News: Managing Medicaid: 2020 has been a year full of changes for Kentucky Medicaid providers
Kentucky MCOs have a 90% medical loss ratio (MLR) guarantee, the highest in the country. This means 90% of Medicaid revenue is spent on medical care and other quality-improvement activities.
Kentucky’s MCOs have some of the highest scores in the Centers for Medicare and Medicaid Services’ (CMS) Southeast region—which includes Tennessee, Florida, Alabama, Mississippi, Georgia, North Carolina and South Carolina—for behavior health measures, treatment measures and health plan ratings, and rank in the top two states within the CMS region in health plan ratings for the past three years.