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Important Kentucky Medicaid updates and announcements

What's New

Third Party Review Process (SB20)

Senate Bill 20 established the right for a provider who has exhausted the written internal appeals process of a Medicaid managed care organization (MCO) to an external independent third-party review of the MCO final decision that denies, in whole or part, a health care service to an enrollee or a claim for reimbursement to a provider for a health care service rendered by the provider to an enrollee of the MCO. The legislation also afforded a provider or an MCO the right to an administrative hearing.

907 KAR 17:035 establishes the process for the external independent third-party review and 907 KAR 17:040 establishes the process for an administrative hearing.

Beginning with the dates of service on or after Dec. 1, 2016, providers may submit a request for an external independent third-party review within 60 calendar days of receiving a final decision from the MCO internal appeal process.

Provider Letter #A-102 Senate Bill 20

MCO Contact Information

MPW Public Notice - Waiver Renewal Application

  The Cabinet for Health and Family Services, Department for Medicaid Services hereby provides a 30-day public notice and comment period for its intent to submit to the Centers for Medicare and Medicaid Services (CMS) a renewal for the Michelle P. waiver (MPW). The current MPW expired Aug. 31, 2016, and a renewed waiver must be submitted. The renewal of MPW includes changes to comply with federal requirements set forth by Final Rule - CMS 2249-F – 1915(i) State Plan Home and Community-Based Services, Five-Year Period for Waivers, Provider Payment Reassignment, Setting Requirements for Community First Choice and CMS 2296-F 1915(c) Home and Community-Based Services Waivers (final rule).

View the MPW Waiver Renewal Application Part A - MPW Waiver Renewal Application Part B

To receive a hard copy of the MPW waiver renewal application, please email or call (502) 564-4321.

To submit written comments regarding this public notice please do so by email or by mailing them to the following address by Dec. 17, 2016:

Department for Medicaid Services
MPW Waiver Renewal
Commissioners Office
275 E. Main St., 6W-A
Frankfort, KY  40621

Upcoming HCBS Final Rule - Stakeholder Engagement Meeting

The Cabinet for Health and Family Services is hosting meetings for providers to provide input on the Home and Community-Based Services (HCBS) Final Rules implementation. CHFS encourages participation from stakeholders as it continues to develop the processes for ongoing compliance with the HCBS Final Rules.

Update - September 2016 Webinar meeting presentation

Please see the attachments below for the February 2016 meetings

Public Notices

The Kentucky Department for Medicaid Services gives notice of the following proposed actions regarding Community Mental Health Centers services and reimbursement provided under the state plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

View Public Notices.

Medicaid Waiver Management Application (MWMA) transition

(Aug. 24, 2016) - Read the Suspension of the Direct Service Provider Use announcement.

Attention HCB Waiver Providers and Members

(Aug. 15, 2016) Read the HCB Waiver 2 Announcement- New

We are pleased to announce that the Cabinet for Health and Family Services, Department for Medicaid Services has received approval from the Centers for Medicare and Medicaid Services for the Home and Community Based Waiver (HCB2 - KY.0144.R06.00) renewal with an effective date of Aug. 1, 2016.

Read the HCB2 Announcement

Attention Providers

You may begin enrolling on Aug. 1, 2016, as a LPT-67 - Licensed Clinical Alcohol and Drug Counselors (LCADC) limited to services provided in a CMHC, CDTC, Level I/II PRTF, Outpatient Hospital and Outpatient Psych Hospital. The information provided for the provider type is subject to change pending future amendments to or adoption of state regulations. If you have any questions about the process, contact the Department for Medicaid Services at 502-564-7450. If you have any questions regarding enrollment, please contact Provider Enrollment at 877-838-5085.

Attention SCL Providers

On June 3, 2016, the new Supports for Community Living (SCL) Waiver Program regulation, 907 KAR 12:010, became effective. However, at Section 17(2), the regulation is contingent upon Centers for Medicare and Medicaid Services (CMS) approval of the SCL Waiver. DMS is currently waiting for approval from CMS for the waiver. Therefore, the SCL Waiver Program will continue to operate under the previous regulation which may be found at 907 KAR 12:010. Notification of CMS approval will be provided once it is received. If you have any questions, please contact DMS or call 502-564-1647.

