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The Kentucky Department for Medicaid Services (DMS) wants to make sure that all eligibile Medicaid beneficiaries keep their coverage as they go through their regular annual renewals. You may be at risk of losing Medicaid coverage if we cannot reach you or if you don’t respond to our letters. 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! And make sure to respond to all letters from Medicaid so we can help you stay covered!
Renewals are happening! Help us get the message out to Medicaid members that we need to hear from them!
DMS has created materials to raise awareness about renewals and an informational toolkit about the availability of children's health insurance and the return of annual child renewals. These materials provide an overview and helpful tips and information about enrolling in KCHIP or Medicaid.
You can download these and use them to share information!
Attention Medicaid members and partners: Please be mindful of possible scams around Medicaid renewals!
Remember, Kentucky Medicaid will contact you if additional information is needed to complete your renewal. We will not ask for banking information or credit card numbers and you will not be asked for payment to enroll or re-enroll in Medicaid or KCHIP – ever! Please review this
graphic for additional guidance on how to know if outreach is legitimate versus a potential scam.
Below are some quick steps you can take to ensure continued health coverage for yourself and your family.
Update your information in kynect!
To update your mailing address, phone number, email, and other contact information:
Visit
kynect.ky.gov
-or-
Call kynect at 855-4kynect (855) 459-6328
Please Respond!
If you received a Medicaid Renewal Packet or Request for Information please respond.
Even if circumstances have changed we still need to hear from you!
Coverage can be reinstated if you missed your due date and are still eligible.
Get free local help!
Free help with your benefit application is available.
A kynector can help you!
No longer qualify for Medicaid?
If you no longer qualify for Medicaid, you can still get help from kynect!
You may be eligible to enroll in a Qualified Health Plan with Financial Assistance to help pay for premiums, co-pays and more.
A licensed insurance agent can help you at no cost to you!
If you are no longer eligible,
-
Check with employers to see if they offer health insurance benefits.
-
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 Monthly Virtual Forums
To help support Medicaid partners, DMS holds virtual Medicaid forums. These monthly meetings to provide information about Medicaid renewals and other program updates. You can find the materials from those sessions here:
May Virtual Forum Recording
May 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.
If you have any questions for DMS that you would like for us to speak to during the upcoming monthly meeting, please submit those when registering. Thank you!
Kentucky Plans and Reports
Kentucky prioritizes transparency across all operations and progress related to renewals. The following materials include up-to-date information on renewals as they are reported to the Center for Medicare and Medicaid Services. Additional reports will be added to this section as they are available.
Most Recent CMS Monthly Data Reports
If you would like to review past plans, information, and reports from the public health emergency (PHE) unwinding, you can visit that website here: https://medicaidunwinding.ky.gov
Renewal Audiences
This information will be updated as regularly as possible, with specific actions and resources called out to support all partners through the PHE Unwinding.
If you have any questions, don't hesitate to reach out to our Call Center or kynectors directly.
For the most up-to-date information, please follow DMS on social media
Frequently Asked Questions
Below are some of the most frequently asked questions about the PHE and the Medicaid renewal process. 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).
Medicaid renewals are the processes states use to regularly make sure that individuals still meet the eligibility requirements for Medicaid benefits. This process ensures ongoing access to healthcare services for those who continue to qualify.
Taking the following steps may help you keep your Medicaid coverage:
- Update your contact information, including your address, phone number, or 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 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 and have not enrolled in Medicare benefits yet, Kentucky has knowledgeable insurance counselors who can help you understand Medicare and sign up. Please call the Kentucky State Health Insurance Program (SHIP) Hotline at 1-877-293-7447 (option #2) or call the Department for Aging and Independent Living at (502) 564-6930 and ask for a SHIP counselor.
Medicaid Provider Information
Providers are also encouraged to work with your patients to understand the Medicaid renewal process and what actions they may need to take. 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.
Under the ACA, Kentucky Medicaid is required to revalidate all providers every five years. Providers will be notified when it is time to revalidate their Kentucky Medicaid provider information via a letter from Kentucky Medicaid Program with instructions for revalidating 60 and 30 days before their revalidation deadline. Providers should not take any steps to revalidate before receiving a notification letter. Revalidations are now completed using the KY Medicaid Partner Portal Application (KY MPPA). In the KY MPPA, a provider can view the current information KY DMS has on file and make updates as needed. For more information, you can visit this
link.
Providers who fail to submit revalidation paperwork in a timely manner will have their participation in the Kentucky Medicaid Program suspended.
Community Partner Organizations
Medicaid renewals will impact individuals receiving Medicaid services and direct service workers providing those services. We ask that you leverage the communication materials included on the
Kentucky Medicaid Member page to share with your teams and audiences. Feel free to reach out to our agency to support any ongoing efforts you are undertaking!