Department for Medicaid Services

Kentucky Medicaid is a state and federal program authorized by Title XIX of the Social Security Act to provide health care for eligible, low-income populations. These populations include children, low-income families, pregnant women, the aged and the disabled. Eligibility for these groups is determined by a number of factors, including family size, income and the Federal Poverty Level (FPL). Eligibility for people who receive Supplemental Security Income (SSI) and the aged, blind, or disabled are based on additional requirements such as income and resource limits.

Medicaid offers a number of different programs and services depending on the type of Medicaid you are eligible for and your particular medical needs.

If you are a Medicaid member or are interested in applying for Medicaid, please click on the Members button above.

Programs and Services

Members

Adults

Children

Pregnant Women

Long-Term Care and Nursing Facilities

Home- and Community-Based Services

Special Programs

Providers

Kentucky Medicaid EHR Incentive Program (Promoting Interoperability)

KY Health Net System

Medicaid Partner Portal

Medicaid Waiver Management Application

Provider Enrollment

kynect

Provider Directory

Questions?

Members

Apply for Medicaid online - kynect
kynect benefits
kynect resources
Contact your local Department for Community Based Services office - (855) 306-8959
Cabinet for Health and Family Services Ombudsman - (877) 807-4027
Fraud and Abuse (800) 372-2970
KY Relay- 711
KCHIP - (877) 524-4718/(877) 807-4719 (TDD/TTY)
Member Services - (800) 635-2570
Medicare - (800) 633-4227
Social Security Administration - (800) 772-1213

Providers

Online Fee For Service Provider Information - KYMMIS Provider Relations
Fee For Service Billing Questions - Gainwell Technologies - (800) 807-1232; Email Provider Inquiry
Provider Questions - (855) 824-5615
Provider Enrollment or Revalidation - (877) 838-5085
KyHealth.net assistance - KY EDI Helpdesk - (800) 205-4696
Fraud and Abuse - (800) 372-2970
General Questions - DMS Issues
Website Questions - CHFS DMS Webmaster
Pharmacy Questions - (800) 432-7005
Pharmacy Clinical Support Questions - (800) 477-3071
Pharmacy Prior Authorization - (800) 477-3071

Public Notice

Visit the Public Notice page to see all public notices.

Administrative Regulations Filed

Visit the DMS Regulation page for recently filed regulations.

What's New

Notice of Funding Opportunity for Community Crisis Co-Response Services

The Kentucky Cabinet for Health and Family Services (CHFS) has released a Notice of Funding Opportunity available to eligible municipalities for the implementation of a Community Crisis Co-Response (CCCR) Program.

Awardees will establish co-response units, or CRUs, that partner first responders with embedded behavioral health resources. CCCR is intended to lower the distress of individuals in crisis and avoid unnecessary hospitalizations and incarcerations. Learn more on the CHFS Grant Opportunities webpage.

Workforce Capacity Report

The Cabinet for Health and Family Services has published an analysis of Kentucky's health care workforce. This report focuses on individual groups of health care providers and the regions where they are located throughout the commonwealth. Read the full report and report supplement.