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Provider Billing Instructions

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Provider billing instructions are displayed in Adobe Acrobat formats.



Billing Instructions are for Fee For Service (FFS) providers only.

Provider Type (PT) - The first two digits of the KY Medicaid provider number.

PT Program Revision Date
01 Hospital Services-5010 update New - February 2017
02 Psychiatric Inpatient Hospital Services-5010 update New - February 2017
03 Behavioral Health Services Organization New - February 2017
04_05 Psychiatric Residential Treatment Facility and PRTF2 New - February 2017
06 Chemical Dependency Treatment Center New - February 2017
10 Specialty Intermediate Care Clinic for Development and Intellectual Disabilities New - February 2017
11/12 ICF/IID/DD and Nursing Facility New - April 2017
13 Specialized Children's Services Clinic-5010 update New - February 2017
17 Acquired Brain Injury-5010 update New - February 2017
18 Private Duty Nursing New - February 2017
20 Preventive Health Services-5010 update New - February 2017
21 School Based Health Services-5010 update New - February 2017
22 The Commission For Children With Special Health Care Needs-5010 update New - February 2017
23 Title V Services Provided By The Department For Social Services-5010 update New - February 2017
26 Residential Crisis Stabilization Unit New - February 2017
27/28 Target Case Management Servies For Adults and Children-5010 update New - April 2014
29 Impact Plus New - April 2014
30 Community Mental Health Services-5010 update New - February 2017
31 Primary Care- FQHC New - February 2017
31 Primary Care non-FQHC New - February 2017
32 Family Planning Services-5010 update New - February 2017
33 Supports For Community Living-5010 update New - February 2017
34 Home Health Services-5010 update New - February 2017
35 Rural Health Services-5010 update New - February 2017
36 Ambulatory Surgical Centers-5010 update New - February 2017
37 Independent Laboratory and Radiological Services-5010 update New - February 2017
39 Renal Dialysis Services-5010 update New - February 2017
40 Early Periodic Sreening Diagnosis And Treatment Services-5010 update New - February 2017
41 Model Waver II Services New - February 2017
42 Home and Community Based Waiver Services New - February 2017
43 Adult Day Care Services-5010 update New - February 2017
44 Hospice Services New - February 2017
45 EarlyPeriodic Screening Diagnosis And Treatment Services New - February 2017
48 Home Delivered Meals New - January 2017
50/70 Hearing Services-5010 update New - February 2017
52/77 Vision Services-5010 update New - February 2017
55/56 Transportation Services - 55/56 Spec 16-5010 update New - February 2017
60/61 Dental Services New - February 2017
62 Licensed Professional Art Therapist New - February 2017
63 Licensed Behavioral Analyst New - February 2017
64/65 Physician Services-5010 update New - February 2017
66 Behavioral Health Multi-Specialty Group New - February 2017
67 Licensed Clinical Alcohol and Drug Counselor New - February 2017
72/74/78 Advanced Registered Nurse Practitioner Services-5010 update New - February 2017
76 Multi Therapy Agency New - January 2017
79 Speech Language Pathologist New - February 2017
80 Podiatry Services-5010 update New - February 2017
81 Licensed Professional Clinical Counselor New - February 2017
82 Licensed Clinical Social Worker New - February 2017
83 Licensed Marriage and Family Therapist New - February 2017
84 Licensed Psychological Practitioner New - February 2017
85 Chiropractic Services-5010 update New - February 2017
86 Radiological Services-5010 update New - February 2017
87 Physical Therapist New - February 2017
88 Occupational Therapist New - February 2017
89 Licensed Psychologist New - February 2017
90 Durable Medical Equipment Services-5010 update New - February 2017
91 Comprehensive Outpatient Rehabilitation Facilities New - February 2017
95 Physician Assistant New - February 2017

Last Updated 8/8/2005 
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