Kentucky has not implemented any statewide patient-centered medical home programs, although in 2011, the State required all Medicaid beneficiaries be enrolled in a Managed Care Program and all contracted insurers require their members be connected with a primary care provider and/or medical home. Medicaid contracted with three new managed care organizations (MCOs) to coordinate health care for most Medicaid members, beginning Nov. 1, 2011. Those MCOs are: CoventryCares of Kentucky, Kentucky Spirit Health Plan and WellCare of Kentucky. Beginning Jan. 1, 2013, four MCOs have also been awarded contracts to provide coverage for the 175,000 Medicaid recipients in Louisville and 15 surrounding counties, also known as Region 3. Those MCOs are: Coventry Cares, Humana, Passport and Wellcare of Kentucky.

Kentucky counties of Boone, Campbell, Grant, and Kenton are included in the CMS Comprehensive Primary Care (CPC) initiative in the Cincinnati-Dayton Region.


Primary Care Innovations and PCMH Activity

Dual Eligible 2703 SPA CPC CPC+ PCMH QHP PCMH Legislation Private Payer

Public Payer Programs

State Facts:

Uninsured Population:
Total Medicaid Spending FY 2013: 
$5.8 Billion 
Overweight/Obese Adults:
Poor Mental Health among Adults: 
Medicaid Expansion: 

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