Welcome
Kentucky Medicaid is expanding managed care coverage to all areas of the state. Medicaid has contracted with three new managed care organizations (MCOs) to coordinate health care for most Medicaid members, beginning Nov. 1, 2011. The new MCOs are: CoventryCares of Kentucky, Kentucky Spirit Health Plan and WellCare of Kentucky. Members in Jefferson County and the 15 surrounding counties served by the Passport Health Plan will continue to receive managed care services through that plan. This website is intended to assist Medicaid members and providers in finding information about the transition to managed care.
Managed Care Organization Update
(March 20, 2012) Dental Comparison Grid
(March 5, 2012) Medicaid Members Can Receive Replacement Medications in Aftermath of Storms
(Nov. 18, 2011) Managed Care Policy for Out-Of-Network Dental Services
(Nov. 8, 2011) Managed Care Policy for Out-Of-Network Providers.
(Oct. 25, 2011) Letters have been mailed to Medicaid members with details regarding the start of managed care on Nov. 1. The letter provides information about the member's managed care organization (MCO) assignment and materials they will receive from the MCO. Members will be able to change MCOs for 90 days after managed care begins. Providers have also been sent a new letter with important information about the coming managed care implementation.
Prior Update: Important prior authorization information regarding RSV (respiratory syncytial virus) vaccine (Oct. 10, 2011) Magellan Medicaid Administration, the pharmacy benefit administrator for the Department for Medicaid Services, is handling prior authorizations (PAs) for the RSV vaccine for dates of service prior to November 1, 2011. For services rendered on or after that date, the member's assigned managed care organization (MCO) will be responsible for authorizations. The MCOs will honor existing PAs issued by Magellan for at least 30 days on or after Nov. 1.