Attention Providers - 1915C Waiver Therapy Transition

Attention HCB Waiver Providers only - Please see guidance for providers and use the referenced forms below to transition physical therapy, occupational therapy and speech language pathology services from the HCB Waiver to State Plan. This applies only to members in the HCB Waiver.

If you have any questions about transition of prior authorizations or billing, please email HPE. If you have questions about the State Plan therapy benefit, please contact DMS Division of Policy and Operations by email or by phone at 502-564-6890

Update: Please view the Presentations materials from the HCBS Waiver Transition Webinar.

(Mar. 17, 2016) - Provider type 76 - Multi-Therapy Agency, is expected to be effective in June 2016. Providers may begin submitting applications to enroll in Medicaid as this provider type on May 15, 2016 but applications will be held and will not be processed until state regulations are final. The information provided for this provider type is subject to change pending adoption of state regulations.

For more information about the new therapy process, please read the

If you have questions about the therapy process, contact the Department of Medicaid Services at 502-564-7540. If you have any questions regarding enrollment after May 15, 2016, please contact Provider Enrollment at 1-877-838-5085.

Information regarding the upcoming Physical/Speech/Occupational Therapy Webinar

(Nov. 17, 2015) - Please join the Cabinet for Health and Family Services for a webinar discussing upcoming changes to physical, speech and occupational therapy services on Nov. 24, 2015, from 10 a.m. to 11:30 a.m.

For more information, please refer to the Ancillary Services Webinar Information Announcement

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Final Rule/Wavier Announcements

Attention CDO-PDS Waiver Members

   The Department for Medicaid Services issued a letter to Home and Community Based Waiver members who use the Bluegrass Area Development District (BGADD) agency for Consumer Directed Option or Participant Directed Services. Medicaid members using BGADD for support broker or fiscal intermediary services will not be losing Medicaid eligibility or services. The Department for Aging and Independent Living (DAIL) will transition those services to a different agency with no disruption in service. For questions or concerns, please contact DAIL at 502-564-6930 and ask to speak to a CDO/PDS staff person. You may also call DMS at 502-564-5560.

View a copy of the DMS letter to CDO-PDS Waiver Members on BGADD

Attention HCB Waiver Providers

The Department for Medicaid Services (DMS) will be completing a sampling of a new assessment for Home and Community Based Waiver. This will be conducted by DMS independent nurse assessors and is voluntary. The purpose of the sampling is to gather information about the impact of the new assessment tool and to assist in training on the implementation of the assessment. This assessment interview will not take the place of the yearly reassessment and will not impact eligibility or services.

Attention HCB Waiver Providers

(July 1, 2016) - On April 1, 2016, the new Home and Community Based (HCB) Waiver Program regulations, 907 KAR 7:010 and 907 KAR 7:015, became effective. However, DMS filed an e-regulation on June 30, 2016 amending the regulation to make it contingent upon Centers for Medicare and Medicaid Services (CMS) approval of the HCB Waiver Renewal. DMS is currently waiting for approval from CMS for the Waiver Renewal. Therefore, the HCB Waiver Program will continue to operate under the current Waiver as well as the regulations which may be found at 907 KAR 1:160 and 907 KAR 1:170. Notification of CMS approval will be provided once it is received. DMS anticipates approval in the next 15 to 30 days. If you have any questions, please contact DMS at 502-564-5560.

HCBS Waiver Transition Webinar on Physical Therapy, Occupational Therapy and Speech-Language Pathology

(May 27, 2016) - The Cabinet for Health and Family Services, in conjunction with Hewlett Packard Enterprise (HPE), is hosting a webinar for HCBS waiver PT/OT/ST providers and case managers to describe the upcoming transition of PT/OT/ST services from the waivers into the state plan. The webinar will include policy information presented by DMS as well as guidance on process and operational areas presented by HPE.

