Third-Party Liability Branch

Third-Party Liability

The Third-Party Liability unit (TPL) identifies Medicaid recipients who have other medical insurance, making Medicaid the payer of last resort.

Remember to always present your Medicaid Card and all other insurance cards each time you visit a provider or pharmacy.

Estate Recovery

When a person who received nursing home or waiver services is deceased, Medicaid will ask the estate to repay the amounts paid, on behalf of the deceased, for services. The amount recovered will not exceed the amount paid by the Medicaid program on behalf of the deceased recipient.

For more information on Estate Recovery 907 KAR 1:585

For questions regarding estate recovery while the member is still living, please contact the Eligibility Policy Branch at (502) 564-3440.

For questions regarding estate recovery when the member is deceased, please contact the Thirty-Partly Liability Branch at (502) 564-4958.

Access the Estate Recovery Fact Sheet.
Access the Estate Recovery Fact Sheet (Spanish).

KY Integrated Health Insurance Premium Payment (KI-HIPP) Program

Access the KI-HIPP webpage.

The Kentucky Integrated Health Insurance Premium Payment (KI-HIPP) program is a voluntary Medicaid program offered to Medicaid members who are covered under an Employer-Sponsored Health Insurance Plan, to help pay the employee’s portion for the cost of an Employer-Sponsored Health Insurance (ESI) plan.

Casualty Recovery

This program allows Kentucky Medicaid to recover funds on claims for Medicaid recipients for personal injuries, illness or disability for which Kentucky Medicaid has paid. These recoveries come from liable third parties.

Managed Care Organization Accident/Subrogation Claim Contact Information

Aetna Better Health:

Optum

26555 Evergreen Rd., Ste. 200

Southfield, MI 48076

Phone: (855) 606-0626
Email: submitreferrals@optum.com

Anthem:

Starting Jan. 1, 2025, Anthem will no longer be a Medicaid Managed Care Organization, or MCO, in Kentucky. This does not change a member’s Medicaid eligibility. Medicaid coverage will not be interrupted.

Humana Healthy Horizons:

Humana Subrogation

004/48120

P.O. Box 2257

Louisville, KY 40512-2257

Phone: (866) 444-1771

Fax: (920) 632-5221
Email: medicaid_subrogation@humana.com

Passport Health Plan by Molina:
Katch IQ:

P.O. Box 2249, Warminster, PA 18974

Member Toll-Free Phone: (866) 569-4685 (Operating Hours: 7:00 a.m. to 7:00 p.m. Central Time, Monday - Friday)

Attorney/TPL Carrier Phone: (888) 870-8842

Attorney/TPL Fax Number: (877) 200-0207