Joseph J. MacDonald
Co-Founder & President & Chief Executive Officer
Imagine an agency born to revolutionize case management — simplifying practices, streamlining daily operations, and enhancing the lives of both contracted case managers and Medicaid members. That's Blue Sky.
In late February 2014, visionary co-founders Joseph MacDonald, Tara Clarkson, Ashlee Morgan, and Chris Lanham combined their expertise to forge a progressive, social services culture that set new standards in the industry. With a groundbreaking mobile system and cutting-edge IT innovations, Blue Sky has not only redefined high-care agencies but also sculpted the perfect work-life balance for case management contractors.
In just six months, on August 1st, 2014, Blue Sky soared above hundreds of applicants to secure a coveted spot in XLerateHealth's prestigious 3-month entrepreneurial and business accelerator program, specifically designed for healthcare startups. Through this incredible opportunity, Blue Sky gained invaluable guidance from top-tier healthcare industry professionals, solidifying its innovative virtual teaming and unique business model. This program validated Blue Sky's mission to revolutionize the delivery of social services for individuals with developmental disabilities in Kentucky.
Harnessing the power of paperless systems and a groundbreaking approach to case management, Blue Sky achieved a significant milestone on October 22nd, 2014. The agency earned its certification as an official Medicaid waiver provider, receiving a perfect evaluation with zero deficiencies from Kentucky's Division of Developmental and Intellectual Disabilities (DDID). This triumph not only validated Blue Sky's innovative methods but also set a new standard in the delivery of services for those with developmental and intellectual disabilities.
Blue Sky received its Medicaid Provider number on January 13th, 2015. The agency officially opened its doors for business with its team of co-founders, including Brittney (Such) McConville, and began serving its first clients on March 1st, 2015. This marked the beginning of a new era in case management for the agency. From these humble beginnings, Blue Sky quickly expanded by recruiting talented case management contractors and receiving Medicaid member referrals. These strategic moves have propelled it to become one of the largest and most progressive case management agencies in Kentucky, filled with industry stars and driving innovation in healthcare solutions for individuals with developmental and intellectual disabilities.
Through the adoption of advanced technologies, Blue Sky utilizes MyInterCare, a mobile, web-based technology (SaaS) platform designed for case managers to support seamless communication and service delivery. This IT-enabled solution ensures that the agency's highly qualified case management contractors can efficiently and effectively address the needs of Medicaid members anytime, anywhere. This commitment to excellence and forward-thinking approach sets Blue Sky apart as a leader in the case management industry in Kentucky, consistently moving forward to achieve new heights.
Navigating the pandemic together, Blue Sky proactively lobbied Medicaid to establish Tele-Visit protocols, ensuring continuous client services despite face-to-face restrictions. Its quick action during the pandemic secured $52,000 to expand Tele-Health services for remote and virtual access with clients and families. Blue Sky empowered its clients with essential electronics, internet access, and crucial financial aid for housing and living expenses. Combatting social isolation, the agency hosted engaging virtual game nights, magic shows, and community events. Safety was its highest priority, ensuring masks and cleaning supplies were distributed to all. Blue Sky's holistic approach provided steadfast support during uncertain times, fostering resilience and connection. This holistic support helped the clients through tough times.
In 2025, Blue Sky Case Management submitted its application to Fast Company’s Most Innovative Companies for 2026 — highlighting how compassion and technology can work hand in hand to redefine disability services. The nomination reflects Blue Sky’s leadership in combining AI-driven systems with person-centered care, its bold “Pause & Reset” approach to accountability, and its commitment to helping Kentuckians live fuller, more independent lives. Innovation isn’t new to Blue Sky — it’s how it’s always worked: smarter systems, kinder care, and a promise to keep improving what matters most—people.
Blue Sky Case Management is redefining disability services through AI-driven, paperless systems that blend technology, compassion, and data-informed advocacy to help people live independent and fulfilling lives. We empower families and individuals through Kentucky’s Medicaid waiver programs, combining innovative tools like ChatGPT, Plaud, and MyInterCare with champion case managers who turn advocacy into action.
By integrating AI for quality improvement, SMART goals, and decision-making, Blue Sky creates more efficient, person-centered care — simplifying processes, strengthening outcomes, and ensuring that innovation truly serves people. Blue Sky transforms advocacy into action, creating a future where families and professionals alike can truly flourish.
Co-Founder & President & Chief Executive Officer
Co-Founder, Executive Director, Contract SCL & MPW Case Manager
Co-Founder, Director of Business Information Systems
Co-Founder, Referral Director, Billing Consultant, Contract SCL & MPW Case Manager
Co-Owner, Contract SCL Case Manager
Co-Owner, Billing Consultant, Contract SCL Case Manager
Co-Owner, Billing Consultant, Contract SCL & MPW Case Manager
SCL & MPW & PDS Case Manager
Contract SCL & MPW Case Manager & Participant Directed Services (PDS)
Contract SCL & MPW Case Manager & Participant Directed Services (PDS)
Contract SCL & MPW Case Manager & Participant Directed Services (PDS)
Contract SCL & MPW Case Manager & Participant Directed Services (PDS)
Contract SCL & MPW Case Manager & Participant Directed Services (PDS)
Contract SCL & MPW Case Manager & Participant Directed Services (PDS)
SCL & MPW & PDS Case Manager
Contract SCL & MPW Case Manager
Contract SCLs, MPW Case Manager, and Billing Consultant
Contract SCL & MPW Case Manager
Contract SCL & MPW Case Manager