During the COVID-19 Public Health Emergency (PHE), the Kentucky Department for Medicaid Services (DMS) made sure that all Medicaid beneficiaries kept their coverage. But DMS has restarted annual renewals for Medicaid members. You may be at risk of losing Medicaid coverage if we cannot reach you. You should update your contact information as soon as possible and keep it updated so Kentucky Medicaid is able to reach you when it is your time to renew!
To update your mailing address, phone number, email, and other contact information:
If you are no longer are eligible,
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Check with employers to see if they offer health insurance benefits.
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Enroll in a Qualified Health Plan (QHP) through kynect! You may be eligible for Advance Premium Tax Credit (APTC) to help with premiums and out of pocket costs.
Medicaid renewals resumed in May, but the PHE is still in effect and therefore all the flexibilities that were put in place for providers and members remain in place. When the PHE ended on May 11, 2023, some of these flexibilities were discontinued (or unwound) and some continued based on state policy changes. Information on the impact to providers and community organizations is included below.
Medicaid Monthly Virtual Forums
To help support Medicaid partners, DMS is holding Medicaid Monthly Virtual Forums. These monthly forums are to provide information about the PHE Unwinding and Medicaid renewals. You can find the materials from those sessions here:
December Virtual Forum Recording
December Presentation Slides
Please join us on Zoom for the Medicaid Monthly Virtual Forum every third Thursday at 11:00 am ET.
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You can register for the next one through this
registration link.
Kentucky PHE Plans and Reports
Frequently Asked Questions
Below are some of the most frequently asked questions about the PHE and the Medicaid renewal process. In addition, the
KY Unwinding Partner FAQ document provides further detail. It may be helpful to take a moment to review these questions before calling the kynect helpline for assistance. If you do not see an answer to your question, please call the helpline at 855-4kynect (855-459-6328).
At the beginning of the COVID-19 pandemic, the federal government declared a Public Health Emergency (PHE). During the PHE, Medicaid agencies were required to continue health care coverage for members, even if their eligibility changed, they failed to update their account information or did not submit the required paperwork.
The PHE ended on May 11, 2023. Based on a federal law , Kentucky began annual renewals in April 2023 and will continue renewals over 12 months.
For detailed information about the flexibilities that will unwind at the end of the PHE check out CMS'
fact sheets.
All Medicaid members will go through a renewal of their eligibility for Medicaid. These renewals began in May of 2023 and will continue through April of 2024. Those who are determined to be eligible will continue to receive Medicaid coverage. Those who are determined to be ineligible for coverage will be removed from Medicaid and connected to alternative coverage options in the state.
If your account information is not current in kynect, your Medicaid coverage could be at risk so make sure to update it by visiting
kynect.ky.gov or calling Kynect at 855-4kynect (855-459-6328).
Members will receive a notice about 90 days before their renewal date. If your information is correct in kynect, you do not need to take any action until you are contacted about your renewal.
Taking the following steps may help you keep your Medicaid coverage:
- Update your contact information, including your address, phone number and email at
kynect.ky.gov or by calling 855-4kynect (855-459-6328)
- Answer all requests for information if you get a letter from Kentucky Medicaid
- Report changes to your household to kynect, including if someone becomes pregnant, someone moves in or out of your home, changes to income, or anything else that may impact your Medicaid eligibility
Losing health coverage, including Medicaid coverage, is a Qualifying Life Event (QLE), which allows an individual to enroll in a kynect plan outside of the Open Enrollment Period. Consider your health care needs and plan in case your Medicaid coverage ends. kynect offers Qualified Health Plans (QHPs) that are designed to be affordable, quality coverage. Payment assistance is available to those who qualify.
Visit
kynect.ky.gov or call kynect at 855-4kynect (855-459-6328) to see all your options. There are people in your community who can help, too. Find a local Department for Community Based Services office by visiting
Find a DCBS Office, or a kynector or licensed insurance agent at
Find kynectors.
Kentucky is focused on ensuring all applications received during the PHE are processed; those self-attested enrollments are verified; that members are renewed or redetermined appropriately and providers are up to date as credentialed Medicaid providers. Find relevant resources below for you and your organization to stay on top of the changes and make sure you are taking any steps necessary as the PHE unwinds or as renewals start!
