State Announces Roll Out Plan for all Counties’ PATH Requirements Under Kentucky HEALTH

Recently, the ​Kentucky Department for Medicaid Services (DMS) started to notify Medicaid members who will be affected by Kentucky HEALTH and live in Northern Kentucky that they may need to complete 80 hours of PATH/Community Engagement activities each month to use their medical benefits, effective July 1.

In a follow-up, they have announced how the rollout will continue for all additional counties around the Commonwealth. As you can see in this map, the rest of the state will start their PATH activities on either October 1, November 1, or December 1, depending on what Workforce Investment Board (WIB) region they are in. (Note: Residents of the eight counties in Southeast Kentucky that are not shaded will not be required to complete PATH activities at this time.)

PATH, which stands for “Partnering to Advance Training and Health,” is the component of Kentucky HEALTH where some members need to participate in activities to keep their medical benefits. These activities can include looking for a job, volunteering, caregiving for an elderly family member, job training, participating in substance abuse treatment, enrolling in classes, or working, according to kentuckyhealth.ky.gov.

People enrolled in Kentucky HEALTH who have a PATH requirement will get more information 90 days before they are required to start reporting their PATH hours at www.citizenconnect.ky.gov.

 

 

Special Enrollment Period Allows Kentucky HEALTH-Eligible Adults to Change MCOs if They Want

A Special Enrollment Period (SEP) is occurring April 1 through May 31 for Kentucky HEALTH-eligible households in which adult members of the household are enrolled in different managed care organizations (MCOs) such as Passport.

Starting July 1, these Medicaid members will be required to pay a monthly premium to each MCO represented by the; if family members are in the same MCO, they will pay only one premium. The SEP is occurring so that households may select one of the MCOs the household currently uses now.

Members can contact their local Application Assister, visit www.benefind.ky.gov or call 1-855-446-1245 to make changes to their household’s MCO.

Please note that children do not have to pay premiums, so they can remain on a separate MCO from the adults, if needed.

The notice content and related FAQs can be found online at kentuckyhealth.ky.gov.

 

DMS Notifies Northern Kentucky Residents About their Community Engagement (PATH) Requirements Under Kentucky HEALTH

KY Health NoticeThe Kentucky Department for Medicaid Services (DMS) has started to notify Medicaid members who will be affected by Kentucky HEALTH and live in Northern Kentucky that they may need to complete 80 hours of PATH/Community Engagement activities each month to use their medical benefits, effective July 1.

PATH stands for Partnering to Advance Training and Health.

Please note that this is ONLY for residents of Boone, Campbell, Carroll, Gallatin, Grant, Kenton, Owen, and Pendleton counties – other regions/counties will be notified at later dates.

For more information, please go online to www.kentuckyhealth.ky.gov and click on “Community Engagement”

 

Medicaid Members Should Check the Mailbox for Important Information About Kentucky HEALTH

KY Health NoticeThe Kentucky Cabinet for Health and Family Services (CHFS) Department for Medicaid Services (DMS) has produced a postcard and is distributing it to households around Kentucky via mail and email that contain a current Medicaid member who may potentially be eligible for Kentucky HEALTH, the new health and well-being program for certain low-income adults and their families.

The announcement says:

You may have heard that Kentucky is changing the way Medicaid works. Kentucky HEALTH encourages and supports activities that lead to better health and well-being.
Please visit kentuckyhealth.ky.gov to see if you’re eligible for this new program that starts in 2018. If you are eligible, you can customize your own path to better health and success.
Also, you can start earning rewards as of January 2018!
Watch your mailbox! You will get more information in the mail before anything changes.

For more information, please go online to the kentuckyhealth.ky.gov  website, or you can call 1-855-459-6328 to find an in-person assister trained on Kentucky HEALTH in your area.

Also, any Kentucky Medicaid member who has recently moved should log in Benefind at benefind.ky.gov or call 1-855-306-8959 to update their mailing address so they do not miss any important information.

 

Stakeholder advisory forums planned by state officials to discuss Kentucky HEALTH Medicaid transformation

KY Health NoticeThe Kentucky HEALTH Medicaid Transformation Leadership Team has announced the scheduling of public stakeholder advisory forums, starting on March 8 and continuing monthly through the end of the year.

The purpose of these forums will be to provide an avenue for constructive feedback and solutions to help ensure a successful transition for Medicaid beneficiaries eligible for the new health and well-being program.

“Throughout the past year and half, we have benefitted greatly from meeting with stakeholders offering helpful insight and services,” Kristi Putnam, Program Manager of the Kentucky HEALTH Medicaid Transformation Project, said in a news release. “The ongoing engagement and participation of Kentucky HEALTH’s diverse and wide-ranging stakeholders is critical to the success of the program. With the recent federal approval, we are excited to expand this outreach, and look forward to building on existing strong relationships and engaging mutual commitment to improving the health and lives of Kentuckians.”

