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, refer to 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
Announcements
Jan. 1, 2010
Radiology Codes Requiring Prior Authorization are now available. *New*
Provider Letters
Frequently Asked Questions (FAQs)
FAQs for the Prior Authorization Provider Letter Dated July 14, 2006 (07/31/06) - Answered questions regarding the new Prior Authorization process.
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