Kentucky Patient Access and Care (KenPAC) Services
KenPAC helps members get the health care they need by seeing a primary care provider (PCP) who will help manage their health.
Most Kentucky members are enrolled in KenPAC. Members excluded from KenPAC include:
- members that have both Medicaid and Medicare,
- are in nursing homes, receive waiver benefits and
- children who receive Supplemental Security Income (SSI).
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What is a PCP and how can I pick one? |
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The word "primary" means first. The PCP is the provider members will see first for medical care. The PCP will see members for routine care and refer to a specialist if needed.
The PCP may be a pediatrician, an internist, family doctor, general practitioner, OB/GYN, nurse practitioner or physician assistant who works in a primary care center or a rural health center.
To pick a PCP:
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What are the medical benefits with KenPac? |
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The medical benefits are the same as with KyHealth Choices, and include:
- physician services, including office visits
- maternity and newborn care
- prescription drugs
- hospital care, inpatient and outpatient
- home health and hospital services
- laboratory and X-ray services
- durable medical equipment
- chiropractic services
- podiatry
- ambulatory surgery
- local non-emergency transportation, if the member qualifies
- basic dental, vision and hearing services
For questions about services, contact Member Services at (800) 635-2570.
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When can a PCP be changed? |
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The PCP may be changed under the following conditions:
- within 90 days of enrollment into KenPAC
- at the yearly renewal for medical coverage
- supplemental Security Income (SSI) members, once a year, during the members birth month
- at any time, for a good reason and permission from the case worker or KyHealth Choices. An example of a good reason is moving to a different county
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Are there services availabe without first going to a PCP? |
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Services that do not require a referral from a PCP include:
- mental health services
- maternity and newborn care
- family planning services
- local non-emergency transportation, if you qualify
- basic dental, vision and hearing care
- chiropractic care
- podiatry
- screenings and treatment for sexually transmitted or communicable diseases
Many of the services listed above can be obtained by calling the local health department or Medicaid provider.
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