Kentucky Medicaid Plan Lookup Tools

Raws li ib tus tswv cuab ntawm UnitedHealthcare Community Plan, ib qho ntawm yam ua ntej tshaj plaws uas koj yuav tsum tau ua yog los xaiv ib tus Kws Kho Mob Xub Thawj (Primary Care Provider (PCP)). Koj tus PCP yuav muab thiab tswj xyuas tag nrho koj cov kev kho mob, suav nrog kev xa mus rau cov kws kho mob tshwj xeeb. Yog tias koj xav tau kev saib xyuas tshwj xeeb uas koj tus PCP muab tsis tau, nws yuav pab koj nrhiav tus kws kho mob tshwj xeeb. If you do not choose a PCP, we will select one for you, which you can change later.

In addition one of our behavioral health providers will take care of your mental health and drug and alcohol treatment needs. If you need counseling, testing or need to see a behavioral health specialist, we will coordinate your behavioral health care needs.

Please feel free to call our Member Services line, at 1-866-293-1796 (TTY: 711) and we will be happy to help you find or change your PCP.

To find a PCP or a Specialist in our network, please visit these online directories for complete information, including names, addresses, specialties, new patient’s availability and languages spoken. If you would like us to provide you with a printed version at no cost, please call us, at 1-866-293-1796 (TTY: 711).

Kev Kho Mob Xwm Txheej Kub Ntxhov Ceev thiab Mob Sai Sai

Daim Ntawv Teev Kev Kho Mob Xwm Ceev thiab Saib Xyuas Ceev yuav qhia koj tias qhov xwm txheej ceev tiag tiag yog dab tsi thiab muab cov npe ntawm ntau lub chaw saib xyuas ceev uas koj siv tau. You can use these centers when you are sick or need medical care right away and your PCP is not available, but it's not a life-threatening situation. Cov chaw kho mob ceev feem ntau yog qhib thaum yav tsaus ntuj thiab hnub so.

Cov Chav Kho Mob Xwm Txheej Kub Ceev (Emergency rooms (ERs)) yog rau kev raug mob loj los sis mob sai sai uas yuav ua rau muaj kev phom sij rau lub neej thiab xav tau kev kho mob tam sim ntawd. Thaum muaj xwm txheej ceev, koj yuav tsum hu 911 los yog mus rau ER tam sim ntawd.

Behavioral health care includes mental health (your emotional, psychological, and social well-being) and substance (alcohol and drugs) use disorder treatment and rehabilitation services. All members have access to services to help with mental health issues like depression or anxiety, or to help with alcohol or other substance use disorders.

Talk to your PCP today about any health or behavioral health problems you have. Your PCP will refer you to a behavioral health provider with UnitedHealthcare Community Plan. They can refer you to specialists, and other facilities, such as hospitals and substance abuse and treatment services.

There are some treatments and services that need preapproval before you can get them. To learn more, talk to your doctor.

Required care is 100% covered. If you need behavioral health care, your PCP and UnitedHealthcare Community Plan can help coordinate your care.

Peb them rau:

• Cov Kev Pab Cuam Fab Kev Noj Qab Haus Huv Ntawm Kev Coj Tus Cwj Pwm
• Services to help figure out if you have a mental health need (diagnostic assessment services)
• Kev kho los ntawm tib neeg, pab pawg thiab tsev neeg 
• Mobile crisis management services 
• Facility-based crisis programs 
• Cov kev pab cuam kev fab kev noj qab haus huv ntawm kev coj tus cwj pwm tshwj xeeb rau cov me nyuam yaus uas hlwb tsis zoo los yog hlwb tsis puv 
• Cov kev pab rau fab kev noj qab haus huv ntawm kev coj tus cwj pwm rau tus neeg mob uas tsis pw kho mob 
• Outpatient behavioral health emergency room services 
• Cov kev pab rau fab kev noj qab haus huv ntawm kev coj tus cwj pwm rau tus neeg mob uas pw kho mob 
• Research-based intensive behavioral health treatment 
• Partial hospitalization 
• Other Supportive Services such as: Peer Supports, Comprehensive Community Supports and Targeted Case Management

Cov Kev Pab Fab Kev Siv Tshuaj Tsis Haum

• Kev kho mob sab nraud opioid
• Outpatient withdrawal management
• Non-hospital medical withdrawal management
• Alcohol and drug abuse treatment center withdrawal management crisis stabilization
• Peer Support Services and Targeted Case Management

Cov kev pab kho mob ntxiv tuaj yeem nrhiav tau ntawm liveandworkwell.com. Nrhiav kom tau kev pab, kev txhawb thiab kev kho tus mob uas koj xav tau kom nyob ib lub neej noj qab haus huv zoo tshaj plaws li qhov ua tau.

If you believe you need access to more intensive behavioral health services that UnitedHealthcare Community Plan of Kentucky does not provide, talk with your PCP or call Member Services 1-866-293-1796.

Take your ID card when you go to the pharmacy. 

If you have questions, please contact MedImpact at 1-866-679-2738, Option 2 for members. (24/7) 

The Preferred Drug List (PDL) is a list of covered prescription drugs, and drugs needing prior authorization for enrollees in Kentucky Medicaid. Prior authorization is when your doctor has to call MedImpact before giving you the prescription to see if MedImpact will cover it.

Kentucky Medicaid Pharmacy Preferred Drug List (magellanmedicaid.com)

Prior authorization is when your doctor has to call MedImpact before giving you the prescription to see if MedImpact will cover it.

Kentucky Medicaid External Clinical Criteria (magellanmedicaid.com)

Over-the-Counter Drug List

Kentucky Medicaid Pharmacy Preferred Drug List (magellanmedicaid.com)