Kentucky Medicaid has expanded managed care coverage to all areas of the state. This website is intended to assist Medicaid members and providers in finding information about managed care services.
Medicaid contracted with three new managed care organizations (MCOs) to coordinate health care for most Medicaid members, beginning Nov. 1, 2011. Those MCOs are: CoventryCares of Kentucky, Kentucky Spirit Health Plan and WellCare of Kentucky.
Beginning Jan. 1, 2013, four MCOs have also been awarded contracts to provide coverage for the 175,000 Medicaid recipients in Louisville and 15 surrounding counties, also known as Region 3. Those MCOs are: Coventry Cares, Humana, Passport and Wellcare of Kentucky.
Managed Care Organization Updates and News
(April 19, 2013) Attention ALL Medicaid Providers in Regions 7 and 8 - Read the Medicaid Managed Care Educational Forums - Save the Date Letter regarding the Governor's enhanced educational efforts to improve the Medicaid managed care system.
April 2013 - The Region 3 and Statewide Provider directories have been combined so members can search one directory to confirm which networks physicians and other health care providers have joined. Search for providers by downloading the KY Medicaid Managed Care Health Care Provider Directory (PDF) or using the Online Provider Search. Members may also want to download and search the combined Region 3 and Statewide KY Medicaid Managed Care Health Care Additional Provider Directory (PDF), which includes many types of specialty providers (such as dentists, home health, community mental health and more).
January 2013 - A letter in English with information regarding contacting and changing their MCO has been mailed to members in Region 3 which includes the following counties: Breckenridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, LaRue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, and Washington.
January 2013 - Federal regulations allows members to change their through a process called “Disenrollment for Cause”. This process is for members who want to change their current MCO and are not within their 90 day timeline to change. View the How to change your MCO.
Visit this page to view previous updates.