Two webinar dates are available to best accommodate schedules. The webinar content is the same on both dates. Meeting dates and times and webinar information are listed below. We hope you will be able to attend.

Date/Time/Webinar Information - Please test your system to ensure you can join your conference when the session begins.

Tuesday, May 31, 10 a.m. - noon
DMS 10 - 11 a.m.; HPE 11 a.m. -noon
Participant Key: MEPGRQX4A9A
Participant Link:
To hear the presentation: call 1-855-493-4983 and enter Conference ID: 799091162

Wednesday, June 1, 1 - 3 p.m.
HPE 1 - 2 p.m.; DMS 2 - 3 p.m.
Participant Key: MEPEHHE2RQJ
Participant Link:
To hear the presentation: call 1-855-493-4983 and enter Conference ID: 799091162

MWMA Provider Support for new and existing users

Update: Please view the Aug. 8 and 9 Wavier Documentation Training Webinar announcement and the MWMA Provider Training Registration letter for June and July 2016.

As a reminder, several of our waivers are utilizing the MWMA system. The Michelle P. Waiver will begin effective June 3, 2016.

For your assistance, additional information regarding MWMA can be found at the following website. You will find onboarding tip sheets, frequently asked questions, job aids, and additional resources. Web based training is also available. If you do not currently have access to the web based training, you may request it by sending an email to the MWMA mailbox.

DMS will be offering additional training at the end of June and early July. Further communication about this training will be sent at a later date.

If you have any issues with MWMA, the Contact Center representatives are available Monday- Friday from 8 a.m. to 5 p.m. Eastern time and can be reached at 1-800-635-2570. (After the DMS welcome message plays, press 1, 6 and 2 to be transferred directly to the MWMA Contact Center.) If the Contact Center can't immediately fix an issue, a ticket is created and escalated to the MWMA production support team. If there is any question or issue that our Contact Center is unable to address, you may contact Bikash Poudel who works closely with our Design, Development, Implementation vendor.

ABI-LTC Waiver Renewal

(May. 6, 2016) The Cabinet for Health and Family Services, Department for Medicaid Services hereby provides a 30-day public notice and comment period for its intent to submit to the Centers for Medicare and Medicaid Services a renewal for the Acquired Brain Injury-Long Term Care (ABI-LTC) waiver. The current ABI-LTC waiver expires June 30, 2016 and a renewed waiver must be submitted and approved by July 1, 2016.

The renewal of the ABI-LTC waiver includes changes to comply with federal requirements set forth by Final Rule-CMS 2249-F–1915(i) State Plan Home and Community-Based Services, Five-Year Period for Waivers, Provider Payment Reassignment, Setting Requirements for Community First Choice, and CMS 2296-F 1915(c) Home and Community-Based Services Waivers (Final Rule). In addition, the renewal reflects several programmatic changes, including transition of payment for physical, occupational and speech therapy services to the Medicaid state plan, revisions in participant-directed services processes, assessment/reassessment and waiting list processes.

View the ABI-LTC Waiver Renewal

To receive a hard copy of the ABI-LTC waiver renewal application, please email or call 502-564-4321

Public Comment
To submit written comments regarding this public notice please do so by emailing them or by mailing them to the following address by April 24, 2016. The ABI-LTC waiver renewal application was submitted to CMS on April 28th, 2016.

CMS Final Rule Webinar

(Dec. 18, 2015) - Update - The Centers for Medicare and Medicaid Services (CMS) has adopted new final federal regulations which address home- and community-based setting requirements for Medicaid waivers. View a webinar on this topic conducted on June 5, 2014 by CHFS staff. Or, you may review the handout or the Q and A document about the CMS final regulations.

The final rule provides for a five-year transition process to allow Kentucky to implement this rule to support continuity of services for Medicaid participants and minimize disruptions in services during implementation. The submitted Statewide Transition Plan offers the steps DMS will take to effectively plan for and execute the transition with public engagement.

