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Provider Billing Instructions

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Billing Instructions are for Fee For Service (FFS) providers only.

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

PT Program Revision Date
01 Hospital Services-5010 update New - July 2025
02 Psychiatric Inpatient Hospital Services-5010 update New - July 2025
03 Behavioral Health Services Organization New - July 2025
04/05 Psychiatric Residential Treatment Facility and PRTF2 New - July 2025
06 Chemical Dependency Treatment Center New - July 2025
09 Certified Waiver Provider New - July 2025
10 Specialty Intermediate Care Clinic for Development and Intellectual Disabilities New - July 2025
11 Intermediate Care Facility for Individuals with Intellectual Disabilities or Developmental Disabilities New - July 2025
12 Nursing Facility New - July 2025
13 Specialized Children's Services Clinic-5010 update New - July 2025
16 Certified Community Behavioral Health Centers Provider Type-16 New - July 2025
17 Acquired Brain Injury New - July 2025
18 Private Duty Nursing New - July 2025
20 Preventive Health Services-5010 update New - July 2025
21 School Based Health Services New - July 2025
22 The Commission For Children With Special Health Care Needs-5010 update New - July 2025
23 Title V Services Provided By The Department For Social Services-5010 update New - July 2025
26 Residential Crisis Stabilization Unit New - July 2025
30 Community Mental Health Services New - July 2025
31 Primary Care- FQHC New - July 2025
31 Primary Care non-FQHC New - July 2025
32 Family Planning Services-5010 update New - July 2025
33 Supports For Community Living New - July 2025
34 Home Health Services-5010 update New - July 2025
35 Rural Health Services-5010 update New - July 2025
36 Ambulatory Surgical Centers-5010 update New - July 2025
37 Independent Laboratory and Radiological Services-5010 update New - July 2025
39 Renal Dialysis Services-5010 update New - July 2025
41 Model Waver II Services New - July 2025
42 Home and Community Based Waiver Services New - July 2025
43 Adult Day Care Services New - July 2025
44 Hospice Services New - July 2025
45 Early Periodic Screening Diagnosis And Treatment Services New - July 2025
48 Home Delivered Meals New - July 2025
50/70 Hearing Services-5010 update New - July 2025
52/77 Vision Services-5010 update New - July 2025
54 Pharmacy Services New - July 2025
55/56 Transportation Services - 55/56 Spec 16-5010 update New - July 2025
60/61 Dental Services New - July 2025
62 Licensed Professional Art Therapist New - July 2025
63 Licensed Behavioral Analyst New - July 2025
64/65 Physician Services New - July 2025
66 Behavioral Health Multi-Specialty Group New - July 2025
67 Licensed Clinical Alcohol and Drug Counselor New - July 2025
72/74/78 Advanced Registered Nurse Practitioner Services-5010 update New - July 2025
76 Multi Therapy Agency New - July 2025
79 Speech Language Pathologist New - July 2025
80 Podiatry Services-5010 update New - July 2025
81 Licensed Professional Clinical Counselor New - July 2025
82 Licensed Clinical Social Worker New - July 2025
83 Licensed Marriage and Family Therapist New - July 2025
84 Licensed Psychological Practitioner New - July 2025
85 Chiropractic Services-5010 update New - July 2025
86 Radiological Services-5010 update New - July 2025
87 Physical Therapist New - July 2025
88 Occupational Therapist New - July 2025
89 Licensed Psychologist New - July 2025
90 Durable Medical Equipment Services-5010 update New - July 2025
91 Comprehensive Outpatient Rehabilitation Facilities New - July 2025
95 Physician Assistant New - July 2025

Last Updated 5/15/2019 
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