Kentucky Cabinet for Health and Family Services continues to post updated resources on Kentucky HEALTH website

In an ongoing effort to keep all beneficiaries, stakeholders, and various partners up-to-date on the status of Medicaid and the Kentucky HEALTH program, the Kentucky Cabinet for Health and Family Services (CHFS) is continuing to post updated guidance and resources on the Kentucky HEALTH website.

All interested parties are encouraged to check out the Kentucky HEALTH Legal Decision Guide (for beneficiaries, providers, and partners), which was recently published on the Kentucky HEALTH website. This guide includes information about reinstated dental & vision benefits and non-emergency medical transportation, premium payments and reimbursements for Kentucky HEALTH, information about the impact of the legal decision on Medically Frail individuals, and more.

There has been a great deal of confusion and misinformation related to Kentucky HEALTH and coverage for Medicaid recipients. CHFS continues to remind people that benefits have not changed for pregnant women and children. Passport is collaborating with CHFS and working with providers and other community partners to address ongoing questions.

For other information related to Kentucky HEALTH, please visit KentuckyHEALTH.ky.gov and connect with CHFS on Twitter or Facebook.

 

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.

 

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Passport Health Plan Tops Annual Rating System Comparing KY’s Medicaid Managed Care Organizations

Passport logoPassport Health Plan has again topped the annual rating system that the Commonwealth of Kentucky uses to compare the different managed care organizations (MCOs) that administer Medicaid benefits to residents.

According to a document produced by the Kentucky Cabinet for Health and Family Services (CHFS) Department for Medicaid Services (DMS) and sent to all Kentucky Medicaid members ahead of the Medicaid Open Enrollment period – which runs from Monday, October 19, through Friday, December 11 – Passport received an excellent rating (5 stars out of 5) in several health care categories. Those categories are:

  • Childhood Immunizations
  • Adolescent Immunizations
  • 21 and Under Dental Visits
  • Adult Doctor Visits
  • Parent Overall Satisfaction with Child’s Health Plan
  • Adult Overall Satisfaction with Health Plan

“At Passport Health Plan, we treat our members and healthcare partners with respect because we take the time to care,” said Passport CEO Mark B. Carter. “We are proud of our history of serving the Commonwealth and look forward to many more years helping Kentuckians live healthier lives.”

Ratings are compared to NCQA (National Committee for Quality Assurance) national averages and from information submitted by the health plans. For resources to help learn more about managed care, go online to the DMS website or call DMS at (855) 446-1245.

For more information, please click here.

 

Passport Teams with State Officials and Healthcare Providers to Reduce Number of Kentuckians Using Tobacco

No Smoking SignAs part of the state’s push to help reduce the number of Kentuckians using tobacco products, the Cabinet for Health and Family Services (CHFS) Department for Medicaid Services (DMS) is working with Managed Care Organizations (MCOs) such as Passport to coordinate information with our network of healthcare providers.

Information was recently sent to these providers, encouraging them to “Help your Patients BREAK the Habit” and quit smoking. According to the document:

Tobacco cessation medication and/or nicotine replacement therapy is available to Kentucky Medicaid members who use tobacco products.

Dual-eligible members may be eligible to receive some of the available medicines to help them quit using tobacco.

A prescription is needed for all tobacco cessation medications, including over-the-counter nicotine replacement products.

No copayment is required for these medications. Some products are not preferred and will require review via the prior authorization process.

Tobacco cessation assessment takes a minimum of 10 minutes, is performed face to face and must include: asking the patient about tobacco use; advising the patient to quit; and assessing the patient’s readiness to quit. If the assessed member’s readiness to quit occurs during a regular office visit, the tobacco cessation counseling can be billed separately using CPT Code 99407. The assessment must include history of tobacco use, medical and psychosocial history, review of coping skills and barriers to quitting.

Kentucky’s Tobacco Quitline 1-800-QuitNow (784 8669)

To see a PDF of the document that was sent to providers, please click here. If you have any questions, please call Passport at 1-800-578-0603 or talk to your primary care provider.

 

Kentucky Works to Make Sure all Medicaid Members Keep Their Address Current and Up to Date

KY Youth Advocates logoThe Kentucky Department for Medicaid Services (DMS) is working with Passport and other healthcare providers to make sure all Medicaid members keep their address is updated with the state.

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.

Kentucky Youth Advocates (KYA) recently posted an article on their website about this, along with instructions for members to update their address. According to the post:

  • If health coverage was secured through the Kynect website (ky.gov), the address can be changed online. Or, a member can call 1-855-459-6328 to change an address.
  • If a member applied for health coverage through DCBS, the member can call 1-855-306-8959 to change an address.
  • If a member applied for health coverage through SSI, the member can call 1-800-772-1213 to change an address.

If you have any questions about this, please contact Kynect at 1-855-459-6328 or Passport at 1-800-578-0603.

 

More Information About Making Sure Members’ Address are Kept Up-to-Date with DMS

KentuckyIn a recent post regarding a change in our DMS contracts related to ensuring members’ addresses are correct, three key facts about were missing:

  • Once a member is flagged as having a “bad” address – either because they no longer live in the same place or because the Postal Service has issues delivering their mail – we (Passport) have at least 30 days to remedy the situation.
  • If a member’s mail is returned and their address isn’t updated in time, they will be dis-enrolled from Passport (and lose all of their Passport-specific benefits), but they will NOT lose their overall Medicaid eligibility. They will remain eligible for Kentucky Medicaid, and will be in the fee-for-service (FFS) category until their address is updated.​
  • This change is ultimately a good thing for all of our members and providers, as it will ensure that our members are getting the best care possible.

If you have any questions about this, please contact Kynect at 1-855-459-6328 or Passport at 1-800-578-0603.

 

Medicaid Members Need to Make Sure their Addresses are Kept Up-to-Date with DMS

KentuckyWith the new contract that the Kentucky Department for Medicaid Services (DMS) awarded to Passport and four other MCOs, effective July 1, a new change related to ensuring members’ addresses are correct has taken effect. And it’s a change that has potentially far-reaching outcomes.

All members of the Kentucky Medicaid system must have their most recent address on file at all times with DMS. To report any address change, the members will need to contact the office where they applied for Medicaid:

  • If they applied at DCBS, they need to call 1-855-306-8959.
  • If they applied at SSI, they need to call 1-800-772-1213.
  • If they applied at Kynect (either with a kynector or directly through Kynect), they need to call 1-855-459-6328.

If the members take no action and their mail is returned, they will be dis-enrolled and lose their Passport benefits.