Who We Are
The Department for Medicaid Services (DMS) contracts with managed care organizations (MCOs) to provide coverage for most Kentucky Medicaid recipients. DMS oversees the Medicaid program including the MCOs which process claims and provide disease management, prior authorization and other services for their recipients.
All MCOs must provide the same benefits and cost-sharing. However, some offer special programs, in addition to normal Medicaid benefits. Choosing the MCO plan that best meets your needs is very important.
Important Questions to Consider When Picking an MCO
- Which plan has all or most of the doctors my family and I visit?
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Which plan has the hospitals my family and I like to use?
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Do I or any family member have a health problem that needs treatment by a specific type of doctor or specialist?
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Which MCO offers special programs that may be of interest to me and my family?
MCO Regional Breadown by County
Region 1: Ballard, Caldwell, Calloway, Carlisle, Crittenden, Fulton, Graves, Hickman, Livingston, Lyon, Marshall, McCracken
Region 2: Christian, Daviess, Hancock, Henderson, Hopkins, McLean, Muhlenberg, Ohio, Todd, Trigg, Union, Webster
Region 3: Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, Larue
Region 4: Adair, Allen, Barren, Butler, Casey, Clinton, Cumberland, Edmonson, Green, Hart, Logan, McCreary, Metcalfe, Monroe, Pulaski, Russell, Simpson, Taylor, Warren, Wayne
Region 5: Anderson, Bourbon, Boyle, Clark, Estill, Fayette, Franklin, Garrard, Harrison, Jackson, Jessamine, Lincoln, Madison, Mercer, Montgomery, Nicholas, Owen, Powell, Rockcastle, Scott, Woodford
Region 6: Boone, Campbell, Gallatin, Grant, Kenton, Pendleton
Region 7: Bath, Boyd, Bracken, Carter, Elliott, Fleming, Greenup, Lawrence, Lewis, Mason, Menifee, Morgan, Robertson, Rowan
Region 8: Bell, Breathitt, Clay, Floyd, Harlan, Johnson, Knott, Knox, Laurel, Lee, Leslie, Letcher, Magoffin, Martin, Owsley, Perry, Pike, Whitley, Wolfe