Table of Contents
The Kentucky Medical Program is intended to provide medical and health-related assistance to low-income individuals and families who have no medical insurance or have inadequate medical insurance.
| Program Name | Kentucky Medicaid |
| Expanded Medicaid | Yes |
| Website | chfs.ky.gov |
| CHFS.Listens@ky.gov | |
| Phone | 855-306-8959 |
| Apply Online | Kentucky Healthy Benefit Exchange |
| Appeal a Denial | Division of Administrative Hearings |
| Find a Local Office | Local Office Search |
Eligibility Requirements
To be eligible for Kentucky Medicaid, you must be a resident of the state of Kentucky, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:*
- Pregnant
- Be responsible for a child 18 years of age or younger
- Have a disability or a family member in your household with a disability
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
| Household Size* | Maximum Income Level (Per Year) |
| 1 | $17,131 |
| 2 | $23,169 |
| 3 | $29,207 |
| 4 | $35,245 |
| 5 | $41,284 |
| 6 | $47,322 |
| 7 | $53,360 |
| 8 | $59,398 |
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
| Allergy care | Maternity services |
| Ambulance | Mental health services |
| Chiropractic | Nursing facility services |
| Dental | Occupational therapy |
| Diagnostic & radiology services | Organ transplants |
| Durable medical equipment | Orthodontics |
| Emergency room services | Pain management services |
| Family planning services | Physical therapy |
| Hearing aids | Physician office services |
| Home health services | Prescription drugs |
| Hospice | Prosthetic devices |
| Hospital services | Urgent care services |
| Immunizations | Vision |
Copayments
| Generic drug | $1 |
| Brand-name drug | $1.00 – $4.00 |
| Specialty visits | $3 |
| Physical or occupational therapy | $3 |
| Office visit | $3 |
| Laboratory, diagnostic, or X-ray service | $3 |
| Outpatient hospital service | $4 |
| Durable medical equipment | $4 |
| Outpatient surgery | $4 |
| Emergency visit for non-emergency | $8 |
| Inpatient services (hospital admission) | $50 |
The following groups do not have a copay:
- Foster children
- Children enrolled in Medicaid
- Pregnant women (includes 60-day period after pregnancy ends)
- Kentucky Medicaid beneficiaries who have reached their cost sharing limit for the quarter
- Individuals receiving hospice care
- The following services are exempt from copays:
- Emergency services
- Some family planning services
- Preventive services
Copay Limits
There is a limit on the total amount of copays you will have to pay. You will not have to pay more than 5% of your family’s income each quarter. Quarters are January-March, April-June, July-September, and October-December.
