The agency is currently accepting individual referrals across all Medicaid waiver programs and private-pay service.
To make a referral for any service, please call Justin Smith, Executive Director at (606)
451-9715, extension 25 or e-mail information or requests to him at firstname.lastname@example.org.
Persons in need of service (and/or their legal representatives) may also print and complete one of the following program applications in order to expedite the intake process:
Application for the Supports for Community Living Waiver (MAP-620)
For your convenience, you may also download the instructions for completing the MAP-620 form