Kentucky DMS posts Medicaid Address Change Form online for members who need it

Kentucky Unbridled Spirit logoThe Kentucky Department for Medicaid Services (DMS) has posted a Medicaid Change of Address form online for any Kentucky Medicaid member who needs to update their home address. The form is available by clicking here.

If DMS receives any returned mail from an address that is not current, members could be dis-enrolled from Passport (and lose all of their Passport-specific benefits). However, if this happens, the member will NOT lose their overall Medicaid eligibility; instead, they will remain eligible for Kentucky Medicaid and will be in the fee-for-service (FFS) category until their address is updated.​

If an address appears incorrect, the member will have the remainder of that month plus another month to update the address.

To update their address, the Kentucky Medicaid member just needs to print out the form, fill it out, sign it and either fax it to 1-502-573-2005 or send it by regular mail to Centralized Mail, PO Box 2104, Frankfort, KY 40601.