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Kentucky Medicaid Managed Care

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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

Update - Frequently Asked Questions (FAQs) for the Kentucky Spirit Transition.

July 2, 2013 - Important KY Spirit member and provider information - read the Letter to members regarding KY Spirit and the General Provider Letter regarding KY Spirit

June 2013 - Members can search one directory to confirm which networks physicians and other health care providers have joined. Search for providers by using the Online Provider Search.

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.

January 2013 - A letter with 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.

Medicaid Managed Care Hotline

For help with questions about managed care coverage, members can call 1 (855) 446-1245 from 8 a.m. to 5 p.m. Eastern Time, Monday through Friday.

Español: Para más información, llame a la línea telefónica de la Atención Médica Administrada del programa de Medicaid al 1 (855) 446-1245 de las 8 a.m. a las 5 p.m. hora del este, de lunes a viernes.

Gov. Beshear Announces Federal Approval of Medicaid Managed Care Contracts

Monday, October 31, 2011

FRANKFORT, Ky.– Governor Steve Beshear announced today that the state received notice from...

How is Kentucky Medicaid changing?

Kentucky is moving to a managed care model statewide. Kentucky Medicaid has contracted wit...

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