MCO Resources

KHA continues to work tirelessly on behalf of all Kentucky hospitals to resolve ongoing issues with the state's Medicaid managed care organizations (MCOs). Use the information below to stay informed on the Association's advocacy activities.

Resources and Information

• Appeals Tracking Template
• Behavioral Health Medical Necessity Criteria Webinar
  • Presentation
  • ASAM Scoring Guide
  • CASII Worksheet
  • LOCUS Worksheet
• Complaint Form
• Denial Flow Chart
• Department for Medicaid Services
• External Review Regulation Text
• MCO Report Card 2016
  Published July 2017
• Senate Bill 20 (External Review) PowerPoint Presentation
  March 2017

Monthly Meetings

KHA hosts meetings monthly for hospitals and MCO representatives to help resolve ongoing issues. Recordings of past meetings are below.

• Issue Logs & Recordings 

Kentucky's MCOs

• Aetna Better Health of Kentucky
  • Website
• Anthem
  • Website
• Humana CareSource
  • Website
• Passport Health Plan
  • Website
• WellCare of Kentucky
  • Website