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Medicaid Provider Letters

12 - Case Mix - Nursing Facilities

Click on the date below to view the corresponding provider letter:

2007 Provider Letters

2007 General Provider Letters

2006 General Provider Letters

2005 Provider Letters

  • 08/18/2005
    This letter provides information regarding Medicaid reserve bed days issues...
  • 08/02/2005
    This letter provides policy guidance regarding Medicaid payment for oxygen therapy to Nursing Facilities.
  • 06/08/2005
    This letter provides policy guidance regarding "certified through dates" for Medicaid payment of services.
  • 04/05/2005
    All acceptable Medicaid dental "D" codes will be covered effective April 1, 2005 in the hospital outpatient and ambulatory surgical centers when billed with an ICD-9 diagnosis code relating to the following condition(s) and justifying treatment performed in these settings...
  • 03/25/2005
    The enclosed application for Disproportionate Share Hospital Program (DSH-001) is to be used by DSH hospitals to screen for Medicaid and KCHIP eligibility and to determine eligibility for funding under the DSH program...
  • 03/18/2005
    This letter is to remind providers of upcoming changes in the Medicaid claims payment cycle that were previously described in correspondence dated September 27, 2004...
  • 03/15/2005
    The Kentucky Department for Medicaid Services is replacing the monthly paper Medical cards with a permanent plastic KYHealth card...
  • 02/07/2005
    According to recent statistics, Diabetes is the fifth leading cause of death by disease in Kentucky (KY Annual Vital Statistics Report)...
  • 01/07/2005
    This letter provides important information about changes to the Medicaid Pharmacy Program, including modification of drug prior authorization (PA) requirements...

2004 Provider Letters

  • 12/30/2004
    Please be advised that Nursing Facility Provider Letter #A-215, dated December 17, 2004 inadvertently cited a federal regulation incorrectly, mandating facilities must report the death of any resident to the Centers for Medicare and Medicaid Services (CMS) regional office by no later than close of business the next business day after the resident's death. Please disregard....
  • 12/17/2004
    MAP-24
    In accordance with the Department for Medicaid Services nursing facility reporting requirements, a "Memorandum to Local DCBS Office (MAP-24)" must be submitted by nursing facilities to the local DCBS office reporting, "Discharge or death of any Medicaid resident" within ten (10) days of its occurrence...
  • 12/16/2004- REPLACED by letter above dated 01/07/2005
    This letter provides important information about changes to the Medicaid Pharmacy Program, including modification of drug prior authorization (PA) requirements...
  • 12/10/2004
    Governor Ernie Fletcher and Health and Family Services Secretary Dr. James W. Holsinger, Jr. early this year announced a Medicaid modernization plan with a goal of providing the highest quality care to our citizens in the most cost efficient manner possible...
  • 09/27/2004
    This letter is written to remind providers of upcoming changes in the Medicaid claims payment cycle that were previously described in correspondence dated May 21, 2004 (see 06/01/2004 letter below)...
  • 09/07/2004
    MAP-4095 (rev. 9/2004)
    The Department for Medicaid Services has revised the PASRR Significant Change form (MAP-4095). Please begin using the revised form immediately...
  • 08/26/2004
    The Kentucky Department for Medicaid Services is implementing mandatory direct deposit for Medicaid payments...
  • 08/25/2004
    This is to provide notice of recent policy revisions effective July 30, 2004 and implemented by the Kentucky Department for Medicaid Services, which will affect reimbursement for a number of services provided to Medicaid recipients by physicians...
  • 08/13/2004
    This letter provides important information about changes to the Medicaid Pharmacy Program, including the implementation of new drug prior authorization (PA) requirements...
  • 08/04/2004
    This letter provides important information about changes to the Medicaid Pharmacy Program, including the implementation of new drug prior authorization (PA) requirements...
  • 08/04/2004
    The Department for Medicaid Services (DMS) has updated the nursing facility level of care (LOC) criteria...
  • 07/30/2004
    The Department for Medicaid Services (DMS), in conjunction with the nursing facility industry, have been working to rebase the nursing facility standard price system for the July 1, 2004 rates...
  • 07/19/2004(Flyer)
    Kentucky Medicaid Requires HIPAA 837 Format for EDI Submissions by September 1, 2004...
  • 06/03/2004
    This letter is being sent to notify you of upcoming changes in the paper Medical Assistance Identification Cards (MAID) issue monthly to eligible Medicaid members...
  • 06/02/2004
    MAP-811 Addendum E
    The Kentucky Department for Medicaid Services is proud to announce our new direct deposit system for Medicaid Provider payments...
  • 06/01/2004
    This letter is to inform of a change relative to the Medicaid payment cycle...
  • 05/21/2004
    As you are aware, Nursing Facility Level of Care (LOC) criteria was revised April 1, 2003...
  • 05/13/2004
    Announcing the Kentucky Medicaid 2004 Plastic Card Workshop - for providers in Bell, Bourbon, Breathitt, Clay, Clark, Fayette, Jackson, Jessamine, Knox, Laurel, Leslie, Madison, Owsley, Perry, Scott, and Woodford counties.  Future workshops will be scheduled for providers in other counties at a later date.
  • 05/06/2004
    This letter provides important information about changes to the Medicaid Pharmacy Program, including the implementation of new drug prior authorization (PS) requirements...
  • 03/08/2004
    This letter provides important information about changes to the Medicaid Pharmacy Program, including the implementation of new drug prior authorization (PA) requirements...
  • 03/01/2004
    This is to advise you that all Provider Billing Instructions (BI's) are now available electronically and are located on the Unisys website...
  • 02/23/2004
    The Department for Medicaid Services (DMS) has been informed that the staffing and technical difficulties experienced at the Peer Review Organization (PRO) have been resolved regarding the receipt and processing of fax certification requests...
  • 01/30/2004
    FAQ's~MAP-4105
    Effective January 30, 2004, the Department for Medicaid Services has revised the nursing facility (NF) level of care criteria in 907 KAR 1:022...
  • 01/23/2004
    Effective immediately, the Department for Medicaid Services has deleted the requirement for level of care recertification upon readmission to a nursing facility when a resident has left the facility due to an acute care hospital stay for three (3) or more days...
  • 01/19/2004
    Due to technical and administrative difficulties, the Department for Medicaid Services (DMS) request you suspend faxing of the MAP-726A forms, Nursing Facility Level of Care Request for Admission, to the Peer Review Organization (PRO)...

 

 

Last Updated 5/16/2013
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