Skip to main navigation Skip to main content

Important Kentucky Health Update

Kentucky Medicaid Program – Update to Public Notice of SPA 18-001 – now titled Adult Group 07 2018 Alternative Benefit Plan

In accordance with 42 CFR 440.386, the Cabinet for Health and Family Services (CHFS), Department for Medicaid Services (DMS) announces its intent to amend a previously filed state plan amendment with the Centers for Medicare and Medicaid Services (CMS) no later than July 1, 2018, establishing the Kentucky Medicaid Program's alternative benefit plan (ABP).  The alternative benefit plan is the plan which establishes the health care benefits and services that will be available to eligible individuals effective July 1, 2018.  The initial state plan amendment was filed with CMS on April 20, 2018.  This revision was submitted in response to and in compliance with Civil Action No. 18-152, which was entered yesterday.

The benefit plan includes services and benefits that will be available for the Adult eligibility group (Adult Group 07 2018).

The Adult eligibility group includes individuals in what is known as the "Medicaid expansion group." This group will include adults who meet ALL of the following conditions:

  • The adult is age 19 through 64;
  • The adult is not pregnant;
  • The adult is not otherwise eligible for Medicaid benefits; AND
  • The adult has income under 138% of the federal poverty level.

The benefit plan will apply for the Adult group, beginning July 1, 2018

Until July 1, 2018, existing Medicaid recipients will continue to be eligible for services and benefits as currently established in the Kentucky Medicaid Program State Plan.

In making this public announcement, DMS is updating its previously submitted alternative benefit plan and soliciting public comment regarding the plan. Instructions on how to submit comments are stated at the bottom of this notice.


No new services have been added.

For a comprehensive list of services and more details please access the DMS member Information website.

Notice: Per the Centers for Medicare and Medicaid Services, public notices will be available to the public for three years.