The Kentucky Department for Medicaid announced program changes that the Department says will save around $87 million, while minimizing the impact on recipients and providers and increasing efforts to curb waste, fraud and abuse.
According to a news release from the Department the changes include expanding the “lock-in” program with members who are identified as having high costs relative to their medical condition. The program will be enhanced to refine the identification of members and limit them to one designated primary care provider, one pharmacy, one controlled substance provider and one hospital for treatment of non-emergency conditions.
The change is designed to reduce the unnecessary use of medical services, treatments, emergency rooms and in conjunction with pharmacy changes, the abuse of controlled substances.