Medicaid Member Information
The most important step to take now is to make sure your address is up-to-date in
kynect. Updating your contact information on file (email, home address) will ensure timely updates and help keep your coverage. Opt in for email/SMS nudges for immediate alerts.
You will be notified of your renewal date when it is about 60 days away – keep an eye out for any communications from Medicaid to stay on top of changes. The
KY PHE Renewal Pathways Brief outlines potential timelines for renewals and shows examples of notices you may receive in the mail when it is your time to renew. You can also find your renewal date by looking in kynect and following
these instructions.
If you receive a Renewal Packet for a Request for Information, please be sure to respond! Even if your circumstances have changed, we need to hear from you and you must act to maintain coverage.
If you lose Medicaid coverage, don't worry. There are many alternative options and you will be given next steps to enroll. Check out the Qualified Health Plan and
other options that may be available to you.
Individuals who have turned 65 since January 2020 and have not enrolled in Medicare benefits yet, check out this
resource and enroll in Medicare today during a Special Enrollment Period.
Medicaid Provider Information
To stay up to date on the changes that are coming, please review the
PHE Flexibilities Provider Information Brief.
Providers are also encouraged to work with your patients to understand the Medicaid renewal process and what actions they may need to take. The Provider Renewals Guidance Document outlines information that you can share to support your patients through Medicaid renewals. To help support your members, providers can access member renewal data in KYHealthNet. Check out this resource to learn how to access your patient's renewal date information.
Check out this
flier we shared for providers to keep on hand for patients or post in their offices! Also, available in Spanish.
Also, DMS is required to bring providers in compliance with the revalidation requirement once the PHE is lifted. If you are a provider whose revalidation due date occurred during the PHE and as a result did not submit a revalidation to Kentucky Medicaid, we now encourage you to complete and submit a revalidation. This will allow Kentucky Medicaid to review and process your revalidation in a timely manner and in accordance with federal guidance.
Failure to submit a maintenance application to remain enrolled in Kentucky Medicaid beyond the PHE will result in your enrollment ending and prevention from billing to Kentucky Medicaid, so act now.
Please see the KY Medicaid Revalidation Newsletter to learn more about provider validations.
Waiver Participant and Provider Information
During the PHE, Kentucky implemented changes to waiver policies through Appendix K flexibilities. The Centers for Medicare and Medicaid Services (CMS) approved all six 1915(c) Home and Community-Based Services (HCBS) waiver applications with an effective date of May 1, 2024. This means
any Appendix K policy not included permanently in the amended waiver applications ends on May 1, 2024.
To help partners understand which policies will end and which will continue, we recorded two webinars. One webinar is for waiver providers. The other is for waiver participants.
- Implementing Appendix K Flexibilities for Providers.
- Implementing Appendix K Flexibilities for Participants.
In addition to the resources about waivers, nursing facilities and intermediate care facility providers can access the Medicaid Renewal Report in KLOCS to support members through their renewals. Please see
the KLOCS Provider Medicaid Renewal Report Quick Reference Guide to learn how to access a report of Medicaid Eligible Individuals who are due for renewal.
DMS will be continually updating the
COVID-19 and Appendix K FAQ. If you have general questions or comments about Appendix K, please email those to
MedicaidPublicComment@ky.gov. If you have case- or situation-specific questions, please contact the 1915(c) Waiver Help Desk at (844) 784-5614 or
1915cWaiverHelpDesk@ky.gov.
Community Partner Organizations
The PHE Unwinding will impact individuals receiving Medicaid services and direct service workers providing those services. We ask that you stay up to date on any of the upcoming PHE Unwinding changes that will impact these groups.
Please also feel free to leverage the communication materials included on this page to share with your teams and audiences. Feel free to reach out to our agency to support any ongoing efforts you are undertaking!
CHFS Agencies
Multiple internal resources will be available for our Medicaid team. There will be a DMS SharePoint that you can use to access materials and information for various audiences about upcoming changes. This will be coming soon!