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Welcome to the Kentucky Medicaid Provider Enrollment Web site

Welcome to the Kentucky Medicaid Provider Enrollment Web site

Thank you for choosing to participate 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 are a new provider, refer to the Application Information and Provider Types links on the left.

If you are an existing provider and need to make changes, refer to the Maintenance Information link on the left.

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

Attention Providers

Important Provider Enrollment Information

As a result of overwhelming applications received and our impending backlog, the Provider Services Branch will not be accepting phone calls during certain times throughout the day on the 877-838-5085 phone number. This new policy has been implemented in an effort for staff to be as efficient as possible and to allow for minimal interruptions of the work flow. A general email box has been set up to make up for the time that the phones will not be operational. If you would rather email your request, please do so. The general email address for provider enrollment is Program.Integrity@ky.gov. We will respond to you within 24 hours.

We are processing the applications as quickly as possible in date order. If you have submitted your application within the last 90 days, your application is still in process.

Medicaid Provider Updated License Information

When a Kentucky Medicaid provider receives an updated license, the provider must submit a copy of the license to Kentucky Medicaid in order to keep their provider information updated.

If you have received a new license and have not yet submitted a copy to Kentucky Medicaid, please forward a copy of your license along with your NPI/KY Medicaid provider number, to the following address:

KY Medicaid
PO Box 2110
Frankfort, KY 40602

Information regarding 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.

DMS List of Excluded Providers
Click the Excluded/termed provider list

 

What is a KY Medicaid Provider?
 

The Department for Medicaid Services (DMS) only contracts with providers or entities qualified under 907 KAR 1:671 and 907 KAR 1:672 and approved by DMS to participate. DMS reserves the right to approve or reject a contract with any prospective provider.

Notice: Pursuant to 907 KAR 1:672 Section 2 1(c)(1), you must be enrolled as a participating provider prior to being eligible to receive reimbursement.

Enrollment in the program is not a guarantee; therefore, providing services to Kentucky Medicaid members prior to your effective date is at your own financial risk.

 

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
Fax: (502) 564-3232
Program.Integrity@ky.gov

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

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

 

Last Updated 11/10/2009
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