KLOCS and PASRR are the published review process
KLOCS is Kentucky's electronic level-of-care system for Medicaid members and people pending Medicaid eligibility. CHFS says it was introduced in 2020 to streamline and automate the LTSS level-of-care process, and that PASRR is generated and processed through KLOCS for those Medicaid and pending-eligibility populations (KLOCS overview).
PASRR is not a mere billing label. CHFS's nursing-facility materials identify it as a preadmission screening and resident-review evaluation, and link the level-of-care work to 907 KAR 1:022, 907 KAR 1:755, and the medical-necessity regulation. An applicant should expect the care facts and assessment record to be as important as the financial application (Kentucky nursing-facility services).
Income after eligibility: patient liability and personal needs
Kentucky's manual calls patient liability the amount a long-term-care recipient is responsible for paying toward care. It is calculated by subtracting verified allowable expenses from gross income, so Medicaid approval does not ordinarily mean every dollar of income is available for other spending (CHFS Volume IVA policy manual).
The current manual gives a nursing-facility resident a $60 monthly personal-needs allowance, unless the resident's income is lower. CHFS also announced that House Bill 6 increased the allowance from $40 to $60 effective July 1, 2024, and the manual continues to state that $60 nursing-facility figure (CHFS Volume IVA policy manual; CHFS personal-needs allowance letter).
Financial standards still apply
The basic long-term-care resource allowance is $2,000 for one person, while the 2026 special income standard is $2,982 per month. An applicant with income above the special standard may need a compliant QIT, and a married applicant may need a separate community-spouse resource assessment (CHFS Volume IVA policy manual; Kentucky QIT information).
Kentucky's current policy also reviews transfers during a 60-month period and uses a $325.41 daily transferred-resource divider for 2026. The financial application should therefore include current statements plus records of significant transfers, deeds, trusts, and spending, not simply the nursing-facility admission paperwork (CHFS Volume IVA policy manual; 907 KAR 20:030).
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