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Programs and Services

The following programs and services listed below are for informational purposes only:

Please note that not all programs and services are available to all members. To determine what programs or services are available to you, contact the Call Center at (800) 635-2570, from 8 a.m. to 5 p.m. Eastern time, Monday through Friday.

Medicaid Programs
  • Early Periodic Screening, Diagnosis and Treatment Services (EPSDT) Program - EPSDT is a federally mandated Medicaid program for children. In Kentucky, it is divided into two components
  • Kentucky Children's Health Insurance Plan (KCHIP) - KCHIP is for children younger than 19 who do not have health insurance and whose family income is less than 218 percent of the federal poverty level.
  • Kentucky Transitions - Money Follows the Person Grants facilitate transition and provide sustainable community based services to individuals who choose to move from Medicaid-funded long-term care settings (ICFs/MR and nursing facilities) into the community.
  • Kentucky Women's Cancer Screening Program - Uninsured women screened by the Kentucky's Women's Cancer Screening Program, administered by the Department for Public Health through local health departments and found to need treatment for breast, cervical or a precancerous condition can receive services through Kentucky Medicaid.
  • Medicaid Works - is a program for people with disabilities who work. Under this program, workers with disabilities who earn less than 250 percent of the federal poverty level can pay a monthly premium and buy into the Medicaid program.
  • Medicare Savings Plan Program - Kentucky Medicaid provides partial financial assistance with Medicare premiums, deductibles or coinsurance through the Medicare Savings Program to certain low-income Medicare beneficiaries (i.e.. qualified Medicare beneficiaries, specified low-income Medicare beneficiaries and qualifying individuals) who are not entitled to full Medicaid benefits.
  • Presumptive Eligibility (PE) - is a program for pregnant women who have not yet applied for Medicaid. Coverage includes out-patient prenatal care.
  • School-Based Health Services - School-Based Health Services are evaluative, diagnostic, preventive and treatment services provided for the maximum reduction of physical or mental disability, to allow for functioning of the recipient to his best possible level, to prevent loss of current functional level, or to correct any defects or conditions. Services must be listed in the child's Individual Education Plan (IEP).
  • Title V - is a program provided through DCBS serving children younger than 21 who are in the custody of the Cabinet, under the supervision of the Cabinet or at risk for Cabinet custody.

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Managed Care and Case Management

Managed Care

  • Kentucky Medicaid Managed Care - Effective November 1, 2011, Kentucky Medicaid expanded Managed Care to all other areas of the state to coordinate and deliver healthcare utilizing three new Managed Care Organization (MCOs) Coventry Cares of Kentucky, Kentucky Spirit Health Plan and Wellcare. This expansion excludes the Kentucky Medicaid Health Care Partnership Program Region under 1915 Waiver authority. This authority was granted by CMS for Jefferson County and the 15 surrounding counties which include Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble and Washington served by the Passport Health Plan.
  • Kentucky Medicaid Health Care Partnership Program means the prepaid capitation managed care system created and implemented in accordance with the term and conditions of Section 1115 Waiver Demonstration Project granted by CMS.

Case Management

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Long-Term Care and Community Alternatives

Long-Term Care -May include service ordered by the physician and personal items routinely provided by the facility.

Community Alternatives - If you are elderly or disabled, programs can provide many different services that help you stay in your home.

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Covered Services
Covered Facilities


Last Updated 2/20/2018