Advanced Search
kymmis : Home

Welcome to the Kentucky Medicaid Management Information System (KYMMIS)

Kentucky Capitol

Thank you for visiting the Kentucky Medicaid Website. Please use the navigation buttons at the left to navigate the site. If you have any questions, send email to: KY EDI HelpDesk

This site requires Internet Explorer 11. Certain pages require the use of the Adobe Acrobat Reader, version 8.0 and above

Site Updates
August 10, 2017
WEBINAR ANNOUNCEMENT – Level of Care Policy and Process Changes

The Department for Medicaid Services (DMS) is beginning a new project to transform its level of care (LOC) policies and processes for nursing facility, hospice, and intermediate care facility for individuals with intellectual disabilities (ICF-IID) services. This project will transition the existing paper-based LOC processes to a technology system where providers will be able to electronically submit their LOCs through a self-service portal.

DMS is hosting a virtual webinar to share the upcoming LOC policy and process changes with providers. This webinar will review changes to the existing process and policies, as well as new policies that will be instituted as a part of the LOC transformation. DMS strongly encourages attendance, as the content will prepare providers to transition to the new processes.

The webinar is offered on two days to best accommodate providers’ schedules. The webinar content will be the same on both dates. The webinar lobby will be open 30 minutes prior to each webinar.

  • Wednesday, August 23rd, 2017 - 10:00 a.m.-12:00 p.m., Eastern Time
  • Thursday, August 31st, 2017 - 10:00 a.m.-12:00 p.m., Eastern Time
  • Webinar Information

    There is no registration for this webinar. Everyone is a Guest. Guest access and entry into the webinar is blocked until the webinar room opens at 9:30 AM, Eastern Time.

    On the date of the webinar, Click Here To Join The Webinar. The “2017 DMS Webinars” page will open. Click “Enter as a Guest” and type your agency name or your first name and last name in the field marked “Name,” then click on the box that says “Enter Room.”

    July 26, 2017
    Public Notification Revised
    Notification Revised-alphabetical by last name (Excel)
    Notification Revised-alphabetical by last name (PDF)

    June 23, 2017
    Attention Providers - Due to revisions, the July 1, 2017 implementation date for the new Level 1 PASSR form (PDF) stated in the March 2017 Provider Letter (PDF) has been delayed. Please continue to use the current Level I PASRR Screening form until further notice from the Department for Medicaid Services. Please also be advised the new MAP 4095 PASRR Significant Change Form (PDF) will be implemented on 7/1/17 17 as planned.
    For additional questions, please feel free to call or email either stated in the Vicki Barber at 502-564-6890 or Benita Jackie at 502-782-6217.

    March 31, 2017
    Effective 3/31/2017 members who are enrolled in an MCO will no longer be receiving a KyHealth Choices card. Members will only be receiving a card from the MCO in which they are enrolled. This change is being made to reduce duplication of effort as all required Medicaid information is located on their MCO card. This change does not affect Fee For Service members.

    In addition, members who have had 6 months or more loss in eligibility will not be receiving a new card.

    February 8, 2017
    Attention Providers:
    A letter (PDF) and FAQ document (PDF) were mailed regarding ORP (Ordering, Referring and Prescribing Providers). Questions regarding this notice may be directed to 855-824-5615, Monday through Friday, 8:00 am to 5:30 pm eastern time.

    June 29, 2016
    Attention Providers:

    Effective July 1, 2016, claims subject to Prudent Pay will be decreased from 19 days to 6 days.

    December 22, 2015
    Attention Hospice Providers
    Effective for dates of service 1/1/2016 and after, Hospice providers will be able to bill for Service Intensity Add-on (SIA) payments for routine home care services provided by a registered nurse or medical social worker during the last 7 days of a patient’s life. Billing for the Service Intensity Add-on (SIA) payment should be on a separate line and/or claim from your routine home care payment billing using revenue codes 551 or 561, as appropriate. Procedure code G0299 will be required with the use of revenue code 551 and G0155 will be required with the use of revenue code 561. SIA payments must be billed in 15-minute increments (1 unit = 15 minutes) and is to be billed on a claim with occurrence code 55 and an associated occurrence date that reflects the member’s date of death. Revenue codes 551 and 561 must be billed as a single date of service per line (span-dating is not allowed). Please continue billing for your regular routine home care payments with revenue code 651 using the current billing guidelines and unit increment.

    October 29, 2015
    Please note claims received prior to 3pm EST on Friday will be processed through the financial cycle on Friday night. Claims received after 3pm EST on Friday may not be processed until the next financial cycle.

    Last Updated 8/8/2005 
    Contact Us  |  Site Map
      Privacy  |  Disclaimer  |  Individuals with DisabilitiesCopyright © 2005 Commonwealth of Kentucky
    All rights reserved.