Public Comment - Please email written comments regarding the public notices or submit via postal mail by Dec. 10, 2015 to:

Department for Medicaid Services
HCB Final Rule Statewide Transition Plan
Commissioners Office
275 E. Main St., 6W-A
Frankfort, KY 40621

Model II Waiver Renewal

(May 28, 2015) The Cabinet for Health and Family Services Department for Medicaid Services hereby provides a 30-day public notice and comment period for its intent to submit to the Centers for Medicare and Medicaid Services a renewal for the Model II Waiver. The current waiver expires Sept. 30, 2015, and a renewed waiver must be submitted and approved by Oct. 1, 2015.

View the Model II Waiver renewal.

If you would like to receive a hard copy of the Model Waiver II renewal application, please call 502-564-4321 or request by email.

Public Comment
If you wish to submit written comments regarding this public notice please email them or send them by postal mail by June 29, 2015 to:

Department for Medicaid Services
MIIW Renewal
Commissioners Office
275 E. Main St., 6W-A
Frankfort, KY 40621

Supports for Community Living Waiver Renewal

(April 29, 2015) The Cabinet for Health and Family Services Department for Medicaid Services hereby provides a 30-day public notice of and comment period for its intent to submit to the Centers for Medicare and Medicaid Services a renewal for the Supports for Community Living (SCL) waiver. The current SCL waiver expires Aug. 31, 2015, and a renewed waiver must be submitted and approved by Sept. 1, 2015.

The renewal of the SCL waiver includes changes to comply with federal requirements set forth by Final Rule-CMS 2249-F-1915(i) State Plan Home and Community-Based Services, five-year period for waivers, Provider Payment Reassignment, Setting Requirements for Community First Choice and CMS 2296-F 1915(c) Home and Community-Based Services Waivers (final rule).

If you would like to receive a hard copy of the SCL waiver renewal application, please call 502-564-4321 or request by email.

Public Comment
If you wish to submit written comments regarding this public notice please email them or send them by postal mail by May 28, 2015, to:

Department for Medicaid Services
HCB Waiver Amendment
Commissioners Office
275 E. Main St., 6W-A
Frankfort, KY 40621

Home and Community Based Waiver Renewal

(Apr. 8, 2015) - The Cabinet for Health and Family Services Department for Medicaid Services hereby provides a 30-day public notice of and comment period for its intent to submit to the Centers for Medicare and Medicaid Services a renewal for the Home and Community Based (HCB) waiver. The current HCB waiver expires June 30, 2015 and a renewed waiver must be submitted and approved by July 1, 2015

The renewal of the HCB waiver includes changes to comply with federal requirements set forth by Final Rule-CMS 2249-F-1915(i) State Plan Home and Community-Based Services, five-year period for waivers, provider payment reassignment, setting requirements for community first choice and CMS 2296-F-1915(c) Home and Community-Based Services Waivers (final rule). The renewal also includes changes to enhance waiver services.

To receive a hard copy of the HCB waiver renewal application, please email or call 502-564-4321

Please submit written comments regarding this public notice by email or by postal mail by May 10, 2015, to:

Department for Medicaid Services
HCB Waiver Amendment
Commissioners Office
275 E. Main St., 6W-A
Frankfort, KY 40621

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Medicaid Managed Care Information

Y Department for Medicaid Services Managed Care Open Enrollment Information- 2017

The Department for Medicaid Services will be conducting an Open Enrollment period for recipients in a Managed Care plan starting Oct. 24, 2016, and ending Dec. 16, 2016.

For more information about covered benefits, services and the associated cost included in the letter, see:

To make a change, call us, toll-free at (855) 446-1245 , Monday through Friday from 8 a.m. to 5 p.m. pm Eastern time.

All plan changes made during Open Enrollment will take effect Jan. 1, 2017.

Attention Members - Coventry Cares of KY has changed its name.

CoventryCares of Kentucky is now Aetna Better Health of Kentucky. The official change took place Feb. 1, 2016.

You do not have to take any action. The new name in no way affects your care. Nothing about your services or benefits will change. You will begin to see Aetna Better Health of Kentucky information in the mail. You will have a new ID card mailed to you. Please visit Aetna Better Health of Kentucky's new website.

