The House Joint Resolution 57 Workgroup began meeting in July 2021. Additional meetings are being scheduled. Please check back for dates and times.
View House Joint Resolution 57
Ambulance Supplemental Payment Program
The Kentucky Department for Medicaid Services has issued public notice of changes to the ambulance services reimbursement language in its State Plan effective July 1, 2021.
Review the entire public notice for more information.
Public Notice page to see all public notices.
Correcting Medicaid Member Incarceration Status Errors
Kentucky Medicaid has a new form providers can use to help members who are incorrectly listed as incarcerated in
KYHealthNet. Please review the
guidance for reporting incarceration errors and the new
MAP-INC form for more information.
Help Paying for Internet Now Available
Kentucky Medicaid members may be eligible to receive assistance paying for internet service and a computer, laptop, or tablet through the new federal
Emergency Broadband Benefit program. Read
Governor Andy Beshear's announcement for details.
Prior Authorization Information - Update
DMS is reinstating the ability for MCOs and FFS to require
prior authorization (PA) for inpatient medical and surgical services, including concurrent review,
effective June 1, 2021. Prior Authorization Guidance
will not be required for all covered Behavioral Health and SUD services until further notice. DMS will continue to evaluate.
Patient Access Portal coming soon
Beginning this summer, you can view your health information and find providers all in one place.
The Patient Access Portal gives you access to all your Medicaid health information and lets you share your health information with doctors or anyone you choose.
As the launch of the Patient Access Portal approaches, we will let you know how to join.
Administrative Regulations Filed
Visit the DMS
Regulation page for recently filed regulations.
2020 Behavioral Health and Substance Abuse Fee Schedule Mass Adjustment
(Feb. 3, 2021) Because the 2020 Behavioral Health and Substance Abuse Fee Schedule was not implemented until Nov. 13, 2020, DMS must mass adjust claims back to the Jan. 1, 2020 effective date. Providers may see adjustments negatively or positively impact service reimbursement claims from Jan. 1, 2020 to Nov. 13, 2020. Providers should see adjustments on the cycle dated Feb. 12.
CMS health care quality core set chart packs
Each year the Centers for Medicare and Medicaid Services publishes core measures of the quality-of-care and health outcomes for adults participating in Medicaid and children enrolled in the Medicaid Children’s Health Insurance Program. Please view:
Cost Report Update
(July 14, 2020) The Centers for Medicare and Medicaid Services authorized the delay of some Medicare cost reports. The KY Department for Medicaid Services grants the same extension to providers who received an extension approval through CMS or the designated Medicare administrative contractor. Please call (502) 564-8196 if you have any questions and ask for the staff referenced below based on provider type.
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