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

Archived Provider Enrollment Notices

Important Announcement regarding newly enrolling provider types and other changes for enrollment due to the Medicaid expansion

Nov. 18, 2013 - Below is a list of new provider types that we anticipate enrolling effective Jan. 1, 2014 due to Medicaid expansion under the Affordable Care Act. Please note that the new provider types are subject to change pending CMS approval. In addition, the regulations and enrollment requirements for each provider type are still being developed.

Starting Nov. 18, 2013, providers may submit an enrollment application for these new provider types. Although enrollment requirements are still being determined, each entity/individual must be licensed and submit their NPI documentation as well as SSN or FEIN verification. Applications will be held and processed once CMS approval is received and the regulations and enrollment requirements are finalized. DMS will provide new information as it becomes available.

As with the current enrollment process, if a provider will be contracting with an MCO the provider will need to submit their application through the MCO of their choice.

New Provider Types

  • 18 - Private Duty Nursing Agency
  • 66 - Behavioral Health Multi-Specialty Group
  • 79 - Speech Language Pathologist
  • 799 - Speech Language Pathologist Group
  • 81 - Licensed Professional Clinical Counselor
  • 819 - Licensed Professional Clinical Counselor Group
  • 83 - Licensed Marriage and Family Therapist
  • 839 - Licensed Marriage and Family Therapist Group
  • 84 - Licensed Psychological Practitioner
  • 849 - Licensed Psychological Practitioner Group

The QMB limitation will be removed from these QMB Provider Types Revised effective Jan. 1, 2014 subject to CMS approval. If you are currently enrolled in this provider type you will automatically be transitioned:

  • 82 - Licensed Clinical Social Worker
  • 87 - Physical Therapist
  • 879 - Physical Therapist Group
  • 88 - Occupational Therapist
  • 889 - Occupational Therapist Group
  • 89- Licensed Psychologist
  • 899 - Licensed Psychologist Group

Notice - Updated Provider Types now required for NPI

Posted: October 2007

The following provider types are now required to obtain an NPI and taxonomy code(s), submit their NPI and taxonomy code(s) to KY Medicaid, and utilize the NPI and taxonomy code(s) when they bill KY Medicaid:

  • Preventive and Remedial Public Health (20)
  • Adult Targeted Case Management (27)
  • Children Targeted Case Management (28)
  • Model Waiver (41)
  • Home and Community Based Waiver (42)
  • Hearing Aid Dealer (50)
  • X-Ray/Misc. Supplier (86)

These provider types were previously excluded based on DMS's interpretation of the "Final Rule" but after revisiting this issue, it has been determined that these programs must be included.

 

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: Program.Integrity@ky.gov

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

 

Last Updated 2/27/2014
Privacy | Security | Disclaimer | Accessibility Statement