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HIPAA 5010/ICD-10 Transition Information

Welcome to the KY Medicaid (DMS) 5010/ICD-10 Website. Here you will find information about Kentucky Department for Medicaid Services (DMS) plans for

These two transitions will require system and business changes throughout the health care industry. ICD-10 will affect coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicaid claims.

Preparing for ICD-10 and Version 5010 - including potential updated software installation, staff training, changes to business operations and workflows, internal and external testing, reprinting of manuals and other materials, and more - will take time.

Start preparing now to ensure a smooth transition.

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Version 5010 Transition

5010 Compliance Date Extended

(March 2012) The compliance date for upgrading to Version 5010 standards for electronic health transactions was January 1, 2012; CMS enforcement discretion is in place until June 30, 2012.

Click for more information regarding HIPAA 5010

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ICD-10 Implementation

Notice to Stakeholders

In light of the recent passing of House Resolution 4302, the Department of Health and Human Services (HHS) cannot adopt the ICD-10 code set as the standard until at least October 1, 2015. The Kentucky Department for Medicaid Services (DMS) and Hewlett Packard Enterprise (HP) will continue to move forward with the goal of remediating the fiscal agent system and conducting end-to-end external testing by October 1, 2014.

Click for more information on the ICD-10 Implementation.

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Last Updated 12/13/2017