Department for Medicaid Services (DMS)

During the COVID-19 state of emergency, individuals who need special healthcare coverage should complete the Healthcare Coverage Application. This coverage is temporary and ends on June 30, 2020 unless an application for regular Medicaid is submitted. For application help, contact an application assister at the Application Assister Web Page or call the Kentucky Healthcare Customer Service line toll free at (855) 459-6328. For a list of participating medical providers please see the Kentucky Medicaid Provider Directory. If you have questions or need more information about a participating provider, call toll free (800) 635-2570.

Who We are

Kentucky Medicaid is a state and federal program authorized by Title XIX of the Social Security Act to provide health care for eligible low-income residents including children, families, pregnant women, the aged and the disabled. Eligibility is determined by a number of factors, including family size, income, and the federal poverty level. Eligibility for Supplemental Security Income recipients, the aged, blind and disabled are based on additional requirements.

Medicaid offers a number of programs and services directed at specific eligibility and medical needs.

If you are a Medicaid member or are interested in applying for Medicaid, please visit the Medicaid Member Information portal.

If you are a Kentucky Medicaid provider or are interested in becoming a provider for Kentucky Medicaid, please visit the Medicaid Provider Information portal.

Questions?

Members

To apply for Medicaid online - Benefind - (844) 407-8398
Locate or call your local office - Department for Community Based Services - (855) 306-8959
Cabinet for Health and Family Services Ombudsman - (877) 807-4027
Fraud and Abuse - (800) 372-2970
KY Relay- 711
KCHIP - (877) 524-4718/(877) 807-4719 (TDD/TTY)
Member Services - (800) 635-2570
Medicare - (800) 633-4227
Social Security Administration - (800) 772-1213

Providers

Online Fee For Service Provider Information - KYMMIS Provider Relations
Fee For Service Billing Questions- DXC - (800) 807-1232
Provider Questions - (855) 824-5615
Provider Enrollment or Revalidation - (877) 838-5085
KyHealth.net assistance - KY EDI Helpdesk - (800) 205-4696
Fraud and Abuse - (800) 372-2970
General Questions - DMS Issues
Website Questions - CHFS DMS Webmaster
Pharmacy Questions - (800) 432-7005
Pharmacy Clinical Support Questions - (800) 477-3071
Pharmacy Prior Authorization - (800) 477-3071

New Public Change Rule

Public Notice: School-Based Reimbursement

In accordance with 42 CFR 447.205, CHFS provides public notice of its intent to file a state plan amendment (SPA), effective July 1, 2020. The purpose of the SPA is to modify reimbursement for school-based services related to individualized service slan, section 504 accommodation plan pursuant to 34 C.F.R. § 104.36, individualized healthcare plan, individualized family service plan or otherwise medically necessary service including those described under Item 4.b. EPSDT in Supplement to Attachment 3.1-A/B, by a Cost Reimbursement Methodology. Final reimbursement is based on certified reports submitted using the methodology allowed under the Kentucky School-Based Cost Report approved by the Centers for Medicare and Medicaid Services.

Read the public notice.

Public Notice: Substance Use Disorder

In accordance with 42 CFR 447.205, CHFS provides public notice of its intent to file an SPA to increase access to quality behavioral health services for Medicaid beneficiaries effective Jan. 1, 2020. The expansion of services includes adding applied behavior analysis-specific services, expanding coverage for chemical dependency treatment, reinstating services certified alcohol and drug counselors are eligible to render and amending peer support service limits.

Read the Public Notice

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Who We are

Questions?

Providers

Contact Information