Health and Family Services\nMedicaid Services
Actual\nFY 2024Actual\nFY 2025Revised\nFY 2026Recommended\nFY 2027Recommended\nFY 2028
SOURCE OF FUNDS\nGeneral Fund
Regular Appropriation2,473,126,2002,568,077,2003,088,857,7002,790,491,3003,506,756,900
Budget Reserve62,000,000
State Salary and Compensation
Allocation143,6008,30020,000
Budget Reduction-General Fund(2,316,100)
Other(9,100,000)
Total General Fund2,473,269,8002,630,085,5003,077,461,6002,790,491,3003,506,756,900
Restricted Funds
Balance Forward366,075,964290,669,04699,818,30025,471,5004,341,000
Current Receipts936,723,3871,386,673,1431,752,187,4001,727,588,2001,678,156,800
Non-Revenue Receipts572,158,161534,198,679503,499,900788,810,100441,021,100
Total Restricted Funds1,874,957,5122,211,540,8692,355,505,6002,541,869,8002,123,518,900
Federal Fund
Balance Forward(8,505,096)4,536,73338,783,200
Current Receipts14,464,240,51015,879,626,34017,821,967,90017,221,378,00018,297,770,700
Non-Revenue Receipts4,089(4,289)
Total Federal Fund14,455,739,50215,884,158,78517,860,751,10017,221,378,00018,297,770,700
TOTAL SOURCE OF FUNDS18,803,966,81420,725,785,15323,293,718,30022,553,739,10023,928,046,500
EXPENDITURES BY CLASS
Personnel Costs236,001,418211,675,519368,520,600288,967,300265,107,200
Operating Expenses14,287,11216,314,84319,565,20017,118,20017,118,200
Grants Loans Benefits18,258,472,50420,359,193,30122,864,261,00022,243,312,60023,645,821,100
TOTAL EXPENDITURES18,508,761,03420,587,183,66323,252,346,80022,549,398,10023,928,046,500
EXPENDITURES BY FUND SOURCE
General Fund2,473,269,8002,630,085,5003,061,561,6002,790,491,3003,506,756,900
Restricted Funds1,584,288,4662,111,722,6562,330,034,1002,537,528,8002,123,518,900
Federal Fund14,451,202,76915,845,375,50817,860,751,10017,221,378,00018,297,770,700
TOTAL EXPENDITURES18,508,761,03420,587,183,66323,252,346,80022,549,398,10023,928,046,500
EXPENDITURES BY UNIT
Medicaid Administration311,656,205280,316,385444,763,800359,763,500335,903,400
Medicaid Benefits18,197,104,82920,306,867,27822,807,583,00022,189,634,60023,592,143,100
TOTAL EXPENDITURES18,508,761,03420,587,183,66323,252,346,80022,549,398,10023,928,046,500

Medicaid Services is comprised of two appropriation units: Administration and Benefits. Additionally, two major programs operate within each of those appropriation units: the Kentucky Medical Assistance program (regular Medicaid program) and the Kentucky Children's Health Insurance program (KCHIP).

The Medical Assistance program provides for comprehensive physical and behavioral health services by reimbursing providers for health care provided to medically indigent Kentuckians. Providers are reimbursed directly on a fee-for-service basis or indirectly through contractual arrangements with managed care organizations who receive a monthly capitation payment for each enrolled recipient. Eligibility for services is determined by staff in each county through a contractual agreement with the Department for Community Based Services. Individuals may automatically qualify for benefits if they are eligible for Supplemental Security Income benefits administered by the Social Security Administration.

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