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Authorized delegate form changes

Effective Dec. 1, 2019, DMS will accept only the new authorized delegate form. See Additional Information on this page to download the form. Previously submitted or approved authorized delegate forms are valid until their expiration date as long as all information is current and correct.

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.

From 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

​Training Media

Filter training video by topic. Video series can be viewed in order according to Video Number.

 Upcoming Training Webinars

As part of the ongoing implementation, new webinars will be available to all KY MPPA providers, credentialing staff and other support personnel.

Participants must pre-register at least 24 hours in advance if each webinar and attendance is limited to no more than 100 participants per event with a required minimum of 10.

View the catalog and register for a webinar

Webinar Topics

Getting the Most Out of Your KY MPPA Dashboard:  An in-depth look at the components of the KY MPPA Dashboard and how to effectively use the Notifications and Correspondence sections, filters and Help content.

New Enrollment Application (MAP-811):  A walk-through to help start your new enrollment application. Covers the information you need, selecting the appropriate role, how to effectively use grids to enter data and how the KY MPPA application mirrors the MAP-811.

Maintenance and Revalidation (MAP-900):  A walk-through to help begin your maintenance or revalidation action. Covers the information you need, understanding KY MPPA roles and how the KY MPPA maintenance/revalidation action mirrors the MAP-900.

Linking to a Group (MAP-347):  A walk-through of steps to add/link a provider to and remove a provider from a group for billing purposes (MAP-347 functionality) in KY MPPA.

If you are unable to attend a live webinar or you'd like to listen to our introductory webinars (topics below), previously recorded webinar sessions are available from the Training Media resources above.  Select Webinar Recording as the topic from the drop-down menu.

Previous webinar topics

  • KY MPPA Overview and Roles
  • Account Set-Up and Sign-On
  • Navigation and Functionality
  • Linking Providers and Credentialing Agents

Contact Information