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Provider Relations is the first line contact for medical provider's questions.  The area consists of trained, skilled staff who respond to both written and telephonic inquiries.

Please refer to the DMS Provider Enrollment website for specific forms and documentation required for enrollment.

The Provider Relations area is available for service 8:00 a.m. until 6:00 p.m. ET, Monday through Friday.

Page Updates
August 16, 2013
New Provider Rep Listing (PDF)

Monday, December 1, 2011

Providers shall begin using the revised HH prior authorization (PA) fax form, MAP-130 when requesting HH services. The revision date to the MAP-130 is September 2011. SHPS will not process PA requests from previous versions beginning December 30, 2011. A copy of the revised fax form with instructions has replaced the previous form on line.

Tuesday, September 28, 2010
Attention Providers - Kentucky Medicaid has implemented the National Correct Coding Initiatve (NCCI)

As specified in the Affordable Care Act, Kentucky Medicaid has implemented the NCCI. For more information, please review the Provider Letter #A-81 - National Correct Coding Initaitive (NCCI) dated October 1, 2010.

If you have additional questions, you may:
  • Email the CHFS DMS Webmaster
  • Call Provider Relational at (800) 807-1232
  • Visit the CMS National Correct Coding Initiative website
  • June 4, 2010
    On June 15, 2010 The Centers for Medicare & Medicaid Services (CMS) will host a national provider conference call on this important subject:
    "ICD-10 Implementation in a 5010 Environment".
    It is very important that all providers be informed on this subject. You are strongly encouraged to access this link and learn how to register by June 14 to participate in this event.

    Tuesday, May 6, 2008
    FAQ regarding NPI Registration

    Friday, April 25, 2008
    NPI Readiness Letter

    Tuesday, April 1, 2008
    EOB Codes Listing (PDF)

    May 23, 2007
    Changes Encountered with New MMIS ( 05/23/2007)
    New CMS 1500 Claim Form for Atypical Providers ( 05/11/2007)
    NPI Contingency for CMS-1500 (05/11/2007)
    NPI Contingency for UB-04 (05/11/2007)
    NPI Contingency for ADA (05/11/2007)

    A78 Denied Claims
    August 11, 2006
    KyHealth Choices - Prior Authorization Requirements A-70.doc ( 08/10/06)
    Frequently Asked Questions for the "Prior Authorization" Provider Letter Dated July 14, 2006 ( 07/31/06)
    To help expedite prior authorization requests, see KyHealth Choices - Prior Authorization Information ( 08/02/06)


  • KyHealth Choices - Kentucky Medicaid Program Update (07/14/06) - Information on new prior authorization requirements and the DMS Communication Resource Guide;

  • KyHealth Choices Prior Authorization Call Checklist (08/02/06) - Instructions and interactive response prompts about your prior authorization requests; and

  • Radiology Services that Require Prior Authorization (08/01/06).

  • Thank you for your attention to this announcement

    Last Updated 8/8/2005 
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