Third-Party Liability
The Third-Party Liability unit (TPL) identifies Medicaid recipients who have other medical insurance making Medicaid payer of last resort.
Remember to always present your Medicaid Card and all other insurances cards each time you visit a provider or pharmacy.
Estate Recovery
When a person who received nursing home or waiver services is deceased, Medicaid will ask the estate to pay back the amounts paid, on behalf of the deceased, for services. The amount recovered will not exceed the amount paid by the Medicaid program on behalf of the deceased recipient.
For more information on Estate Recovery 907 KAR 1:585
For questions regarding estate recovery while the
member is still living, please contact the Eligibility Policy Branch at (502) 564-3440.
For questions regarding estate recovery when the
member is deceased, please contact the Thirty-Partly Liability Branch at (502) 564-4958.
To access the
Estate Recovery Fact Sheet.
To access the Estate Recovery Fact Sheet (Spanish).
KY Integrated Health Insurance Premium Payment (KI-HIPP) Program
To access the KI-HIPP web page click here.
The Kentucky Integrated Health Insurance Premium Payment (KI-HIPP) program is a voluntary Medicaid program offered to Medicaid members, who are covered under an Employer Sponsored Health Insurance Plan, to help pay the employee’s portion for the cost of an Employer-Sponsored Health Insurance (ESI) plan.
Casualty Recovery
This program allows Kentucky Medicaid to recover funds on claims for Medicaid recipients for personal injuries, illness or disability for which Kentucky Medicaid has paid. These recoveries come from liable third parties.
Managed Care Organization Accident/Subrogation Claim Contact Information
Aetna Better Health
Optum
26555 Evergreen Rd., Ste. 200
Southfield, MI 48076
Anthem
Starting Jan. 1, 2025, Anthem will no longer be a Medicaid Managed Care Organization, or MCO, in Kentucky. This does not change a member’s Medicaid eligibility. Medicaid coverage will not be interrupted.
Humana Healthy Horizons
Humana Subrogation
004/48120
P.O. Box 2257
Louisville, KY 40512-2257
Phone: (866) 444-1771
Passport Health Plan by Molina
Optum
P.O. Box 2249
Warminster, PA 18974
Phone: 866-569-4685
United HealthCare of Kentucky
Optum Subrogation
MN102-0300
11000 Optum Circle
Wellcare of Kentucky
Email:
Centene Referrals
Phone: (888) 285-1276
Fax: (502) 440-1100
Non-MCO member:
Gainwell Technologies
Oletta Wright
Phone: (502) 209-3100 ext: 3111019