Family Share Billing

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Important Information for Families
Procedures for Family Share

The Department for Public Health assumes responsibility for administration of the First Steps Family Share program, including billing. Based on your family’s income and size, you will be required to make Family Share payments ranging from $20 to $100 per month to share in the cost of your child’s early intervention services.

Family Share is a monthly participation fee that is not based upon how many or how few services are received in a given month. You will receive a Family Share bill from the Department for Public Health. You are responsible for paying your Family Share beginning in the month that services start. Mail payments to the Department of Public Health as indicated on your Family Share bill.

Please ask your service coordinator to contact the Family Share Administrator if your services will start in a different month than your first Individualized Family Service Plan (IFSP) meeting.

Families participating in First Steps Family Share will receive a monthly invoice that includes:

Your Family Share participation fee for the month.
The amount of previously unpaid balance, if any.
The total balance of your Family Share account.

Families who choose to use their insurance (those with insurance coverage only) are also required to pay their monthly Family Share. If service providers receive insurance payments in a calendar year that equal or exceed your total Family Share amount for the same calendar year, you will no longer be responsible for Family Share for the rest of that calendar year. You will also receive a refund of Family Share payments you made for that calendar year. If you use First Steps service providers who accept your insurance, you are not responsible for insurance co-pays or deductibles.

Families who use their insurance need to save the "Explanation of Benefits" (EOBs) from their insurance companies. It is your responsibility to notify and forward to the Family Share Administrator copies of your EOBs when insurance payments equal or exceed your total Family Share amount for the calendar year. You may email Lisa Dorman, the Family Share Administrator, or call her at (502) 564-3756.

Please note the following:

Children covered under Medicaid do not pay Family Share (even if your child has both private health insurance and Medicaid).
Families who are covered by both private insurance and Medicaid are required to have their insurance billed, per state and federal Medicaid regulations.
Families who have more than one child enrolled in First Steps are only responsible for one Family Share payment.

All checks should be made payable to Kentucky State Treasurer and mailed to:

Family Share Administrator
Department for Public Health
Adult and Child Health Improvement - First Steps
275 E. Main Street - HS 2WC
Frankfort, KY 40621

If you have questions about Family Share, please call your service coordinator.