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Physician Services

Medicaid will pay for medically necessary services performed in the office, hospital or home when performed by a physician or a physician assistant.

A co-pay is required unless the member is exempt.  Payment is fee for service.  Many services require prior authorization.  Prior Authorized Service Codes are indicated on the fee schedule.

The Resource Based Relative Value Scale (RBRVS) Physician Fee schedule can be viewed from our Fee Schedule web page.

Archives

Fee Schedules

Physician Fee Scedule as of July 2007: PDF 
Physician Fee Schedule as of January 2007: PDF
Physician Fee Schedule as of June 2006: PDF
Physician Fee Schedule as of July 2005: PDF

 

Related Content
 

Regulations:
907 KAR 3:005
907 KAR 3:010

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

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

NDC to HCPCS Crosswalk Codes:
Excel - PDF

NDC Form Ver. 2:
PDF

Publications:
Effective July 1, DMS began reimbursing physicians to administer topical fluoride varnish to the teeth of Medicaid eligible clients through age four.  Click on the Fluoride Varnish Manual for more information.

 

Contact Information:
 

Department for Medicaid Services

Division of Hospitals and Provider Operations

275 E. Main St.
6 E-A
Frankfort, KY 40621

(502) 564-3477

Contact us by email:
CHFS DMS Webmaster

 

Last Updated 4/18/2008
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