An Official Website of the Commonwealth of Kentucky
Kentucky HEALTH identifies beneficiaries who qualify as Medically Frail using four key methods:
The State Systems identify individuals who receive Ryan White programs (HIV/AIDS), and Retirement Survivors and Disability Insurance (RSDI) due to disability
Managed Care Organizations (MCOs) may be able to look at a beneficiary's past medical services to screen for Medically Frail status
Providers can report that their patient may be Medically Frail to the patient's MCO. The provider may be asked to fill out the Kentucky HEALTH Medically Frail Provider Attestation form
The beneficiary can self-report that they may qualify as Medically Frail by completing the health screening questions at benefind.ky.gov
For more information about who may qualify as Medically Frail, please contact your MCO. MCO contact information is available in the button on the bottom of the page.
Individuals who qualify as Medically Frail's Medicaid benefits will NOT change. You will have coverage for:
Individuals who qualify as Medically Frail are NOT required to complete PATH Community Engagement activities.
Click here for more information on PATH Community Engagement
Premiums are OPTIONAL
There are benefits for completing Kentucky HEALTH acitivites even though they are not required for people who have an optional premium. There are no Kentucky HEALTH penalties if they do not compleete Kentucky HEALTH activities.
Click here to learn about the benefits of paying an optional premium.
Click here for more information on cost sharing.
Individuals who qualify as Medically Frail will have access to a My Rewards Account if they are paying their Kentucky HEALTH premium.
Click here for more information on My Rewards Accounts.
Individuals who qualify as Medically Frail HAVE a Deductible Account
DCBS services are administered through nine service regions and offices serving all 120 Kentucky counties. In addition, DCBS uses a network of contract officials to deliver services, such as child care. Service is enhanced through a close relationship and coordination with community partners.
Find your local DCBS office
Learn more about DCBS
Benefind: Beneficiaries can view their benefits and report changes on benefind
Citizen Connect: Beneficiaries can take courses, find volunteer opportunities, and submit their PATH Community Engagement hours on Citizen Connect
KOG: Beneficiaries should use KOG to create a Citizen Connect account
Learn more about your benefits and how you may be impacted by Kentucky HEALTH by contacting your Managed Care Organizations (MCOs)
Humana CareSource: 1-855-852-7005
Passport Health Plan: 1-800-578-0603
Kentucky Career Centers (KCC)
are community resource centers that support and promote community engagement
outcomes across Kentucky. They provide a variety of free resources to job
seekers across the Commonwealth with offices in over 60 Kentucky counties. KCCs
refer to the network or one-stop-shop Career Centers that provide employment,
training, and educational opportunities to citizens.
Find your local KCC
Learn more about KCCs
Assisters are certified to help beneficiaries understand Kentucky HEALTH eligibility and requirements, report PATH Community Engagement hours, and more. Assisters can also refer beneficiaries to local resources in communities around Kentucky
Kentucky’s Community Health Centers, also known as Federally Qualified Health Centers (FQHCs), are part of a national movement of non-profit, community-directed providers of primary care, which may include pediatrics, obstetrics and gynecology, internal medicine, dentistry, behavioral health, substance abuse treatment, and school-based health. Specialty services may also be provided as needed by their communities. Find a local Kentucky Community Health Center