Overview Medicaid recipients in 84 counties are required to enroll in KenPAC, which is a PCCM program. Specialists may serve as PCPs as long as they agree to meet all of the PCP requirements. If a specialist is unable to serve as the PCP, the PCP can develop a standing referral to the specialist if the PCP determines ongoing specialty care is warranted. By the fall of 2000, KenPAC may be an option for all Medicaid recipients. The PCP may be a specialist or the PCP may develop a standing referral to a specialist if that level of care is warranted.
Benefits See benefits chart above.
The Health Partnership Program Overview Kentucky received an 1115 waiver to regionally implement the Health Partnership Program, a capitated program. Partnerships were implemented in its 2 most populated regions that include Louisville and Lexington. Networks of providers formed the partnerships to provide services to Medicaid recipients for a capitated monthly fee. The state halted implementation of the Partnership program in the winter of 1999 in part due to difficulties forming provider networks in rural regions. The state also believes that greater savings can be realized by enrolling Medicaid recipients with HMOs.