If you have questions about this change, please call Member Services at 1-855-300-5528, (TTY 711 and TDD 1-800-627-4702), Monday - Friday, 7 a.m. to 7 p.m. Eastern time.

Attention Members - How to change your Managed Care Organization

Federal regulations allow members to change their managed care organizations outside the 90-day timeline to change. The process is called disenrollment for cause.

Learn more about

Prompt Payment Update

Oct. 11, 2013 - Department of Insurance (DOI) Medicaid Prompt Payment Contact Information
Department of Insurance
Address:
Medicaid Prompt Payment Compliance Branch
P.O. Box 517
Frankfort, KY 40601-0517
Phone: 502-564-6106
Toll Free: 1-800-595-6053, Option 5
EMail

To learn more about the Medicaid MCO Complaint process and how to file a complaint, please call or visit the webpage for the Medicaid Prompt Payment Compliance Branch.

April 17, 2013 - Read the General Provider Letter #A-93 - Medicaid MCO Prompt Payment Complaints to be Reviewed by the Department of Insurance (DOI)

April 5, 2013 - Read the Letter from Gov. Steve Beshear explaining his veto of House Bill 5.

View older announcements.

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Provider Updates

Attention Providers

For 2016, CMS will be hosting several Payment Error Rate Measurement conference calls to providers for 2016. Please review the Provider Call information to learn when calls will be available.

Notice

The Cabinet for Health and Family Services, Department for Medicaid Services Preventive and Wellness Initiative provided enhanced reimbursement rates for certain preventive and wellness services beginning Jan. 1, 2015. In accordance with the Medicaid State Plan and 907 KAR 3:017, this initiative ends June 30, 2016. Starting July 1, 2016, any codes paid at the enhanced rate reverts to those rates listed on the current Kentucky Medicaid Physicians and/or Clinical Diagnostic Laboratory fee schedules.

Attention Providers: Correction to Notice Regarding Revalidation

(May 6, 2016) - The notice sent recently regarding Kentucky Medicaid no longer accepting the Medicare revalidation letter contained information that may be confusing to providers. Only providers who receive a letter from Medicaid regarding their revalidation may be subject to termination if they do not submit a MAP-900. Providers do not need to submit a MAP-900 until they are notified by letter to revalidate, which occurs every five years. Providers can check their revalidation date by logging into KYHealthNet. Medicaid sends a 60-day and 30-day letter prior to the due date.

We regret the confusion. If you have any questions, please send us an email or call 1-877-838-5085.

Attention Behavioral health Services Organization (BSHO) Providers

For questions regarding providing BHSO services, please refer to the DBHDID BHSO page and review the recent 2015 BSHO Webinar. For questions not addressed in the webinar, please email us.

The BHSO Medicaid Billing Manual is under development and will be posted in the near future.

To all providers participating in the Kentucky Medicaid EHR Incentive Program

The Kentucky Medicaid EHR Incentive Program will accept program year 2015 meaningful use attestations beginning at 8 a.m. Eastern time Thursday, April 7. The system will not be available beginning at 4 p.m. Eastern time April 6.

Please keep in mind all attestations must be submitted for program year 2015 by 11:59 p.m. Eastern time May 31, 2016.

Please contact us if you have questions.

Adjusted Primary Care Payment Update

Sept. 17, 2015 - In accordance with the Patient Protection and Affordable Care Act (ACA), certain physicians were eligible to receive adjusted Medicaid payments for primary care services. The federal government fully financed the difference between the state Medicaid payment rate and the applicable Medicare rate for Calendar Years 2013 and 2014 to pay the providers an enhanced rate. At the end of that period, the enhanced federal funding for this program ended. A 6-month claim run-out period was allowed for providers to submit claims for dates of service in CY 2013-14 not yet submitted/processed; as well as any claim adjustments/corrections per the CMS final rule.

The final cycle for the adjusted primary care payment rate, which includes the claim run-out period as well as the reconciliation, will process Oct. 1, 2015.

