The changes to Medicaid over the past several years are documented in contracts, court documents, state notices and research. In order to have a common and searchable repository, we’ve collected them here. If you don’t find what you’re looking for, reach out to us.
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Assessment of Medicaid Beneficiaries Included in Community Engagement Requirements in Kentucky
July 17, 2019
The first report from the University of Pennsylvania researchers responsible for evaluating Kentucky's 1115 Medicaid waiver. This looked specifically at who would be required to meet the "Community Engagement" monthly reporting in order to keep their health coverage in Kentucky using both 9,400 phone interviews and state administrative Medicaid data.
Beshear Executive Order 2019-005
December 16, 2019
The executive order signed by Governor Beshear that rescinded Governor Bevin's Executive Order 2018-040, which would have ended Kentucky's Medicaid expansion in the event of a final ruling striking down Kentucky's 1115 Medicaid waiver.
Common Kentucky Medicaid Terms
A glossary of terms related to Medicaid in Kentucky.
Bevin Executive Order 2018-040
January 12, 2018
An executive order signed by Governor Bevin to end Kentucky's Medicaid expansion in the event of a final adverse court ruling on Kentucky's 1115 Medicaid waiver.
Budget Overview for KY DMS (August 2018)
August 30, 2019
Presentation on the Kentucky Medicaid budgets by the Secretary of the Cabinet for Health and Family Services to the Interim Joint Budget Review Subcommittee on Human Resources.
Budget Overview for KY DMS (February 2018)
February 7, 2018
Commissioner of the Kentucky Department of Medicaid Services presentation to the House Budget Review Subcommittee on Human Resources.
Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance
August 8, 2016
A follow-up study from Dr. Benjamin Sommers' 2015 comparison of Medicaid-expansion-eligible adults in Kentucky and Arkansas (which expanded Medicaid) compared to those in Texas (which did not). The article was published in JAMA International Medicine.
CMS Completeness Letter
September 8, 2016
The Centers for Medicare and Medicaid Services’ acceptance of the Kentucky HEALTH proposal as a complete application.
CMS Extension of Federal Comment Period
October 19, 2016
The Centers for Medicare and Medicaid Services’ acknowledgement of the high level of interest in Kentucky’s 1115 waiver and subsequent decision to review and consider all comments received prior to rendering a final decision.
Contract with National Opinion Research Center
February 2, 2018
A contract with the National Opinion Research Center (NORC) at the University of Chicago from the Kentucky Department for Medicaid Services. It includes $2.5 million to assist with the evaluation of the 1115 Medicaid waiver.
Contract with the Cabinet for Education and Workforce Development (January 2018)
January 8, 2018
A contract modification for $800,000 with the Education and Workforce Development cabinet to provide reimbursements to Local Workforce Development Boards for activities related to the 1115 Medicaid waiver.
Contract with the Cabinet for Education and Workforce Development (June 2018)
June 14, 2018
A memorandum of agreement with the Cabinet for Workforce Investment from the Kentucky Department for Medicaid Services. Includes $42 million to assist with the implementation of the 1115 Medicaid waiver.
Contract with the Cabinet for Education and Workforce Development (October 2017)
October 17, 2017
A contract modification with the Education and Workforce Development Cabinet to provide support services related to the administration of the 1115 Medicaid waiver.
Contract with the Commonwealth Office of Technology
June 13, 2018
A memorandum of agreement with the Commonwealth Office of Technology from the Kentucky Department for Medicaid Services. Includes $76,245 to support testing and validation of online systems for 1115 waiver.
Contract with the University of Kentucky
June 28, 2017 A contract with the University of Kentucky from the Kentucky Department for Medicaid Services. It includes $1.8 million for research and analysis of the 1115 Medicaid waiver.
Contract with the University of Pennsylvania
August 7, 2017
A contract with the University of Pennsylvania from the Kentucky Department for Medicaid Services. It includes $879,614 to evaluate the 1115 Medicaid waiver.
Copay FAQ for Medicaid Beneficiaries
November 1, 2018
A frequently asked questions document for Medicaid beneficiaries about the 2019 policy to charge copays for many services.
Copay FAQ for Medicaid Providers
November 1, 2018
A frequently asked questions document for health care providers who accept Medicaid on a 2019 requirement that Medicaid beneficiaries pay a copay on many services.
Demonstration Application: Proposed Modifications (2017)
July 3, 2017
Modification request for the 1115 Waiver from the Office of the Governor of Kentucky.
