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any questions, send email to: KY EDI HelpDesk
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April 15, 2015
Applying for Hospital and Pregnancy Presumptive Eligibility (PE) will remain on this site until further notice. Please continue with your recognized process. The Department of Medicaid Services will issue further guidance at least two weeks prior to changing the web site. If you received a letter stating otherwise, please disregard.
March 13, 2015
Public Notification Revised
Notification Revised-alphabetical by last name (Excel)
Notification Revised-alphabetical by last name (PDF)
February 12, 2015
Notice to all providers.
The electronic funds transfer (EFT) update function via KYHealth Net will be disabled on March 6, 2015. In order to update your EFT, please contact provider enrollment at 1-877-838-5085 for further instructions. We apologize for any inconvenience.
November 17, 2014
Effective December 1, 2014, Licensed Professional Art Therapists and Applied Behavior Analysts applications will be accepted. However, these two new provider types will not be allowed to enroll until January 1, 2015. The enrollment requirements can be found on the Provider Enrollment website located at
October 30, 2014
Important KYHealthNet Announcement
Providers who are already enrolled in KY Medicaid are now able to access their provider enrollment file online through KYHealthNet
If you already have access to KYHealthNet, you are now able to view your contract dates, licensure information, physical, correspondence and pay to address, phone number, fax number, taxonomy, NPI, group practice provider is affiliated with, providers that participate in group practice, annual disclosure of ownership (ADO), and revalidation dates. Once you log on to KYHealthNet, click on the Provider Status tab to access your file.
If you do not have access to KYHealthNet, please visit
Healthnet page for instructions on how to sign up for this feature. If you have questions, please contact the EDI Department at HP by email or by phone at (800) 205-4696.
May 14, 2014
-Important Notice Regarding Non-Emergency Medical Transportation which will begin on July 1, 2014 for members in Ballard, Calloway, Carlisle, Fulton, Graves, Hickman, Marshall, and McCracken counties. Read the notice located at
April 8, 2014
Notice to All Stakeholders
In light of the recent passing of House Resolution 4302
, the Department of Health and Human Services (HHS) cannot adopt the ICD-10 code set as the standard until at least October 1, 2015. The Kentucky Department for Medicaid Services (DMS) and Hewlett Packard Enterprise (HP) will continue to move forward with the goal of remediating the fiscal agent system and conducting end-to-end external testing by October 1, 2014. Providers and Clearinghouses are encouraged to contact HP's
EDI helpdesk if they would like to test with DMS/HP when external testing begins June 2014.
DMS will continue to post updates to this site as more information about the delay and new implementation timelines are made available.
If you have questions, you may submit them through the mailbox.
November 22, 2013
Below is a list of new provider types that we anticipate enrolling effective 1/1/2014 due to Medicaid expansion under the Affordable Care Act.
Please note that the new provider types are subject to change pending CMS approval. In addition, the regulations and enrollment requirements for each provider type are still being developed.
Starting November 18, 2013, providers may submit an enrollment application for these new provider types. Although enrollment requirements are still being determined, each entity/individual must be licensed and submit their NPI documentation as well as SSN or FEIN verification. Applications will be held and processed once CMS approval is received and the regulations and enrollment requirements are finalized. DMS will provide new information as it becomes available.
As with the current enrollment process, if a provider will be contracting with an MCO the provider will need to submit their application through the MCO of their choice.
New Provider Types
18 – Private Duty Nursing Agency
79 – Speech Language Pathologist
799 – Speech Language Pathologist Group
81 – Licensed Professional Clinical Counselor
819 – Licensed Professional Clinical Counselor Group
83 – Licensed Marriage and Family Therapist
839 – Licensed Marriage and Family Therapist Group
84 – Licensed Psychological Practitioner
849 – Licensed Psychological Practitioner Group
97 – Behavioral Health Multi-Specialty Group
The QMB limitation will be removed from these provider types effective 1/1/2014 subject to CMS approval. If you are currently enrolled in this provider type you will automatically be transitioned:
82 – Licensed Clinical Social Worker
87 – Physical Therapist
879 – Physical Therapist Group
88 – Occupational Therapist
889 – Occupational Therapist Group
89- Licensed Psychologist
899 – Licensed Psychologist Group
April 11, 2013
If you are enrolling in KY Medicaid and will be participating with any of the MCO’s (Managed Care Organizations),
you will need to send your enrollment application to one of the MCO’s of your choice.
Do not submit enrollment applications directly to KY Medicaid unless you are
NOT participating with any of the MCO’s.
Coventry - 855-300-5528
Humana Caresource - 855-852-7005
Passport - 800-578-0775
Wellcare - 877-389-9457
Anthem - 800-880-2583
December 21, 2012
Attention Providers Kentucky Medicaid Enhanced Primary Care Payments Update
Effective January 1, 2013, healthcare providers who provide eligible primary care services to Medicaid clients are eligible to be paid the Medicare rates effective calendar years (CY) 2013 and 2014. The enhanced rate is available for fee for service providers who are fee for service providers with Kentucky Medicaid and eligible providers who are enrolled in the Kentucky managed care program. For more information, refer to the “What’s New” section of the DMS website at http://chfs.ky.gov/dms.
Thank you for your attention to this announcement.