Health and Family Services
Medicaid Benefits
Actual FY 2024Actual FY 2025Revised FY 2026Recommended FY 2027Recommended FY 2028
SOURCE OF FUNDS
General Fund
Regular Appropriation2,402,688,7002,501,029,8003,011,674,8002,707,534,6003,430,313,300
Budget Reserve62,000,000
Other(9,100,000)
Total General Fund2,402,688,7002,563,029,8003,002,574,8002,707,534,6003,430,313,300
Restricted Funds
Balance Forward362,905,932278,521,08685,184,70016,789,600
Current Receipts925,967,0971,380,083,1041,740,787,4001,714,042,9001,664,993,900
Non-Revenue Receipts527,136,118503,627,359485,833,200771,180,100423,391,300
Total Restricted Funds1,816,009,1482,162,231,5492,311,805,3002,502,012,6002,088,385,200
Federal Fund
Balance Forward(16,305,686)(6,511,385)24,350,700
Current Receipts14,266,722,36915,697,652,76117,501,541,80016,980,087,40018,073,444,600
Total Federal Fund14,250,416,68315,691,141,37717,525,892,50016,980,087,40018,073,444,600
TOTAL SOURCE OF FUNDS18,469,114,53020,416,402,72622,840,272,60022,189,634,60023,592,143,100
EXPENDITURES BY CLASS
Grants Loans Benefits18,197,104,82920,306,867,27822,807,583,00022,189,634,60023,592,143,100
TOTAL EXPENDITURES18,197,104,82920,306,867,27822,807,583,00022,189,634,60023,592,143,100
EXPENDITURES BY FUND SOURCE
General Fund2,402,688,7002,563,029,8002,986,674,8002,707,534,6003,430,313,300
Restricted Funds1,537,488,0622,077,046,8462,295,015,7002,502,012,6002,088,385,200
Federal Fund14,256,928,06715,666,790,63217,525,892,50016,980,087,40018,073,444,600
TOTAL EXPENDITURES18,197,104,82920,306,867,27822,807,583,00022,189,634,60023,592,143,100
EXPENDITURES BY UNIT
Medicaid Benefits17,721,401,91319,777,192,16722,113,690,40021,440,994,20022,789,634,100
KCHIP Benefits475,702,916529,675,111693,892,600748,640,400802,509,000
TOTAL EXPENDITURES18,197,104,82920,306,867,27822,807,583,00022,189,634,60023,592,143,100
The Kentucky Medicaid program, under Title XIX of the Social Security Act and KRS 205.520, provides for preventive and remedial medical care for financially and medically indigent citizens in Kentucky who meet the income and resource criteria for Medicaid eligibility. The following services are currently provided by Kentucky's Medicaid program: Inpatient Hospital; Mental Hospital (for individuals under age 21 and age 65 and over); Renal Dialysis; Model Waiver II (home based services for individuals who are ventilator dependent); Psychiatric Residential Treatment Facilities (8-9 bed group homes for adolescents needing psychiatric residential services); Outpatient Hospital (including Emergency Room); Ambulatory Surgical Centers; HANDS (home visiting services for new and expectant parents); Specialized Children's Services Clinics (sexual abuse examinations); School-Based Services (Medicaid coverage for health services provided by schools to children with disabilities); Commission for Children with Special Health Care Needs; Intermediate Care Facility Services for Individuals with Intellectual Disabilities-ICFIID (residential habilitation for Medicaid recipients with intellectual disabilities); Nursing Facility Services (residential placement for the elderly and/or disabled); Preventative Services (health care) through the Local Health Departments; Early Intervention Services for Infants through age 2 with developmental problems; Early and Periodic Screening, Diagnosis and Treatment Services (EPSDT) which is preventive health care for children under 21 and coverage of any Federally-allowable, medically necessary Medicaid service for children, even if the service is not covered by the state's Medicaid plan; Chiropractic; X-ray and Laboratory Services; Physical, Occupational and Speech Therapy; Durable Medical Equipment (DME); Federally Qualified Health Centers (FQHC); Primary Care Centers (PCC); Community Mental Health Centers (CMHC); Rural Health Centers; Family Planning; Home Health services; Supports for Community Living (SCL) Waiver Services (long term community services and supports for individuals with intellectual health care); and Family and Medical Support Services (FMS); Medical Care Services (DCA); and Family and Medical Support Services (FMS); and Community Health Services (CHS).
196