Putnam noted that these meetings will provide opportunities for the Kentucky HEALTH Project Team to provide updates on implementation activities, offer system demonstrations, engage citizens in system and process testing, discuss draft communications, answer questions about operationalizing specific policies, give notice of upcoming communications from the Commonwealth to beneficiaries, and address topics brought forth by forum participants. The forums will include representatives from the healthcare and workforce development community, as well as frontline state employees.

Interested parties can contact KYHealthTeam@KY.gov to RSVP and be included on future communications regarding these meetings. The schedule for the meetings – which will alternate between Frankfort and various cities around Kentucky – is as follows:

  • 1 p.m. EST on March 8 at the Kentucky Transportation Cabinet Auditorium, 200 Mero St, Frankfort, KY 40601
  • 1 p.m. EST on April 5 at the Kentucky Career Center, 600 West Cedar Street, Room 111, Louisville, KY  40202
  • 1 p.m. EST on May 3 at the Kentucky Transportation Cabinet Auditorium, 200 Mero St, Frankfort, KY 40601
  • 1 p.m. EST on June 7 at the Kentucky Career Center, 1324 Madison Ave., Covington, KY  41011
  • 1 p.m. EST on July 12 at the Kentucky Transportation Cabinet Auditorium, 200 Mero St, Frankfort, KY 40601
  • 1 p.m. CST on August 2 at the Green River Area Development District, 300 Gradd Way, Owensboro, KY  42301
  • 1 p.m. EST on September 6 at the Kentucky Transportation Cabinet Auditorium, 200 Mero St, Frankfort, KY 40601
  • 1 p.m. EST on October 4 at The Center for Rural Development Ballroom, 2292 US-27 #300, Somerset, KY 42501
  • 1 p.m. EST on November 1 at the Kentucky Transportation Cabinet Auditorium, 200 Mero St, Frankfort, KY 40601
  • 1 p.m. EST on December 6 at the Ashland Community and Technical College, LRC Building Room L275, Ashland, KY 41101

For more information about Kentucky HEALTH, please click here.

 

Indiana Gets Federal Approval to Add Work Requirements to Medicaid Program

Following in the footsteps of the Kentucky HEALTH waiver – which was approved in January by the U.S. Centers for Medicare and Medicaid Services (CMS) to offer Kentucky Medicaid members the ability to customize a path based on individual needs that will lead to better health, engagement in their communities, improved employability, and success through long-term independence – Indiana recently received federal approval to add a work requirement for adult Medicaid recipients who gained coverage under the Affordable Care Act.

Indiana’s Medicaid expansion began in February 2015, providing coverage to 240,000 people who were previously uninsured. The federal approval extends the program, known as the Healthy Indiana Plan (HIP), through 2020, according to an article from Kaiser Health News.

Included in this new plan is a “lockout” provision that could lead to tens of thousands of enrollees losing coverage if they fail to submit in a timely manner their paperwork showing they still qualify for the program.

Like Kentucky, Indiana’s Medicaid waiver’s work requirements, which mandate adult enrollees to work an average of 20 hours a month, go into effect in 2019.

 

Federal Government Officially Approves Kentucky HEALTH Program for Medicaid Members

KY Health NoticeAs you may have heard, the U.S. Centers for Medicare and Medicaid Services (CMS) has officially approved Kentucky’s 1115 Waiver, allowing for the official creation of the Kentucky HEALTH program for certain low-income adults and their families.

The word HEALTH stands for “Helping to Engage and Achieve Long Term Health.” The goal of the program is to offer each beneficiary the ability to customize a path based on individual needs that will lead to better health, engagement in their communities, improved employability, and success through long-term independence.

Passport will be working on many more detailed communications in the coming weeks and months to help our members and providers navigate this transition. In the meantime, everyone is encouraged to review the official state website devoted to Kentucky HEALTH, which includes an overview video, FAQs, and more, online at kentuckyhealth.ky.gov.

Passport will continue to work with the Kentucky Department for Medicaid Services (DMS) and our extensive provider network to operationalize the Kentucky HEALTH program. We will be working with all of our members and the providers in our network to help them understand the changes that will be coming over the next few months. We also encourage all Kentucky Medicaid members to make sure that their address is correct with DMS to ensure that they receive all important communications leading up to the official start of the Kentucky HEALTH program on July 1.

 

Governor Bevin Requests Modifications to Kentucky HEALTH Proposal

KY Health NoticeOn Monday, July 3, Governor Bevin’s office formally issued a statement to the U.S. Centers for Medicare and Medicaid Services (CMS), requesting three modifications to the original 1115 Waiver request known as Kentucky HEALTH around three areas: Community Engagement, Member Disenrollment, and Presumptive Eligibility.

The proposed revisions do NOT propose any changes in benefits, cost sharing or delivery system.

There will be a voluntary 30-day public comment period, which will last until August 2 and include two public meetings – Friday, July 14, in Somerset and Monday, July 17, in Frankfort.

For more information, please check out the Kentucky Department for Medicaid Services (DMS) website.