An Official Website of the Commonwealth of Kentucky
Kentucky HEALTH is the Commonwealth's new program for some Medicaid recipients. It includes: Income eligible adults, Income Eligible Parents and Guardians, Medically Frail individuals, Pregnant Women, Children, and Former Foster Youth up to age 26.
Kentucky HEALTH is not for those who are:
Age 65 or Older
A resident of nursing facilities or Intermediate Care Facilities for Individuals with Developmental Disabilities
A rarticipant in breast or cervical cancer treatment program
A working disabled adult in Medicaid buy-in
A recipient of Medicare
Currently in Foster Care or receiving subsidized adoption
A Supplemental Security Insurance recipient
A recipient of home and community based services
Adult Medicaid beneficiaries 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 group. Their household income is up to 138% of the Federal Poverty Level (FPL).
Click here for more information about Income Eligible Adults
Adult Medicaid beneficiaries with a dependent child (under age 19) and a household income at or below the following amounts:
Click here for more information about Income Eligible Parents and Guardians
Adult Medicaid beneficiaries with one or more of the following:
Medicaid beneficiaries who are pregnant, or whose pregnancy has ended within the last 60 days, called the "postpartum period," may qualify as Pregnant Women.
Click here for more information about Pregnant Women.
Kentucky HEALTH beneficiaries who are under age 19 will be in the "Children" eligibility group. Their eligibility group will change on the first day of the month following their 19th birthday.
Click here for more information about Children
Click here for more information about Former Foster Youth up to age 26
Kentucky HEALTH is the Commonwealth’s new program for some adults on Medicaid. The goal of the program is to offer a customized a path for each person on the program that will lead to a better quality of life. This means some people receiving Kentucky HEALTH will need to participate in PATH Community Engagement activities to keep their medical benefits. PATH Community Engagement is the community engagement part of Kentucky HEALTH and stands for “Partnering to Advance Training and Health. Some Kentucky HEALTH beneficiaries will need to complete up to 80 hours of PATH Community Engagement to maintain their health benefits. PATH Community Engagement can include:
The My Rewards Account is a health savings account some Kentucky HEALTH beneficiaries will use to pay for some vision and dental services.
Click here to learn more about a My Rewards Account
Some Medicaid beneficiaries will pay premiums or copays. Kentucky HEALTH beneficiaries have monthly household premiums that range from $1 to $15, depending on household income
Click here to learn more about Cost Sharing
Kentucky Integrated- Health Insurance Premium Payment (KI-HIPP) program establishes a way for the Commonwealth to help individuals pay the medical benefits offered by their job, also known as an employer sponsored insurance (ESI) plan.
Click here to learn more about KI-HIPP
Click here to learn more about Avoiding and Ending Penlaties