Kentucky Cabinet for Health and Family Services (Banner Imagery) - Go to home page

Radiology Services

Attention Providers

Image Gently Campaign
The Kentucky Department of Medicaid Services encourages the medical community to recognize the importance of radiation safety in pediatric imaging. The Image Gently campaign is an initiative of the Alliance for Radiation Safety in Pediatric Imaging.

Attention Providers Image Gently poster

Visit the Image Gently webpage for more information.

CT Scan Diagnoses
Recently, the Department for Medicaid Services requested a review of the medical necessity of CT scans performed for Medicaid members. The review revealed that many diagnoses appear unrelated to the medical conditions/reasons for CT scans.

Inaccurate diagnosis coding may result in the denial or recovery of services because the medical necessity of the scan can not be determined. Medicaid funds can be used only for medically necessary services.

For more information, click on the CT Scan Diagnoses document.

Radiology Services

What services are provided?

This provider type provides radiological services. Radiological services (including x-rays, ultrasounds, computer-assisted tomography and magnetic resonance imaging) are limited to procedures provided by a facility licensed to provide radiological services.

Prior Authorization Information

Radiology providers are not responsible for obtaining a prior authorization. Any neccessary prior authorization should be obtained by the prescribing provider.

 

Regulations, Policy information, Letters, Applications Billing information and Fee Schedule
 

Regulations
907 KAR 1:028

Policy Information is contained in 907 KAR 1:028

Provider Letters
To view a copy of the most current provider letters, go to the provider letter page.

Applications
KyHealth-Net

Billing Information

Fee Schedule
To view the most current copy of the fee schedule, go to the Fee and Rate Schedule page.

 

Contact Information:
 

Regarding policy, contact:
Division of Policy and Operations
Benefit Policy Branch
275 E. Main St., 6W-D
Frankfort, KY 40621
Phone: (502) 564-6890
Email: CHFS DMS Webmaster

Regarding billing, contact HP at 800-807-1232 or visit the website

Regarding members, contact at 800-635-2570

Regarding Provider Enrollment, contact Provider Enrollment at 877-838-5085 or visit the website.

 

Last Updated 1/4/2016