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Provider Billing Instructions

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Provider billing instructions are displayed in Adobe Acrobat formats.



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

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

Last Updated 8/8/2005 
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