Final Report: Study of the Impact of the ACA Implementation in Kentucky
February 2017
A review of the first three years of Medicaid expansion and other ACA related health care reforms in Kentucky - specifically related to health insurance coverage, access, cost, quality and health outcomes. This report was prepared by the State Health Access Data Assistance Center at the University of Minnesota for the Foundation for a Healthy Kentucky.
First Kentucky HEALTH Approval Letter
January 12, 2018
The Centers for Medicare and Medicaid Services’ initial approval of Kentucky’s waiver request and outline of the special terms and conditions of its implementation.
Implications of a Medicaid Work Requirement: National Estimates of Potential Coverage Losses
June 2018
An issue brief from the Kaiser Family Foundation that estimates national coverage losses in Medicaid if requirements similar to those in Kentucky's 1115 waiver were implemented nation-wide.
Implications of Work Requirements in Medicaid: What Does the Data Say?
June 2018
An issue brief from the Kaiser Family Foundation on how Medicaid work requirements like those in Kentucky would be harmful to many, including those already working.
Initial Kentucky 1115 Waiver Request (2016)
August 24, 2016
The Initial complete request for a Section 1115 demonstration waiver from the Office of the Governor of Kentucky.
Kentucky HEALTH SUD Implementation Protocol Approval
October 5, 2018
The Centers for Medicare and Medicaid Services’ approval of the Substance Use Disorder Implementation Protocol.
Kentucky Medicaid Work Requirements: What Are the Coverage Risks for Working Enrollees?
August 2018
An Urban Institute report on how Kentucky's 1115 Medicaid waiver would affect working Kentuckians currently covered by Medicaid, some of whom would lose coverage and either find coverage elsewhere or go uninsured.
Kentucky Voices for Health Comments on the Kentucky Department for Medicaid Services Proposed Section 1115 Demonstration Waiver
August 17, 2018
Comments from Kentucky Voices for Health on why Kentucky's proposed 1115 waiver would be harmful in a broad range of ways.
Kentucky’s Barriers to Coverage Work Against the Objective of Medicaid
August 16, 2018
Research brief from the Kentucky Center for Economic Policy submitted as comments to Kentucky's 1115 Medicaid waiver. It analyzes the proposed changes in light of whether or not it supports the primary Medicaid goal of furnishing medical assistance.
List of 2016 Public Comments on Kentucky’s 1115 Medicaid Waiver
October 8, 2016
A list of the comments submitted on Kentucky's 1115 Medicaid Waiver in the first federal comment period. A total of 1,804 comments were submitted during this period.
List of 2017 Public Comments on Kentucky’s 1115 Medicaid Waiver
August 2, 2017
A list of the comments submitted on Kentucky's 1115 Medicaid Waiver in the second federal comment period. A total of 1,273 comments were submitted during this period.
List of 2018 Public Comments on Kentucky’s 1115 Medicaid Waiver
August 18, 2018
A list of the comments submitted on Kentucky's 1115 Medicaid Waiver in the third federal comment period. A total of 11,561 comments were submitted during this period.
Mandatory Co-pay Reversal Regulation
March 13, 2020
An emergency regulation that eliminated co-pays for most Medicaid members.
Many Kentucky Workers Have Gained Insurance through the Medicaid Expansion and Are Now at Risk
December 8, 2016
A brief from the Kentucky Center for Economic Policy on the top industries whose workers gained coverage after Medicaid expansion in Kentucky.
Medicaid in Kentucky Fact Sheet
November 2018
An overview of key facts about Medicaid in Kentucky from the Kaiser Family Foundation.
Medicaid Work Requirements Can’t Be Fixed
January 10, 2019
A report by the Center on Budget and Policy Priorities on the ways people covered by Medicaid would likely lose coverage under a work requirement, even though they are exempt from the requirement to begin with.
Memorandum of Agreement with the National Opinion Research Center
June 21, 2018
A memorandum of agreement with the National Opinion Research Center from the Kentucky Department for Medicaid Services. Includes $4.5 million to assist with the evaluation of the 1115 Medicaid waiver.
Memorandum of Agreement with the University of Kentucky
June 21, 2018
A memorandum of agreement with the University of Kentucky from the Kentucky Department for Medicaid Services. It includes $2.9 million for research and analysis of the 1115 Medicaid waiver.
Memorandum of Agreement with the University of Pennsylvania for “MyRewards” Evaluation
June 25, 2018
A memorandum of agreement with the University of Pennsylvania from the Kentucky Department for Medicaid Services. It includes $1.8 million to analyze the “MyRewards” portion of the 1115 Medicaid waiver.
Policy Basics: Introduction to Medicaid
August 16, 2016
An overview of the Medicaid program by the Center on Budget and Policy Priorities.
