Kentucky Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
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PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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FAQ

Apply for Medicaid Apply for traditional Medicaid only by calling the Kentucky Healthcare Customer Service line toll-free at (855) 459-6328 or contacting an application assister through the Kentucky Health Benefit Exchange website.

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Depending on how much your income goes up, your Medicaid may continue, unchanged. If you got Supplemental Security Income (SSI) before you started earning more, you can usually keep Medicaid thanks to SSI's 1619(b) rule. If your employer offers it, you may be able to get employer-sponsored coverage.

Who is eligible for Kentucky Medical Program (KMP)? Household Size*Maximum Income Level (Per Year)2$26,2283$33,0644$39,9005$46,7374 more rows

Presumptive eligibility may be granted to a pregnant woman who: Is a Kentucky resident; Meets income guidelines in 907 KAR 0; Does not have a current pending Medicaid application on file with the Department for Community Based Services (DCBS)

?While the income limit is quite low, SSI recipients are automatically eligible for Regular Medicaid. In 2023, this means an individual can have income up to $914 / month, and a couple, up to $1,371 / month. The asset limit remains $2,000 for an individual, but is $3,000 for a couple.

LOUISVILLE, KY, Oct. 4, 2023 ? Aetna Better Health of Kentucky, a CVS Health® company (NYSE: CVS ), is the only Kentucky Medicaid plan to receive a rating of 4 out of 5 in NCQA's Health Plan Ratings 2023: Medicaid.

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Kentucky Application for Presumptive Eligibility for Medicaid