Program Services. The Barren River Kentucky Caregiver Support Program will review an application with grandparents to determine eligibility through the application process.

BRC 1:2 Demographics: The application will collect data concerning the demographics of individual grandparents and their grandchildren

BRC 1:3 Relationship: The application will establish clearly the relationship of the child to the grandparent. The grandparent must be related to the grandchild by birth, marriage or adoption.

BRC 1:4 Household Income: The application will establish the gross household income and document verification provided by the grandparent through proof of income by: A federal tax form, a W2 form, a pay stub, or other documentation of monthly income.

BRC 1:5 Living Arrangements of Household: The application will document the living arrangements of the grandchild and grandparents to include all persons living at the residence.

BRC 1:6 Residency: The residency of the grandparent will be established per the application and documented. Proof of residence will be provided through a driver’s license or state issued ID, voter registration, rent payment, electric bill, or deed.

BRC 1:7 Need per Grandchild: The application will document the need per grandchild.

BRC 1:8 Formal and Informal Support Systems: The application will document if the grandchild/grandparent is receiving any type or formal or informal support system, such as but not limited to: Lifeskills, family members, etc.

BRC 1:9 Priority Rating: The Barren River Kentucky Family Caregiver Program through the completion of the application will consider applicants based on a priority rating, with applicants that did not receive services through the program in the past fiscal year, receiving a higher priority. It is at the discretion of the KFCP Coordinator and AAAIL Director to recognize any crisis situations which may need immediate attention.

To qualify, individuals must have an intellectual or developmental disability, require a protected environment while learning living skills, and would be admitted into an intermediate care facility or a nursing facility if not for waiver services.

Provides community living supports, respite, homemaker service, behavior supports, supported employment, adult day training, personal care, and attendant care.

Provides specialized respite, attendant care, and adult day health care from a home health agency, and adult day care center, or any combination of them.