My Rewards Account

Description: The My Rewards Account (MRA) provides incentives for beneficiaries to improve their health while actively participating in the community. A MRA is an account for most adults eligible for Kentucky HEALTH.  The MRA works like a Health Spending Account. Beneficiaries earn dollars into their MRA by completing qualifying activities. Half of any unused Deductible Account funds may go into a beneficiary's My Rewards Account at the end of the year.

Timing: People who are on Medicaid now and are eligible for Kentucky HEALTH may earn My Rewards dollars before Kentucky HEALTH begins.

  • January 1, 2018: Beneficiaries may automatically earn dollars by getting preventive health services. This includes things like getting a physical check-up, comprehensive preventive dental exam, or comprehensive vision exam. Beneficiaries may also earn dollars for taking their dependent child in for any of these services.
  • April 1, 2018: Beneficiaries may begin to earn dollars by completing online My Rewards education and training activities at
  • July 1, 2018: Kentucky HEALTH benefits begin. Beneficiaries earn dollars for all qualifying activities, and may use the dollars in their My Rewards Account to pay for non-medical dental and vision services.

What's Changing?

Medicaid Expansion adults may use their My Rewards Account for non-medical vision and dental services (medical vision and dental needs are still covered by MCO).

Who is Impacted?

  • Medicaid Expansion adults
  • Parents/caretaker relatives
  • Medically frail individuals
  • Former foster youth up to age 26
  • Pregnant women

Who is Not Impacted?

  • Children
  • Medicaid beneficiaries not in Kentucky HEALTH (for example, individuals who are disabled or over age 65)