Provider Billing Instructions

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

PT	Program
01	Hospital Services-5010 update
02	Psychiatric Inpatient Hospital Services-5010 update
04	Psychiatric Residential Treatment Facility Services
11/12	Nursing Facility Services-5010 update
13	Specialized Children's Services Clinic-5010 update
17	Acquired Brain Injury-5010 update
20	Preventive Health Services-5010 update
21	School Based Health Services-5010 update
22	The Commission For Children With Special Health Care Needs-5010 update
23	Title V Services Provided By The Department For Social Services-5010 update
27/28	Target Case Management Servies For Adults and Children-5010 update
29	Impact Plus-5010 update
30	Community Mental Health Services-5010 update
31	Primary Care Services-5010 update
32	Family Planning Services-5010 update
33	Supports For Community Living-5010 update
34	Home Health Services-5010 update
35	Rural Health Services-5010 update
36	Ambulatory Surgical Centers-5010 update
37	Independent Laboratory and Radiological Services-5010 update
39	Renal Dialysis Services-5010 update
40	Early Periodic Sreening Diagnosis And Treatment Services-5010 update
41	Model Waver II Services
42	Home and Community Based Waiver Services
43	Adult Day Care Services-5010 update
44	Hospice Services
45	Early Periodic Screening Diagnosis And Treatment Services - Special Services-5010 update
50/70	Hearing Services-5010 update
52/77	Vision Services-5010 update
55	Transportation Services - 56 Spec 16-5010 update
60/61	Dental Services
64/65	Physician Services-5010 update
72/74/78	Advanced Registered Nurse Practitioner Services-5010 update
80	Podiatry Services-5010 update
85	Chiropractic Services-5010 update
86	Radiological Services-5010 update
90	Durable Medical Equipment Services-5010 update
82/87/88/89/91/95	Qualified Medicare Beneficiary-5010 update