Kentucky Medicaid Member Information Page
Welcome
This is the Kentucky Medicaid Member Information page. Listed below are some frequently asked questions and information regarding member services. Click below to view:
If you have further questions or need assistance, please contact us by referring to the contact information on the lower left of this page.
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Managed Care Information |
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MCO Update for Providers and Members
Members: (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. This letter also provides information regarding the MCOs' covered benefits, services and cost-sharing amounts as well as additional information for instructing members on how they may change MCOs. Members will be able to change MCOs for 90 days after managed care begins.
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 all existing PAs issued by Magellan for at least 30 days on or after November 1.
MCO Provider Directory is available
Members can search the MCO provider directory to confirm which networks physicians and other health care providers have joined. The directory will be updated weekly as more providers are added to the MCOs' networks. Search for providers by downloading the Managed Care Provider Directory (PDF) or using the Online Provider Search. Members may also want to download and search the Additional Medicaid Managed Care Provider Directory (PDF), which incluces many types of speciality providers (such as dentists, home health, community mental health and more).
Updated Member Information Regarding Medicaid Managed Care
(Sept. 21, 2011) - For updated information, view the Nov. 1, 2011 MCO Member Letter
Attention
New Managed Care Website
(Aug. 23, 2011) - Kentucky Medicaid is pleased to announce that it now has a new managed care website for members and providers. This website is intended to assist Medicaid members and providers in finding information about the transition to managed care coming Nov 1.
Update: During the week of August 22, letters were mailed to Medicaid members with details regarding their newly assigned managed care organization (MCO). This letter also provides information regarding the MCOs' covered benefits, services and cost-sharing amounts as well as additional information for instructing members on how they may change MCOs.if desired. The deadline to change MCOs has been extended to Oct. 5. Members will also be able to change within 90 days after managed care begins on Nov. 1.
Attention Members
Important Medicaid Change
Click here to review the Member Letter.
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General Questions |
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Benefit Plans |
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Kentucky Medicaid has four benefit plans for members. You are placed in one of these plans based on your medical needs. The four plans are:
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Coverage Information |
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When do I? |
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