For more information about the Adjusted Primary Care payments, please refer to the KY Medicaid Affordable Care Act Information page.

If you have questions, please contact the Division of Policy and Operations at 502-564-6890.

Attention Providers

Providers serving waiver members may request prior authorizations under their EPSDT PT-45 provider number for physical, occupational and speech therapies.,

(July 9, 2015) - Effective immediately and until further notice, providers serving waiver members with a prior authorization approved under a new physical, occupational or speech therapy provider type number may ask to replace it with a prior authorization under their EPSDT PT-45 number. Providers serving waiver members also may continue to submit new prior authorizations under their EPSDT PT-45 number until further notice.

For more information on the process, read the EPSDT Prior authorizations for PT OT ST provider notice (July 9, 2015)

Please contact HP at 1-800-807-1232 for assistance and if you have questions about submitting prior authorizations under the EPSDT PT-45 number to replace prior authorizations approved under the new provider type.

For questions about the EPSDT therapy services procedure codes and rates or other questions about EPSDT special services, contact Catherann Terry at 502-564-9444, ext. 2120.

Attention Providers Clarification for Dentists.

Dentists who currently do not bill ICD-9 codes do not have to convert to ICD-10. However, Oral Surgeons currently billing ICD-9 codes will be required to comply with ICD-10. For more information about Kentucky Medicaid's implementation of ICD-10, including how to test for readiness, please visit the DMS ICD-10 website.

Attention Providers

View the CMS National Provider Call - Countdown to ICD 10 dated Aug. 27, 2015

Notice to all providers regarding Electronic Funds Transfer

(Feb. 18, 2015) - The electronic funds transfer (EFT) update function via KY Health Net will be disabled on March 6, 2015. To update your EFT, please contact provider enrollment at 877-838-5085 for further instructions. We apologize for any inconvenience

Attention Providers: Policy Clarification Updates

Attention providers who bill paper, professional crossover claims.

The Medicare Coding Sheet has been revised. You may obtain the newest revision at Kentucky Medicaid Management Information System along with the updated billing instructions. For questions, please contact Provider Inquiry at 800-807-1232.

5010 Announcement

Attention all providers: As of Jan. 1, 2012, all electronic claims submissions must be in the X12 5010 format. Please refer to your billing instructions for additional information required on the CMS1500 and UB04 paper claim forms due to 5010 implementation.

Attention KY Health Net Users: All claims paid prior to Dec. 29, 2011, will not have the Copy Claim or the Adjust Claim function through KY Health Net. Any adjustments to claims paid prior to Dec. 29, 2011, will require paper adjustment submission to the following Address HP Enterprise Services P.O. Box 2108 Frankfort, KY 40602-2108 Attn: Financial Services.

Physician Pricing Update

  • Pricing Update - The procedure code J7300 new pricing will be $645.84 with an effective date of 7-1-11. This change has been made on the physicians fee schedule located on the fee and rate schedule page.
  • ESSURE In-Office Placement - Effective Date of Service (DOS) Jan. 1, 2011, Physicians performing in-office placement of Essure will be reimbursed for A4264 at a rate of $1400 for Place of Service (POS) 11 (office). Physicians can continue to bill 58565 for the placement of the product and payment will remain at $338.62. These two codes must be billed on the same DOS and supporting documentation retained in the patient's chart for placement of product. Prior Authorization will continue to be required. If 58565 is billed with Place of Service (POS) 22, the payment for the profession fee will be $338.62.
  • Physician Provider Update as of June 2011 - Refer to the Physician NDC Code Update for changes in billing.

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Program Updates

Attention Department for Medicaid Services providers/partners

The Department for Medicaid Services is aware of issues with the new benefind system, which processes all benefit programs administered by the Department for Community Based Services. It has resulted in discontinuation letters being sent in error or the system incorrectly showing an individual as ineligible. The Cabinet for Health and Family Services is taking action to ensure that no individual loses benefits as a result. If a person was eligible for Medicaid benefits in March, the person will automatically be eligible for benefits in April.

