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Provides assistance from Kynectors with applying for, reporting changes to, and recertifying for Medicaid. Assistance is available in person and over the phone at no cost.

Provides a managed health care plan serving Medicaid consumers in Kentucky and Ohio through a contract with the state departments of insurance. Managed care plans process health insurance claims and provide prior authorization and other services for their recipients.

Offers monetary incentives to managed care plan members for engaging in healthy behaviors, such as receiving vaccines, attending annual exams, and completing preventative screenings. Pregnant Molina members receive specific incentives that can be redeemed for pregnancy/newborn specific items, such as an infant car seat or portable crib.

• Provides Ombudsman Core Services (information, advocacy, and complaint investigation) for dual-eligible members of MyCare Ohio and the community-well.
• Provides information regarding rights and benefits to members, families, and providers within the MyCare Ohio service delivery system.
• Investigates and resolves complaints regarding MyCare Ohio enrollees and other LTC consumers receiving care from Managed Care Organizations.
• Assists and represents MyCare members and families in administrative hearings and appeal situations in accordance with Ombudsman policy.

• Provides Ombudsman Core Services (information, advocacy, and complaint investigation) for dual-eligible members of MyCare Ohio and the community-well.
• Provides information regarding rights and benefits to members, families, and providers within the MyCare Ohio service delivery system.
• Investigates and resolves complaints regarding MyCare Ohio enrollees and other LTC consumers receiving care from Managed Care Organizations.
• Assists and represents MyCare members and families in administrative hearings and appeal situations in accordance with Ombudsman policy.

Oversees multiple Medicaid waiver programs for residents of Kentucky who need ongoing support due to their age, a medical condition, or a disability. These programs provide special coverage through Medicaid for services and supports to be provided in an individual's home or community rather than an institutional setting and include the Michelle P. Waiver, Supports for Community Living, Home and Community Based, Acquired Brain Injury (Acute and Long-Term Care), and the Model II Waiver.

• Home Health Services provide nursing, daily living, and skilled therapy.
• Waiver Benefits provide the same services as Core Services but may also include: home delivered meals, emergency response systems, home modifications, adult day health services, out-of-home respite care, social work, and care coordination. (Upon turning age 60, waiver recipients are automatically transferred onto the Transition II [Carve-out] Waiver, which is only available to these individuals, and cannot be applied for independently).