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 Member information

​​​​​MEDICAID COVID-19
INFORMATION

During the COVID-19 State of Emergency, individuals younger than 65 who need medical insurance coverage for doctors, pharmacy or hospital services should complete the Healthcare Coverage Application. This coverage is temporary and ends Dec. 31, 2020 unless you submit an application for regular Medicaid. For application help, contact an application assister through the Application Assister Web Page or call the Kentucky Healthcare Customer Service line toll free (855) 459-6328. For a listing of participating medical providers please see the Kentucky Medicaid Provider Directory. If you have questions or need more information about a participating provider, you can call toll free (800) 635-2570.

Who We are

Kentucky Medicaid is a state and federal program authorized by Title XIX of the Social Security Act to provide health care for eligible low-income residents including children, families, pregnant women, the aged and the disabled. Eligibility is determined by a number of factors, including family size, income and the federal poverty level. Eligibility for Supplemental Security Income recipients, the aged, blind and disabled are based on additional requirements.

Medicaid offers a number of programs and services directed at specific eligibility and medical needs.

If you are a Medicaid member or are interested in applying for Medicaid please visit the Medicaid Member Information portal.

If you are a Kentucky Medicaid provider or are interested in becoming a provider for Kentucky Medicaid, please visit the Medicaid Provider Information portal.

Questions?

Members

To apply for Medicaid online - kynect 
Locate or call your local office - Department for Community Based Services - (855) 306-8959
Cabinet for Health and Family Services Ombudsman - (877) 807-4027
Fraud and Abuse  - (800) 372-2970
KY Relay- 711
KCHIP - (877) 524-4718/(877) 807-4719 (TDD/TTY)
Member Services - (800) 635-2570
Medicare - (800) 633-4227
Social Security Administration - (800) 772-1213

Providers 

Online Fee For Service Provider Information - KYMMIS Provider Relations
Fee For Service Billing Questions-  DXC - (800) 807-1232
Provider Questions - (855) 824-5615
Provider Enrollment or Revalidation - (877) 838-5085
KyHealth.net assistance - KY EDI Helpdesk - (800) 205-4696
Fraud and Abuse -  (800) 372-2970 
General Questions - DMS Issues
Website Questions - CHFS DMS Webmaster
Pharmacy Questions - (800) 432-7005
Pharmacy Clinical Support Questions - (800) 477-3071
Pharmacy Prior Authorization - (800) 477-3071