The Cabinet and DCBS are working with its technology partner, Deloitte, on system issues to stop the incorrect notices and properly reflect eligibility. Medicaid requests that providers continue to provide necessary services and prescriptions to members during this time.

Kentucky Medicaid eligibility is expanding Jan. 1, 2014

More information

New Application for Medicare Savings Programs

Feb. 5, 2010 - Do you have Medicare? Kentucky Medicaid provides partial financial assistance with Medicare premiums, deductibles and coinsurance through the Medicare Savings Program for qualified Medicare beneficiaries, specified low-income Medicare beneficiaries and qualifying individuals who are not entitled to the full Medicaid benefit package.

Apply Now - fill out an application for the Kentucky Medicare Savings Program.

Attention Providers and Parents

Kentucky children may be eligible for free or low-cost health insurance through the Kentucky Children's Health Insurance Program (KCHIP).

KCHIP Application Process Training Presentation provides information about filling out the new application.

To view more programs and services, refer to the Program and Services page.

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Policy Updates

Attention Members: Form 1095-B Information

(Dec. 4, 2015) - Any member of your household enrolled in Medicaid or KCHIP through kynect will receive his or her own Form 1095-B. If you file a tax return, you will be asked if you had health coverage. Form 1095-B is proof of the coverage you had with Medicaid. You should save Form 1095-B with your tax information. If you don't file a tax return, just keep Form 1095-B for your records. You can view a sample of the letter and form.

Get Help
1095-B Quick Reference provides answers to your questions about health coverage and your taxes.

You also can find answers to your questions from your tax preparer, your accountant or the IRS. To reach the IRS help service, go online or call the IRS toll free at (800) 829-1040.

Kentuckians have access to nearly 200 free tax preparation sites across the state where trained and IRS-certified volunteers will help you with your taxes. For more information on Volunteer Income Tax Assistance, go online or call Community Action Kentucky at (800) 456-3452.

DMS does not provide guidance on billing

The Department for Medicaid Services does not provide guidance on how companies should bill for services, but will direct you to applicable regulations.

If you receive direction from staff about how to bill, the department will not be bound by such instruction, unless it was given by a director or commissioner.

Older updates

To review more updates and/or clarifications, refer to the Policy Clarifications page.

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Helpful Links
 

Directories

Kentucky Medicaid Provider Directory

Kentucky Medicaid/KCHIP Dental Provider Listing

Managed Care Online Provider Directory

KY MCO Preferred Drug Lists (PDL)

Aetna Better Health

Anthem

Humana

Kentucky Spirit

Passport

Wellcare

Federal and State Resources

Kentucky Medicaid Management Information System (KYMMIS)

Centers for Medicare and Medicaid Services

Medicaid.gov

Office of the Ombudsman

Attention Members: Form 1095-B Information
(Dec. 4, 2015) - Any member of your household enrolled in Medicaid or KCHIP through kynect will receive his or her own Form 1095-B. If you file a tax return, you will be asked if you had health coverage. Form 1095-B is proof of the coverage you had with Medicaid. You should save Form 1095-B with your tax information. If you don't file a tax return, just keep Form 1095-B for your records. You can view a sample of the letter and form.

Get Help
1095-B Quick Reference provides answers to your questions about health coverage and your taxes.

You also can find answers to your questions from your tax preparer, your accountant or the IRS. To reach the IRS help service, go online or call the IRS toll free at (800) 829-1040.

Kentuckians have access to nearly 200 free tax preparation sites across the state where trained and IRS-certified volunteers will help you with your taxes. For more information on Volunteer Income Tax Assistance, go online or call Community Action Kentucky at (800) 456-3452.

DMS does not provide guidance on billing

The Department for Medicaid Services does not provide guidance on how companies should bill for services, but will direct you to applicable regulations.

If you receive direction from staff about how to bill, the department will not be bound by such instruction, unless it was given by a director or commissioner.

Older updates

To review more updates and/or clarifications, refer to the Policy Clarifications page.

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Last Updated 12/9/2016