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Provider Enrollment

Welcome to the Kentucky Medicaid provider enrollment website

Thank you for participating in the Kentucky Medicaid Program. The Kentucky Medicaid Program appreciates your interest and welcomes the opportunity to work with you to provide health care services to Kentucky Medicaid members.

If you have any further questions or need assistance, please either email us or call toll free: (877) 838-5085 Monday to Friday 8 a.m. - 4:30 p.m. ET.

Note: Please read the Important Provider Enrollment Information regarding new phone hours and email address.

Provider Enrollment Updates

Attention Providers

Providers may now start the process to enroll as a PT 48 - Home Delivered Meals with an effective date of Sept. 15, 2016. If you have any questions about the requirements to be a Home Delivered Meal provider, please contact the Department for Aging and Independent Living at 877-315-0589.

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 Providers

(May 24, 2016) - Please see the updated information below regarding changes to the MAP-347 and the MAP-529.  Please note this change will apply to new submissions of these forms beginning June 1, 2016.

MAP-347, the Statement for Authorization of Payment, Group Linkage Section form has been updated. The old form will be accepted up to 5/31/16. Beginning June 1, 2016, the new MAP-347 will be required. Any MAP-347 submitted after 5/31/16 on the old form will be returned for updating. The distinguishing factor to recognize you are using the correct form is [MAP-347, Rev. 5/16] in the top left corner of the form.

MAP-529, KY Medicaid Change of Information Form has been updated. The old form will be accepted up to 5/31/16. Beginning June 1, 2106, the new MAP-529 will be required. Any MAP-529 submitted after 5/31/16 on the old form will be returned for updating. The distinguishing factor to recognize you are using the correct form is [MAP-529, Rev. 5/16] in the top left corner of the form.

If you have any questions, please either email or call us at 1-877-838-5085.

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 5 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 Providers

(Mar. 17, 2016) - Provider type 76 - Multi-Therapy Agency, is anticipated 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.

Attention Providers

(Dec. 16, 2015) - The new 2016 application fee is $554. For more information, please see the Federal Register notice.

Attention Providers

(May 28, 2015) - Starting July 1 providers no longer will be required to file an Annual Disclosure of Ownership (ADO). Therefore, any provider who has a due date of July 1st and thereafter is not required to submit an ADO. Only those providers with a due date up to and including June 30 are required to submit an ADO.

Medicaid was updating its system to prevent the 60-day and 30-day notice letters from going out to providers with a due date starting July 1, but it did not take effect in time. Therefore, providers may receive letters erroneously.

If a provider has a due date of July 1 and thereafter, please disregard any letters requiring the ADO. However, please do not ignore other correspondence from us including revalidation notices.

Attention Providers - MAP 811 form launch delayed

(May 5, 2015) - An April 26, 2015, letter sent to providers regarding 2015 legislative changes to provider enrollment included the statement, "In addition, effective May 1, 2015, all applications must be submitted on the revised MAP-811 in order to be processed. Otherwise, the application will be returned."

Due to technical difficulties launching the new MAP-811 form, DMS advises providers this change will not take effect until July 1, 2015. You may submit either version of the MAP 811 application until July 1, 2015.

Attention Providers - Important 2015 General Assembly Legislative Changes to the Provider Enrollment Program.

(April 21, 2015) - Thank you for participating as a provider in the Medical Assistance Program. The Department for Medicaid Services is working continuously to improve provider participation and streamline processes and is pleased to inform you of two important changes to KY Medicaid enrollment requirements resulting from legislation passed during the 2015 General Assembly. Read the general provider letter regarding 2015 legislative changes to provider enrollment

Attention Providers - Disabling the Electronic Funds Transfer

(Feb. 18, 2015) - The Electronic Funds Transfer (EFT) update function via KY Health Net will be disabled on March 6, 2015. In order to update your EFT, please contact provider enrollment at 877-838-5085 for further instructions. We apologize for any inconvenience.

Attention Providers - Disabling the EADO Process

(Jan. 23, 2015) - The Electronic Annual Disclosure of Ownership (EADO) process has been disabled. This functionality may be available in the future. If you have an EADO currently in process, you may be contacted for further information if additional information is needed to process your EADO. We apologize for any inconvenience.

Excluded Providers

On Jan. 16, the Centers for Medicare and Medicaid Services issued a letter to state Medicaid directors reiterating a long-standing policy. The letter clarifies the federal statutory and regulatory prohibitions regarding providers who have been excluded from participation in federal health care programs. For more information please review the following letters.

You may also visit the Office of the Inspector General Exclusions Program website for the List of Excluded Individuals/Entities.

Updated Kentucky Medicaid Excluded/Termed Provider Listing

 

Regulations, Publications, Termed Provider List
   

Contact Information
 

Kentucky Department for Medicaid Services
Provider Enrollment
P.O. Box 2110
Frankfort, KY 40602
Toll free: (877) 838-5085 Monday to Friday
8 a.m. - 4:30 p.m. ET

Email

For other questions or assistance, e-mail the CHFS DMS Webmaster

For question on billing, contact HP at (800) 807-1232 or visit its website.

 

Last Updated 8/30/2016