Based on a June 29, 2018 legal decision, changes to Medicaid under Kentucky HEALTH did
begin on July 1, 2018 as planned. Please click here for more resources and information about how this impacts Medicaid in Kentucky.
Kentucky HEALTH is not a one-size-fits-all program. The Kentucky HEALTH program has several parts. If you are enrolled in Kentucky HEALTH, some parts of the program will be required, optional, or not applicable to you.
Learn more about which parts of Kentucky HEALTH may be required, optional, or not applicable to you by answering a few questions in the Kentucky HEALTH Eligibility Finder. Click here to use the Eligibility Finder:
Kentucky HEALTH IS for:
- Income-eligible Adults: Adult Medicaid recipients who qualify for Medicaid based on income (and not based on health status like pregnancy or disability). People in this group do not qualify for any of the other Kentucky HEALTH eligibility groups and their household income is up to 138% of the Federal Poverty Level (FPL).
- Income-eligible Parents/Guardians: Adult Medicaid recipients with a dependent child (under age 18) and a household income at or below the following amounts:
- Pregnant Women: Medicaid recipients who are pregnant, or whose pregnancy has ended within the last 60 days (called the ‘postpartum period’)
- Children up to age 19: Medicaid or Kentucky Children’s Health Insurance Program (KCHIP) recipients under age 19.
- Medically Frail Adults: Medicaid recipients with one or more of the following:
- Chronic substance use disorder
- Diagnosed with HIV/AIDS
- Eligible for Social Security Disability Insurance (SSDI)
- Chronic homelessness
- Serious and complex medical condition
- Significant difficulty performing activities of daily living, like eating and getting dressed
- Disabling mental health diagnosis
- Former Foster Youth up to age 26: Medicaid recipients are under age 26 now and who had Medicaid and were in foster care when they turned 18 years old.
Kentucky HEALTH is NOT for:
- People on Medicare
- Medicaid recipients who are elderly (age 65 or older), blind and/or disabled
- Residents of nursing facilities, Intermediate care, and MR facilities
- Children in foster care or receiving subsidized adoption
- Women in the Breast and Cervical Cancer Treatment Program
- Supplemental Security Income recipients
- Working disabled adults in the Medicaid buy-in program
- Recipients of Home and Community Based Services Waivers
- Home and Community Based Waiver - 1915 (c)
- Michelle P Waiver - 1915 (c)
- Acquired Brain Injury - 1915 (c)
- Acquired Brain Injury, Long Term Care - 1915 (c)
- Model Waiver II - 1915 (c)
- Supports for Community Living - 1915 (c)