Even before the Kentucky Department for Medicaid Services (KDMS) approves your application for Medicaid benefits, you may qualify to get Medicaid benefits in Kentucky. After a simplified eligibility review, KDMS will expedite an individual’s access to temporary coverage for Medicaid services. This review includes an individual’s:
- Household size
- Estimated monthly income
KDMS will assign “presumptively eligible” individuals to one of the managed care plans (like Humana Healthy Horizons® in Kentucky) offering access to Medicaid coverage in Kentucky. Once enrolled in a health plan, “presumptively eligible” enrollees are encouraged to:
- Complete the full Medicaid application process before their presumptive eligibility ends
- Try out their health plan and make sure that it gives them the services and extras they want and need
- Pick a different plan, if the plan into which they were auto-assigned is not the right fit
KDMS does not force presumptively eligible enrollees to stay enrolled in the same managed care plan into which they are assigned. Instead, KDMS gives enrollees the opportunity to choose a different managed care plan.