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.