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A $49 million federal pilot program that gets Kentucky Medicaid recipients out of nursing homes and into a more independent setting is not living up to its potential, say advocates for the disabled. Kentucky Transitions, which began in 2008, has been criticized for moving only one-fifth of the number of people that it is set to transition into the community by the end of 2012. Meanwhile, the state official who was the program’s director voluntarily transferred this summer after being reprimanded for allegedly ridiculing a disabled employee and making other slurs, according to state records. Jim Kimbrough, chairman of a group called Advocates for Reforming Medicaid Services, said Kentucky Transitions should be helping more people. The goal is to transition into the community a total of 546 people by the end of 2012, said Vikki Franklin, a spokeswoman for the Cabinet for Health and Family Services. As of Sept. 15, 115 people had been moved out of institutional care and into the community. An additional 116 people have been accepted into the program, and are in the process of finding appropriate housing, Franklin said.

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