Public Notice of a State Plan Amendment to Cover Methadone Treatment Through Medicaid
December 13, 2018
A public notice that the Cabinet for Health and Family Services will submit a State Plan Amendment that will allow the state Medicaid program to cover Methadone as an accepted substance use disorder treatment.
Public Notice of a State Plan Amendment to Make Changes Aligning with the 1115 Waiver
March 22, 2019
A notice from the Cabinet for Health and Family Services of its intent to submit a State Plan Amendment that would create a new benefit plan called the "Alternative Benefit Plan." This plan is intended to serve as the suite of benefits and requirements as outlined in the 1115 Medicaid waver.
Purchase Order Modification with the Office of Kentucky Health Benefit Exchange
June 30, 2017
A contract from the Kentucky Department of Medicaid Services and the Office of the Kentucky Health Benefits Exchange to help facilitate the transfer of Medicaid and KCHIP enrollment from Kynect and to transfer Qualified Health Plans to the Federally Facilitated Marketplace program.
Second Kentucky HEALTH Approval Letter
January 12, 2018
The Centers for Medicare and Medicaid Services’ second approval of Kentucky’s waiver request and outline of the special terms and conditions of its implementation, following the court’s order to vacate the original approval.
State 1115 Waiver Acceptance Letter
December 12, 2018
Acceptance of the Centers for Medicare and Medicaid Services’ approval of Kentucky HEALTH.
State Fiscal Year 2018 Department for Medicaid Services Spending
May 8, 2019
Contract and non-contract spending by the Kentucky Department for Medicaid Services from Transparency.ky.gov for state fiscal year 2018.
State Medicaid Director Letter: Budget Neutrality Policies for Section 1115(a) Medicaid Demonstration Projects
August 22, 2018
This letter describes the Centers for Medicare & Medicaid Services’ (CMS) current policies related to budget neutrality for Medicaid demonstration projects authorized under section 1115(a) of the Social Security Act and is intended to give states and interested parties insight into CMS’s decision-making process.
State Medicaid Director Letter: Opportunities to Promote Work and Community Engagement Among Medicaid Beneficiaries
January 11, 2018
Letter from the Centers for Medicare and Medicaid Services announcing new policy of approving work and community engagement requirements.
Stewart v Azar First Court Ruling (June 2018)
June 29, 2018
The initial court ruling from Judge James Boasberg, halting the implementation of Kentucky's 1115 Medicaid waiver and remanding it back to HHS for further review.
Stewart v Azar First Oral Arguments (June 2018)
June 15, 2018
Transcript of the initial oral arguments in Stewart v Azar. It was called "Stewart v Hargan" at this point because Alex Azar had not yet won Senate approval as Secretary for the Department of Health and Human Services.
Stewart v Azar Second Court Ruling (March 2019)
March 27, 2019
The second court ruling from Judge James Boasberg, vacating Kentucky's 1115 Medicaid waiver in full and remanding it back to the U.S. Department for Health and Human Services.
Stewart v Azar Second Oral Arguments (March 2019)
March 14, 2019
Transcript of the second oral arguments in D.C. District Court in Stewart v Azar.
The Impact Of State Policies On ACA Applications And Enrollment Among Low-Income Adults In Arkansas, Kentucky, And Texas.
June 2015
A research article by Dr. Benjamin Sommers of the Harvard School of Public Health comparing various health utilization and outcome measures between Kentucky and Arkansas (which did expand Medicaid) and Texas (which did not expand Medicaid). It was published in Health Affairs.
The Nature of Work and the Social Safety Net
July 2018
An Urban Institute report that examines the relationship between work and various safety net programs, including Medicaid.
Three-Year Impacts of the Affordable Care Act: Improved Medical Care and Health Among Low-Income Adults
May 17, 2017
A synopsis of the third study by Dr. Benjamin Sommers of the Harvard School of Public Health comparing the medical care among low-income adults in Kentucky and Arkansas (which expanded Medicaid) compared to those in Texas (which did not expand Medicaid). This synopsis is by Dr. Sommers and is from the Commonwealth Fund.
Updated Estimates of the Effects of Medicaid Work Requirements in Kentucky
January 8, 2019
A brief by researchers from George Washington University's Milken Institute School of Public Health estimating the coverage losses resulting from the work requirements alone under Kentucky's 1115 Medicaid waiver.
Who Could Be Affected by Kentucky’s Medicaid Work Requirements, and What Do We Know about Them?
March 2018
An Urban Institute analysis of Kentucky's 1115 Medicaid waiver and how it affects Kentuckians in various circumstances. It also estimates how many Kentucky Medicaid enrollees would and would not be exempt from the requirements.
