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Provider Billing Instructions

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Provider billing instructions are displayed in Adobe Acrobat formats.

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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 - March 2024
02 Psychiatric Inpatient Hospital Services-5010 update New - March 2023
03 Behavioral Health Services Organization New - December 2023
04/05 Psychiatric Residential Treatment Facility and PRTF2 New - March 2023
06 Chemical Dependency Treatment Center New - February 2023
10 Specialty Intermediate Care Clinic for Development and Intellectual Disabilities New - October 2023
11 Intermediate Care Facility for Individuals with Intellectual Disabilities or Developmental Disabilities New - July 2024
12 Nursing Facility New - February 2023
13 Specialized Children's Services Clinic-5010 update New - October 2023
16 Certified Community Behavioral Health Centers Provider Type-16 New - December 2023
17 Acquired Brain Injury New - March 2023
18 Private Duty Nursing New - March 2023
20 Preventive Health Services-5010 update New - January 2024
21 School Based Health Services New - June 2024
22 The Commission For Children With Special Health Care Needs-5010 update New - October 2023
23 Title V Services Provided By The Department For Social Services-5010 update New - March 2023
26 Residential Crisis Stabilization Unit New - March 2023
30 Community Mental Health Services New - December 2023
31 Primary Care- FQHC New - March 2024
31 Primary Care non-FQHC New - March 2024
32 Family Planning Services-5010 update New - March 2023
33 Supports For Community Living New - March 2023
34 Home Health Services-5010 update New - March 2023
35 Rural Health Services-5010 update New - March 2024
36 Ambulatory Surgical Centers-5010 update New - October 2023
37 Independent Laboratory and Radiological Services-5010 update New - February 2023
39 Renal Dialysis Services-5010 update New - March 2023
41 Model Waver II Services New - March 2023
42 Home and Community Based Waiver Services New - March 2023
43 Adult Day Care Services New - March 2023
44 Hospice Services New - October 2023
45 EarlyPeriodic Screening Diagnosis And Treatment Services New - March 2023
48 Home Delivered Meals New - March 2023
50/70 Hearing Services-5010 update New - March 2024
51 Administrative Services Organization New - January 2024
52/77 Vision Services-5010 update New - June 2024
54 Pharmacy Services New - March 2023
55/56 Transportation Services - 55/56 Spec 16-5010 update New - March 2023
60/61 Dental Services New - March 2023
62 Licensed Professional Art Therapist New - March 2023
63 Licensed Behavioral Analyst New - March 2023
64/65 Physician Services New - January 2024
66 Behavioral Health Multi-Specialty Group New - December 2023
67 Licensed Clinical Alcohol and Drug Counselor New - March 2023
72/74/78 Advanced Registered Nurse Practitioner Services-5010 update New - December 2023
76 Multi Therapy Agency New - March 2023
79 Speech Language Pathologist New - March 2023
80 Podiatry Services-5010 update New - October 2023
81 Licensed Professional Clinical Counselor New - March 2023
82 Licensed Clinical Social Worker New - March 2023
83 Licensed Marriage and Family Therapist New - March 2023
84 Licensed Psychological Practitioner New - March 2023
85 Chiropractic Services-5010 update New - March 2023
86 Radiological Services-5010 update New - March 2023
87 Physical Therapist New - March 2023
88 Occupational Therapist New - March 2023
89 Licensed Psychologist New - March 2023
90 Durable Medical Equipment Services-5010 update New - March 2024
91 Comprehensive Outpatient Rehabilitation Facilities New - March 2023
95 Physician Assistant New - December 2023

Last Updated 5/15/2019 
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