When does a KY Medicaid claim or encounter need a taxonomy code?
A taxonomy code is required in a Loop 2000A PRV segment if the billing provider NPI is linked to multiple KY Medicaid provider IDs and provider types in the KY Medicaid Partner Portal Application (KY MPPA) during enrollment.
For more information, see our taxonomy code announcement.
Requesting an Existing KY Medicaid ID number
In the event a KY Medicaid provider does not know their existing KY Medicaid ID number, a letter can be sent to the Department for Medicaid Services, Division of Program Integrity to request an existing KY Medicaid ID. More information and instructions can be found on our Account setup/log in page.
Intent to Bill
Medicaid providers who have not billed KY Medicaid in the past 24 months will receive a notice in KY MPPA. In accordance with 907 KAR 1:671, Section 6(15), the provider's KY Medicaid ID number listed on the
Intent to Bill letter will be end dated 30 days from the date of the notice unless submitting a claim to KY Medicaid or submitting an expression of intent to bill KY Medicaid in KY MPPA
To Submit an Expression of Intent to Bill:
- Log into your KY MPPA account and select the
Maintenance tab from the top tool bar.
- Enter the
KY Medicaid Provider number in the search field. Select
Search. Screen will open for additional information.
- Select the radio button beside
I want to perform:Intent to Bill, then select
Continue. An additional screen will open to collect more information.
- Select the radio button beside
I intend to bill in the future. Fill in the free text box
Expressions of Intent to Bill with comments related to:
Save. A confirmation screen will appear. Select
Yes to submit to DMS for review.
- Any reason for inactivity
- Date or time frame for planning to bill
- Any impediments or obstacles
Upon submission of intent to bill the department will allow the provider number to remain active for a period of 365 days or until the next regularly scheduled end date occurs (i.e., license update, revalidation, etc.).
Updating a State License
When Kentucky Medicaid providers update their licenses, they must submit a copy of the license to Kentucky Medicaid through KY MPPA to keep their provider information updated.
Provider types listed below who update their licenses with their respective boards at least 15 working days prior to the expiration date, and no later than the last day to renew, will not be required to submit licensure verification to DMS until revalidation or maintenance is necessary. Otherwise, the license verification must be submitted to DMS through KY MPPA .
Note: Providers with out-of-state licenses must submit updated license information through the KY MPPA.
PhysiciansFrom DMS: Physicians enrolled as Kentucky Medicaid providers with active licenses due for renewal with the Kentucky Board of Medical Licensure and the license is set to expire Feb. 29. 2020 are advised to update their KBML licenses at least 15 days prior to the expiration date and no later than Feb. 14, 2020.
KBML is working with DMS to transmit updated license information electronically. With this new process, a copy of your KBML license no longer needs to be submitted to DMS until revalidation or maintenance is necessary.
Providers who don't update their license with the KBML 15 working days prior to the expiration date or by Feb. 14, 2020 must submit their updated licenses through KY MPPA to update their provider files. Submission of paper licenses no longer is accepted.
Note: Providers who have out-of-state license are required to submit updated license information through the KY MPPA.
MPPA Enrollment, Revalidation and Maintenance