Doctor visits
Primary care, specialist visits, and preventive care (annual checkups, screenings, vaccinations) are generally covered.
Kentucky Medicaid covered services
Most Kentucky Medicaid members get a broad set of benefits. Exact coverage depends on your program and plan — always confirm with your MCO.
Hospital care
Inpatient hospital stays and outpatient procedures are covered. Some planned procedures may require prior authorization from your MCO.
Emergency services
Emergency room care is always covered — no prior authorization is needed for a true emergency. See Emergency Care
Prescriptions
Most prescription drugs are covered through your plan’s formulary (drug list). Ask your pharmacist if a specific drug is covered.
Mental health & substance use
Behavioral health services including counseling, therapy, and substance use treatment are covered benefits under Kentucky Medicaid.
Dental
Children get comprehensive dental coverage. Adults get limited dental services — check with your MCO for specifics.
Vision
Children get eye exams and eyeglasses. Adults have more limited vision coverage — confirm details with your plan.
Lab & imaging
Blood tests, X-rays, and other diagnostic services ordered by your provider are generally covered.
Non-emergency medical rides
Free transportation to and from covered medical appointments is available through your county’s NEMT broker. Find your driver
Important notes
- Some services require prior authorization — get approval from your MCO before scheduling.
- Coverage details vary by MCO plan. Check with your plan’s member services for a full benefit list.
- Use your plan’s provider directory to find in-network providers. Tips for finding providers
Official source: Kentucky Department for Medicaid Services (CHFS)
Last updated: Mar 26, 2026