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TEAMKY Demonstration

Approval Period: January 1, 2025 through December 31, 2029

Page 7 of 155  Attachment A: Developing the Evaluation Design  Attachment B: Preparing the Evaluation Report  Attachment C: SUD/SMI Implementation Plan  Attachment D: SUD/SMI Monitoring Protocol  Attachment E: SUD/SMI Health Information Technology (Health IT)  Attachment F: Evaluation Design  Attachment G: Reentry Demonstration Initiative Implementation Plan  Attachment H: Reentry Demonstration Initiative Reinvestment Plan  Attachment I: Monitoring Protocol  Attachment J: RRSS Service Description  Attachment K: Protocol for Assessment of Beneficiary Eligibility and Needs, and Provider Qualification for HRSN Services  Attachment L: Interim Evaluation Report  Attachment M: Summative Evaluation Report  Attachment N: HRSN Service Matrix  Attachment O: HRSN Infrastructure Protocol  Attachment P: HRSN Implementation Plan

II. PROGRAM DESCRIPTION AND OBJECTIVES

The TEAMKY (formerly KY HEALTH) section 1115 demonstration is authorized under section 1115 of the Social Security Act (the Act), and is funded through titles XIX and XXI of the Act. The demonstration began on January 12, 2018, and includes a substance use disorder (SUD) treatment program available to all Kentucky Medicaid beneficiaries. Additionally, the demonstration enables the state to provide Medicaid coverage to former foster care youth (FFCY) under age 26, who turned 18 on or before December 31, 2022, who were in foster care under the responsibility of another state or tribe when they turned 18 (or such higher age as the state has elected for termination of federal foster care assistance under title IV-E of the Social Security Act), and were enrolled in Medicaid at that time, and are now applying for Medicaid.

In July 2024, CMS approved the reentry demonstration initiative, which provides expenditure authority for limited coverage for certain services furnished to certain incarcerated individuals for up to 60 days immediately prior to the individual’s expected date of release.

In December 2024, the TEAMKY demonstration was extended to continue the SUD treatment program, coverage for FFCY, and the reentry demonstration initiative. The extension approval also amended the demonstration to provide medically necessary short-term inpatient treatment services within settings that qualify as institutions for mental diseases (IMDs) for Medicaid eligible adults with serious mental illness (SMI), and authority for an HRSN initiative to provide a recuperative care pilot program. Lastly, the demonstration extension provided expenditure authority for Kentucky to provide RRSS under the SUD program, which are non-clinical activities necessary to support beneficiaries recovering with SUD.