Get Kentucky Medicaid Mco Map 9 Mco 012016

To change your managed care organization, call toll free (855) 446-1245 or (800) 635-2570 from 8 a.m. to 6 p.m. Eastern time to speak with a Medicaid services representative or go online to the kynect website. All plan changes made during open enrollment will take effect on Jan. 1, 2023.

Department for Medicaid Services - Cabinet for Health and Family Services.

Centene operates the most MCOs (33), per the KFF Medicaid Managed Care Market Tracker, and has by far the highest Medicaid enrollment (15.4 million). In PHE Q10 (2022 Q2), Centene's Medicaid enrollment accounted for nearly three-fifths of its total enrollment.

The state contracted with three health plans to manage care for beneficiaries. Three plans, Coventry Cares of Kentucky, Anthem Health Plan, and Wellcare of Kentucky are national, for-profit plans.

Medicaid contracts with the Department for Community Based Services (DCBS) to handle the application process. To apply, you can go to a DCBS office in the county where you live or call (855) 306-8959 toll-free. You also can apply online using kynect or with the help of a kynector.

There are four basic types of managed care plans that fall under the umbrella of “MCOs.”... Health Maintenance Organizations (HMOs) Preferred Provider Organizations (PPOs) Exclusive Provider Organizations (EPOs) Point-of-Service Plans (POS)

Kentucky Medicaid/KCHIP is a state and federal program. It is authorized by Title XIX of the Social Security Act. Kentucky Medicaid/KCHIP provides health coverage for eligible low-income residents.

An MCO is a health plan with a group of doctors and other providers working together to give health services to its members. Your MCO will cover all Medicaid services you get now, including doctor visits, behavioral health services, nursing facility services and “waiver” services for community-based long term care.