Provider Billing Instructions

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

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