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Important Information for Kentucky Medicaid Providers Announcement: Policy Clarification for Tamper Resistant Prescription Pads (TRPPP) May 9, 2008 May 14 is Legacy Free Day – an opportunity to check your National Provider Identifier (NPI) readiness. The Department for Medicaid Services (DMS) is requesting providers and their billing vendors to participate in a one-day NPI preparation exercise on Wednesday, May 14, 2008. Participating Kentucky Medicaid providers will send Medicaid claims with NPI-only in provider fields which originally contain NPI/legacy pairs from the provider. In other words, you or your billing vendor will strip the legacy identifiers when they are submitted as part of an NPI/legacy pair. Over the past month, Kentucky Medicaid has asked providers to begin testing NPI-only by sending a group of claims with NPI alone in primary provider fields. This exercise will help Kentucky Medicaid providers evaluate their NPI readiness prior to the May 23, 2008 deadline. The outcomes of this exercise are described below: Claims are processed and paid by Kentucky Medicaid. Under this scenario, the provider can feel confident that his or her cash flow will not be affected by the May 23 implementation date; or Claims are rejected or suspended. Under this scenario, the provider will know in advance that there are problems that must be resolved prior to May 23. Resolution might include changes to the NPESS data or to the Kentucky Medicaid provider enrollment record. On May 15, participating providers and their billing vendors can revert back to billing claims with their NPI/legacy pairs. However, if you have the NPI and taxonomy on file with Kentucky Medicaid, continue to bill claims with the NPI. Got Questions? Need More Information? Still not sure what an NPI is and how you can get it, share it? Click to view the Frequently Asked questions regarding NPI registration. Providers may also contact First Health at (800) 639-5195. Still not sure how to submit claims with your NPI? Providers may also refer to the Provider Billing Instructions or contact Provider Relations at (800) 807-1232 or the EDI helpdesk at (800) 205-4696 April 9, 2008 Announcement: Policy Clarification for Tamper Resistant Prescription Pads (TRPPP) The April 1, 2008 implementation of the tamper-resistant prescription pad requirements for written prescriptions billed to Medicaid has been successful thus far. However, there are policy clarifications that seem appropriate based on the questions received thus far. To view the clarifications, click the Policy Clarification for Tamper Resistant Prescription Pads. Tuesday, October 17, 2006 Provider Enrollment information and forms may now be found on the KyHealth Choices Web site. Wednesday, October 11, 2006 Starting in the Spring of 2007, all Medicaid members will receive a new card. For more information, click here. October 4, 2006 Provider Letter # A-10 - KyHealth Choices - Prior Authorization Requirements for Chiropractic Services (10/03/06) Effective October 1, 2006, Prior Authorization will not be required for KyHealth Choices. Chiropractic services for both children and adults. October 2006. October 2, 2006 Information regarding the new CMS 1500 Claim Form to be accepted beginning October 2006. September 14, 2006 Prior authorization requirements for KyHealth Choices have changed. Please access the DMS website to view the changes for radiology, speech therapy and physical therapy. 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) Includes: 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