Update for Providers Regarding Kentucky HEALTH

Posted July 9, 2018

On June 29, a federal judge invalidated the Centers for Medicare and Medicaid Services’ approval of Kentucky’s Section 1115 Waiver and sent it back to the Department of Health and Human Services for further review. The program, known as Kentucky HEALTH, was set to begin on July 1.

Based on this recent decision, Kentucky HEALTH has provided the following updates to assist providers:

No changes

Changes

  • Members of the adult Medicaid expansion population have lost dental and vision benefits. The “My Rewards Program” intended to cover these services was eliminated as a result of the decision.
  • Managed Care Organizations and health care providers will begin charging co-payments for many services effective this month. This is a state change and a separate requirement from Kentucky HEALTH.

More information regarding co-payments, including how much to charge Medicaid patients, is available here. Additional guidance for providers on Kentucky HEALTH from the Cabinet for Health and Family Services is available here.