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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 2016
02 Psychiatric Inpatient Hospital Services-5010 update New - February 2016
03 Behavioral Health Services Organization New - February 2016
04_05 Psychiatric Residential Treatment Facility and PRTF2 New - February 2016
06 Chemical Dependency Treatment Center New - March 2016
10 Specialty Intermediate Care Clinic for Development and Intellectual Disabilities New - February 2016
11/12 ICF/IID/DD and Nursing Facility New - May 2016
13 Specialized Children's Services Clinic-5010 update New - July 2015
17 Acquired Brain Injury-5010 update New - July 2015
18 Private Duty Nursing New - July 2015
20 Preventive Health Services-5010 update New - January 2016
21 School Based Health Services-5010 update New - August 2015
22 The Commission For Children With Special Health Care Needs-5010 update New - July 2015
23 Title V Services Provided By The Department For Social Services-5010 update New - July 2015
26 Residential Crisis Stabilization Unit New - December 2015
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 - July 2015
31 Primary Care- FQHC New - January 2016
31 Primary Care non-FQHC New - January 2016
32 Family Planning Services-5010 update New - July 2015
33 Supports For Community Living-5010 update New - July 2015
34 Home Health Services-5010 update New - July 2015
35 Rural Health Services-5010 update New - January 2016
36 Ambulatory Surgical Centers-5010 update New - Nov 2015
37 Independent Laboratory and Radiological Services-5010 update New - July 2015
39 Renal Dialysis Services-5010 update New - July 2015
40 Early Periodic Sreening Diagnosis And Treatment Services-5010 update New - July 2015
41 Model Waver II Services New - July 2015
42 Home and Community Based Waiver Services New - July 2015
43 Adult Day Care Services-5010 update New - July 2015
44 Hospice Services New - February 2016
45 EarlyPeriodic Screening Diagnosis And Treatment Services New - March 2016
50/70 Hearing Services-5010 update New - July 2015
52/77 Vision Services-5010 update New - July 2015
55/56 Transportation Services - 55/56 Spec 16-5010 update New - July 2015
60/61 Dental Services New - April 2014
62 Licensed Professional Art Therapist New - December 2015
63 Licensed Behavioral Analyst New - December 2015
64/65 Physician Services-5010 update New - February 2016
66 Behavioral Health Multi-Specialty Group New - July 2015
72/74/78 Advanced Registered Nurse Practitioner Services-5010 update New - July 2015
79 Speech Language Pathologist New - July 2015
80 Podiatry Services-5010 update New - July 2015
81 Licensed Professional Clinical Counselor New - July 2015
82 Licensed Clinical Social Worker New - July 2015
83 Licensed Marriage and Family Therapist New - July 2015
84 Licensed Psychological Practitioner New - July 2015
85 Chiropractic Services-5010 update New - July 2015
86 Radiological Services-5010 update New - July 2015
87 Physical Therapist New - July 2015
88 Occupational Therapist New - July 2015
89 Licensed Psychologist New - July 2015
90 Durable Medical Equipment Services-5010 update New - February 2016
91 Comprehensive Outpatient Rehabilitation Facilities New - July 2015
95 Physician Assistant New - February 2016

Last Updated 8/8/2005 
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