Kentucky

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

Program Name	Payer Type	Coverage Area	Parent Program	Outcomes
Owensboro Medical Health System Medical Neighborhood Demonstration - Kentucky	Grant	Owensboro	CMS Health Care Innovation Award - PCMN Demonstration

Private Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program
Enhanced Personal Health Care Program - Kentucky	Commercial	Statewide	Anthem - Enhanced Personal Health Care
Humana medical home program - Bullitt County Family Practitioners	Commercial	Lebanon Junction	Humana Medical Home Program
Humana medical home program - Family Practice Associates of Lexington	Commercial	Lexington	Humana Medical Home Program
Humana-Norton Healthcare Accountable Care Organization	Commercial