Short answer
Yes, but only in limited cases
Only in limited cases. Kentucky treats a spouse as a legally responsible individual, who can be paid only if conditions are met, for example caregiving kept them from paid work in the past 12 months and no other caregiver is available (Kentucky DMS LRI review guide).
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The programs to ask about, documents to gather, and who to call in Kentucky. Print it now, no email needed.
Programs to ask about in Kentucky
Participant Directed Services (PDS)
Kentucky Medicaid 1915(c) waiver participants can hire certain family members for non-medical services.
How to apply
See the CHFS Participant Directed Services page.