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CORF is limited to Medicare deductible and coinsurance payments for Qualified Medicare Beneficiary (QMB) recipients.

Services

CORFs must provide coordinated outpatient diagnostic, therapeutic, and restorative services, at a single fixed location, to outpatients for the rehabilitation of injured, disabled or sick individuals. Physical therapy, occupational therapy and speech-language pathology services may be provided in an off-site location. 

If you are a member and have questions, please contact Member Services at (800) 635-2570

Provider Information

A facility enrolls under a separate provider number as a CORF provider to bill for deductible and coinsurance amounts applicable to QMB recipients receiving services covered under the CORF program.

For more information on enrolling as a CORF facility, contact Provider Enrollment at (877) 838-5085 or visit the website.

The following are considered "core" services that a CORF must provide:

  • Physician CORF service - consultation with and medical supervision of non-physician staff, establishment and review of the plan of treatment and other medical and facility administration activities
  • Physical therapy services, social or psychological services

CORFs are surveyed every six years at a minimum.

Provider Contact Information

  •  For billing questions, contact DXC at (800) 807-1232 or visit the website
  • For provider questions, contact the Provider Services Call Center at  (855) 824 5615
  • For provider enrollment or revalidation questions, contact Provider Enrollment at  (877) 838-5085
  • For KyHealth-net assistance, email EDI helpdesk
  • To report fraud and abuse, contact Fraud Hotline at (502) 564-2348
  • For pharmacy questions, contact Pharmacy Support Center at (800) 432-7005
  • For pharmacy prior authorization questions, contact Pharmacy Prior Authorization at (800) 477-3071