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Not Applicable

8.3. Describe how the public will be notified, including the public schedule, of this cost sharing (including the cumulative maximum) and changes to these amounts and any differences based on income. (Section 2103(e)((1)(B)) (42CFR 457.505(b))

Enrollees will receive a letter notifying them at least ten (10) days prior to the implementation of co-payments for services. This same methodology will also be used to notify enrollees of any future changes in cost sharing amounts or services subject to cost sharing.

Applicants receive information about cost sharing when they apply from the eligibility determination caseworker. There are educational materials available in the local Department for Community Based Services offices where applicants go to apply for services that explain co-pays and premiums.

Providers also receive a letter at least ten (10) days prior to implementation explaining the co-payment and premium policies. This information is also included on the Department for Medicaid Services and KCHIP web sites, which providers routinely use to review current information.

The public schedule and cumulative cost sharing maximums, have been provided to applicants, enrollees, re-enrollees, providers and the general public through a number of activities. Kentucky involved numerous advocacy groups, consumers and legislators in the development of the Family Choices plan. Additional notice activities include advertising in the State’s major newspapers, announcing the information at advisory council and advocacy group meetings, holding public hearings on the proposed changes, working with advocacy groups to disseminate the information, announcement and discussion at legislative committee meetings which are open to the public,distributing news releases, posting the information on the Department for Medicaid Services and KCHIP web sites, conducting statewide eligibility and outreach worker training, and publishing and distributing educational information.

Families in KCHIP also received written notice about the implementation of premiums. A written notice will be provided to enrollees and their families at the time of application and recertification of current cost-sharing charges, groups subject to the charges, cumulative cost sharing maximums, mechanisms for making payments and consequences for non- payment of a co-pay or a premium.

8.4. The state assures that it has made the following findings with respect to the cost sharing in its plan: (Section 2103(e))

8.4.1.

Cost sharing does not favor children from higher income families over lower income families. (Section 2103(e)(1)(B)) (42CFR 457.530) 8.4.2.

No cost sharing applies to well-baby and well-child care, including age-appropriate immunizations. (Section 2103(e)(2)) (42CFR 457.520)