My Rewards Account

Kentucky HEALTH has been reapproved and is scheduled to begin on April 1, 2019. Information on this website is currently being reviewed and will be updated based on the recent approval as soon as possible.  

Description: The My Rewards Account provides incentives for beneficiaries to improve their health while actively participating in the community. A My Rewards Account is an account for most adults eligible for Kentucky HEALTH.  The My Rewards Account works like a Health Spending Account. Beneficiaries accrue dollars into their My Rewards Account 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 accrue My Rewards dollars before Kentucky HEALTH begins.

  • January 1, 2018: Beneficiaries began automatically accruing 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 accrue dollars for taking their dependent child in for any of these services.

  • April 1, 2018: Beneficiaries began accruing dollars by completing online My Rewards education and training activities at

  • April 1, 2019: Beneficiaries can begin to access their My Rewards Accounts 

What's Changing?

Currently, beneficiaries' Managed Care Organizations (MCOs) cover Medicaid-approved dental and vision services. Once Kentucky HEALTH begins, some adult beneficiaries will use their My Rewards Account for non-medical vision and dental services (medical vision and dental needs will still be covered by the MCO).

Who is Impacted?

  • Income Eligible Adults
  • Income Eligible Parents and Guardians 
  • Medically Frail individuals
  • Former Foster Youth up to Age 26
  • Pregnant Women
  • Refugees

Who is Not Impacted?

  • Children
  • Medicaid beneficiaries not in Kentucky HEALTH (for example, individuals who are disabled or over age 65)
Until Kentucky HEALTH begins, all qualifying activities will be credited to an individual's My Rewards Account. Once Kentucky HEALTH begins, beneficiaries may use My Rewards dollars to pay for Medicaid-approved services that are not covered by their Managed Care Organization. For example, some adults in Kentucky HEALTH will use My Rewards dollars to pay for non-medical dental and vision services when Kentucky HEALTH begins.