Kentucky Medicaid Eligibility

This page provides general guidelines for the Kentucky Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Kentucky Cabinet for Health Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Kentucky Medicaid office.


Kentucky Medicaid Overview

The Medicaid program is a federal and state funded program that serves needy individuals and families who meet financial and other eligibility requirements and certain other individuals who lack adequate resources to pay for medical care.


Kentucky Medicaid Eligibility Requirements - Non Income

Enrollees must be U.S. citizens or qualified aliens and residents of Kentucky.


Documents Needed For Kentucky Medicaid Application


Kentucky Medicaid Benefits

Some of services include care (inpatient and outpatient), nursing home care, physician services, laboratory and x-ray services, immunizations and other early and periodic screening, diagnostic, and treatment (EPSDT) services for children, health center (FQHC) and rural health clinic (RHC) services, nurse midwife and nurse practitioner services. Benefits also include chiropractor, dental, durable medical equipment (DME), family planning, hearing, hospice, medical transportation organ transplant, pharmacy, podiatry, renal dialysis and vision.


Kentucky Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Kentucky Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 195%
Age 1-5: 159%
Age 6-18: 159%
213% Medicaid: 195%
CHIP: N/A
133% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $1,896
Age 1-5: $1,546
Age 6-18: $1,546
$2,071 Medicaid: N/A
CHIP: N/A
$1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,556
Age 1-5: $2,084
Age 6-18: $2,084
$2,792 Medicaid: $2,556
CHIP: N/A
$1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,216
Age 1-5: $2,622
Age 6-18: $2,622
$3,513 Medicaid: $3,216
CHIP: N/A
$2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,876
Age 1-5: $3,160
Age 6-18: $3,160
$4,233 Medicaid: $3,876
CHIP: N/A
$2,643 $2,643