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Provider Resources

Attention Providers

Attention Providers: Information regarding Medicaid Provider Updated Licenses.
Please refer to the KY Provider Enrollment Web site for more information.

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.

Click the Attention Providers: Image Gently poster for more information about this Campaign. You may also visit the Image Gently Web page for more information.

Final employee education guidance for false claims recovery deficit reduction act of 2005, Section 6032
For more information, refer to the DRA 6032 - Employee Education About False Claims Recovery FAQs.

Information regarding Excluded Providers
On Jan. 16, 2009, the Centers for Medicare and Medicaid Services issued a letter to state Medicaid directors repeating a long standing policy and clarifying federal statutory and regulatory prohibitions regarding providers 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 Web site for the List of Excluded Individuals/Entities.

DMS List of Excluded Providers
Excluded/termed provider list

CT Scan Diagnoses
Recently the Department for Medicaid Services (DMS) 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 only be used for services that are medically necessary. Additional information

KenPAC Provider Survey Results
The KenPAC Provider Survey was conducted during October 2008. The KenPAC survey was open for three weeks and consisted of 23 questions. Thanks again to the 173 respondents.

Survey Results

Provider Enrollment:
More information about provider enrollment and credentialing is available online or call toll free (877) 838-5085 Monday to Friday; 8 a.m. - 4:30 p.m. ET

Helpful Resources

 

Provider Specific Information:
 

Click here for DME updates (06/01/09)

General Provider Letter #A-79 - Medicaid Claims Payment Cycle - Upcoming Changes Effective April 4, 2008

NDC to HCPCS Crosswalk Codes:
Excel - PDF (01/08)

DRG Information Released (10/07)

Fluoride Varnish Manual (10/07)

Questions and Answers for Providers Regarding the New KYMMIS System (05/30/07)

Kentucky Medical Cards Have Changed:
For more information click here.

Important information regarding children's services (11/17/06)

New Cardiac Catheter Codes (08/02/04)

HIPAA - Direct access to the KYMMIS web site and HIPAA information specific to KY Medicaid.

Transition Updates - Information regarding the Transition of Fiscal Agent Operations to EDS.

Proficiency Provider Letter (10/24/05)

MAP-100501 - Prospective Payment System Adjustment form

 

Nurse Aide Information
 

Training Information

Nurse Aide Training Website - Collection for the KCTCS Nurse Aide Program

Curriculum Guidelines (July 1, 2007)

Testing Procedures Manual and Study Guide

Revisions to the Nurse Aid Training Manual (revised Oct. 23, 2007)

Registry Information

Nurse Aide Registry Validation Information

For more information on the registry, contact the KY Board of Nursing at (502) 429-3300 or (888) 530-1919.

 


Last Updated 6/22/2009
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