Do you have a client or family member having problems with the Commonwealth of KY regarding KY Medicaid’s technical, income, and resource eligibility criteria?

Do you have a case where your client was denied eligibility or has requested legal representation for an administrative or circuit court hearing regarding KY Medicaid programs? If so, you have arrived at the right place for Specialized KY Medicaid Consulting.   

I have over 23 years of KY Medicaid experience in many different areas of KY Medicaid:

• Basic and long-term care to KY Medicaid Waiver eligibility

• Public assistance fraud investigations for the Cabinet for Health and Family Services’ Office of Inspector General

• Division of Special Investigations (Audits and Investigations Division) 

• KY Medicaid Policies

• KY Medicaid Regulation Compliance

My staff and I can assist you with expert KY Medicaid consulting to get you the right answers and assist you and the cabinet in making a more informed determination about the Medicaid case at hand.  Please also see our page on EXPERT WITNESS Services.

Listed below are just some of the consulting items in which we are very knowledgeable and if yours is not listed, just dial 502-321-4522 and we can discuss how we can be of assistance to your unique dilemma.

• Third Party Liability Insurance Issues

• Expert Knowledge and Consulting in KY Medicaid (KAR Title 907)

• Knowledge and Consulting on the CHFS Department for Community Based Services Policies for KY Medicaid

• Knowledge & Consulting on KY CHFS Office of Inspector General Public Assistance Fraud Investigations

• Knowledge in Eligibility Criteria for KY Medicaid Long Term Care eligibility (technical, Income and Resource eligibility) and what is acceptable by the Cabinet

• Knowledge in KY Medicaid Waivers (KY Medicaid Technical, Income and Resource Eligibility, Waiver Enrollment Eligibility, and the Criteria for Residential Services)

• Hardship Determinations for KY Medicaid Waiver and LTC Eligibility and Resource Penalties

• Knowledge on the Policies the CHFS Medicaid employees have to rely on

• How to request an Administrative Hearing and how to File Exceptions to the Recommended Order of an Administrative Hearing