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 Through service, we seek to provide treatment, opportunities and access to individuals and families to live happily in their respective communities of choice.  Here at KY STEPS 


   The SCL Waiver program was developed for Kentucky citizens as an alternative to institutionalization. The focus of SCL is to allow a person to remain in or return to the community. Persons with developmental or intellectual disabilities who meet the requirements for residence in an Intermediate Care Facility for persons with Intellectual Disabilities, and who meet other Medicaid requirements, are eligible for this program.

  • Service Provision Options

Supports for Community Living (SCL)/ Michelle P. Waiver (MPW) service can be delivered in the ways described below. Note that certain services are exclusive to the type of delivery chosen.

  • Participant-directed. This allows the individual to assist with the design of the programs, and to recruit, hire, train, manage, evaluate and terminate staff, and direct the delivery of services to meet the participant's needs. The services are specifically nonresidential and nonmedical.

  • Traditional. Unlike with participant-directed services, the agency supporting the individual recruits, hires, trains, manages, evaluates and terminates staff.

  • Blended. This is a combination of different traditional and participant-directed services. For example, a person may choose to receive case management and physical therapy under traditional and choose to receive respite and personal care assistance under participant-directed services. Also included are :

  • Community Access

  • Personal Assistance

  • Therapy and Clinical Consultation

Support For Community Living Waiver


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