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KY Medicaid Affordable Care Act Information

Listed below is information regarding Kentucky's implementation of the Affordable Care Act. Click below to view information on the:

Health Benefits Exchange Information

Governor Beshear Launches kynect: Kentucky's Healthcare Connection.

May 15, 2013 - Governor Steve Beshear today announced the launch of public education and awareness efforts for the state's health benefit exchange, called kynect: Kentucky's Healthcare Connection.

Press Release

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KY Medicaid Eligibility Expansion

Governor Beshear Expands Health Coverage to more than 300,000 Kentuckians

May 9, 2013 - Governor Steve Beshear today announced the inclusion of 308,000 more Kentuckians in the federal Medicaid health insurance program. The expansion, together with the creation of the Health Benefit Exchange, will ensure that every Kentuckian will have access to affordable health insurance.

Press Release

To find out how to apply, click here.

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Adjusted Primary Care Payment

Adjusted Primary Care Payment Update

Sept. 17, 2015 - In accordance with the Patient Protection and Affordable Care Act (ACA), certain physicians were eligible to receive adjusted Medicaid payments for primary care services. The federal government fully financed the difference between the state Medicaid payment rate and the applicable Medicare rate for Calendar Years 2013 and 2014 to pay the providers an enhanced rate. At the end of that period, the enhanced federal funding for this program ended. A 6-month claim run-out period was allowed for providers to submit claims for dates of service in CY 2013-14 not yet submitted/processed; as well as any claim adjustments/corrections per the CMS final rule.

The final cycle for the adjusted primary care payment rate, which includes the claim run-out period as well as the reconciliation, will process October 1, 2015.

If you have questions, please contact the Division of Policy and Operations at 502-564-6890.

Older Updates

Please read the following letter General Provider Letter #A-92 - Self Attestation - Adjusted Primary Care Payments March 22, 2013 regarding the deadline to self attest.

For more information, refer to the FAQs. Please note that only providers may self-attest for Adjusted Primary Care Services.

More information and to self-attest

Effective Jan. 1, 2013, health care providers who provide eligible primary care services to Medicaid clients are eligible to be paid the Medicare rates effective calendar years 2013 and 2014. The enhanced rate is available for fee-for-service providers with Kentucky Medicaid and eligible providers enrolled in the Kentucky managed care program.

For more information, refer to the Kentucky Medicaid Enhanced Primary Care Payments Update. As more information becomes available, it will be posted

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Last Updated 9/25/2015