Traumatic Brain Injury (TBI) Trust Fund Program (KRS 211.476, KRS 42.320): A state program that provides services to assist children and adults with brain injuries to maintain living in the community. The TBI Trust Fund Program is a funding source of last resort for Kentucky residents. The TBI Trust Fund draws funds primarily from court fees, traffic school fees, and DUI service fees. The fund can also accept contributions and grants. The program is overseen by a board of directors to ensure that individuals with a brain injury and their families are provided services and supports to promote independence and personal productivity.
Traumatic Brain Injury Behavioral Program (KRS 189A.050 and KRS 42.320): This program is funded through DUI fees and serves individuals who are in need of intense neurobehavioral services that are not available in Kentucky and are placed out-of-state.
Alzheimer's disease and Related Advisory Council (KRS 194.600-609): This governor-appointed council oversees information and resources related to policy and services affecting the sixty thousand (60,000) residents of Kentucky with dementia, and the caregivers and families of the residents.
Health Promotion/Disease Preventive: Provides disease prevention, education and assistance in training and care of elderly Kentuckians on health-related issues.
Supportive Services: For persons aged 60 years and older, that includes: assessment/case management; transportation; escort to medical facilities, stores and other service delivery points; information assistance and referral; health promotion; visiting and telephone reassurance; legal assistance; counseling; education; advocacy; respite; preventive health services; elder abuse prevention programs; supportive services for families of elderly victims of Alzheimer's and related disorders.
Home and Community Based Waiver (HCB): The HCB Waiver is part of Kentucky's Medicaid program designed to support individuals who are elderly or have physical disabilities. It aims to help them maintain their independence and avoid institutionalization by providing a range of services tailored to their needs. DAIL is contracted by the Department for Medicaid Services to serve as the operating agency preforming day to day oversight of the program including certification and monitoring of waiver providers.
Participant Directed Services (PDS): Allows people eligible for services through Medicaid waiver services to choose his/her own providers for nonmedical waiver services. Provider choice gives members greater flexibility in the delivery of services received. Kentucky Medicaid members may participate if he/she currently receives or are eligible for services through the: Home and Community Based Waiver; Supports for Community Living Waiver; Acquired Brain Injury Acute Waiver; Long-Term Care Brain Injury Waiver; or the Michelle P Waiver.
Office of Dementia Services (ODS) (KRS 194A.601): created by SB74 in 2021, the Office of Dementia Services is Kentucky's first state entity dedicated to supporting the more than 81,000 Kentuckyan living with dementia and over 400,000 unpaid caregivers who provide 307 million hours of care annually. Led by the Dementia Coordinator, ODS develops and implements the Kentucky Alzheimer's and Related Dementias State Plan, manages the Alzheimer's Disease and Related Disorders Advisory Council, advances dementia-specific training, and builds programs that improve quality of life for those impacted by dementia.
Centers for Independent Living (CILs) are consumer-controlled, community-based, cross disability, nonresidential, private nonprofit agencies, designed and operated within a local community by individuals with disabilities. CILs assist people with disabilities to achieve their full potential for community inclusion through improving access, choice, and equal opportunity. DAIL distributes federal grant funding to two CILs with 4 satellite locations in Kentucky to provide independent living services in accordance with the State Plan on Independent Living. DAIL also partners with the Statewide Independent Living Council (SILC) to develop, monitor, and review a state plan and support the statewide network of independent living centers.
Programs of All-Inclusive Care for the Elderly (PACE): Provides individuals the ability to live in their own home by offering needed services and supports. When an individual enrolls in PACE, the PACE organization becomes their sole source of services. PACE organizations develop a team that coordinates and/or delivers an individual's preventive, acute, and long-term care needs. DAIL is contracted by the Department for Medicaid Services to serve as the operating agency preforming day to day oversight of the program.
The budget includes additional General Fund in the amount of $9,100,000 in each fiscal year to continue providing nutritional meals to senior citizens in the community with the goal of not having a waitlist.
The Governor's budget includes additional funding in the amount of $156,000 in fiscal year 2027 and $320,300 in fiscal year 2028 to fund a 2% salary increment in fiscal year 2027 and an additional 2% in fiscal year 2028. The General Fund portion is $121,700 and $249,800, respectively.
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