Medical Supplies, Equipment, and Appliances - PT (90)

​​​​​​​​​​​​​​​​​​​​​​​​Kentucky Medicaid identifies Medical Supplies, Equipment, and Appliances (MSEA) suppliers as Provider Type (90). MSEA was formerly known as Durable Medical Equipment or DME. To enroll​ and bill Kentucky Medicaid MSEA, suppliers must be:  

  • Active Medicare MSEA providers
  • Out-of-state providers may enroll but must be licensed by the state where they practice. In Kentucky, MSEA service providers must be licensed with the Kentucky MSEA Suppliers
  • Enrolled as an active Medicaid provider and, if applicable, enrolled with the managed care organization (MCO) of any beneficiary it serves. 

Covered Services

MSEA is equipment that withstands repeated use and primarily is used to serve a definite medical purpose. It is generally not useful to a person in the absence of an illness or injury. Medicaid covers MSEA such as wheelchairs, hospital beds, orthotic appliances (foot/leg braces) and prosthetic devices (artificial limbs), etc. and disposable medical equipment ordered by an accepted prescriber that is medically necessary and suitable for use in the home.​

MSEA must meet the coverage provisions and requirements of regulation 907 KAR 1:479​ to provide covered services. Any services performed must fall within the scope of practice for the provider. Listing of a service in an administrative regulation is not a guarantee of payment. Providers must follow Kentucky Medicaid regulations. All services must be medically necessary.

​Non-Covered Services

An item covered for Medicaid payment through another Medicaid program; Equipment that is not primarily and customarily used for a medical purpose (i.e physical fitness equipment, a home modification, routine maintenance, back up equipment, covered repairs).

​MSEA shall not be included in the facility reimbursement for a recipient residing in a hospital, nursing facility, or intermediate care facility or institution for individuals with an intellectual or developmental disability.​

Verify eligibility 

Verify eligibility by calling the automated voice response system at (800) 807-1301 or visit the web-based KYHealth-Net System.

Reimbursement

Reimbursement for Medical Supplies, Equipment, and Appliances are listed on the Kentucky Medicaid MSEA fee schedule.

Reimbursement for Medical Supplies, Equipment, and Appliances is defined in regulation 907 KAR 1:479​.​

Duplication of Service

Kentucky Medicaid will not reimburse for a service provided to a beneficiary by more than one provider of any program in which the same service is covered, during the same time.​

Prior Authorizations

Each MCO provides prior authorization for its beneficiaries. 

Gainwell Technologies provides prior authorizations for fee-for-service (FFS) beneficiaries. For more information, visit Prior Authorizations.​

MAP-1001​ advance member notice must be completed and signed by the member if an item or service was denied for failing to meet medical necessity or the supplier failed to obtain a prior authorization in a timely manner and the item and/or service already ​were provided to the member. This form allows the member to opt out of receiving the item with no financial responsibility or receive the item and be responsible for paying for the item or service.

Claims Submission

Each MCO processes its own claims.

Kentucky Medicaid contracts with Gainwell Technologies to process the Kentucky Medicaid FFS claims. For more information, visit KYHealth-Net.​            

Coding

Kentucky Medicaid requires MSEA providers to bill on a CMS-1500 claim form utilizing the following code types where applicable:

  • Current Procedure Terminology (CPT) codes, regulated by the American Medical Association (AMA).
  • Healthcare Common Procedure Coding System (HCPCS) codes, regulated by the Centers for Medicare and Medicaid Services (CMS). 
  • Current Dental Terminology (CDT) codes, regulated by the American Dental Association (ADA).
  • International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM) codes, maintained by the Centers for Disease Control & Prevention (CDC) and the National Center for Health Statistics (NCHS).  

Kentucky Medicaid uses the Medicare National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) edits, the Medicaid Medically Unlikely Edits (MUEs), and the McKesson Claim Check System to verify codes mutually exclusive or incidental.

Claim Appeals​

Appeal requests for denied FFS claims must be submitted to Gainwell Technologies. The request must include the Provider Inquiry F​orm, reason for the appeal, and a hard copy claim.

Please refer to the member's MCO if appealing an MCO claim.​

Timely Filing​

Claims must be received within twelve (12) months from the date the service was provided, twelve (12) months from the date retroactive eligibility was established, or six (6) months of the Medicare adjudication date if the service was billed to Medicare.​

Provider Resources​​

If you cannot find the information you need or have additional questions, please direct your inquiries to:

Billing Questions- Gainwell Technologies, (800) 807-1232, ky_provider_inquiry@gainwelltechnologies.com

Provider Questions- (855) 824-5615​

Prior Authorization- Gainwell Technologies, (800) 292-2392, (800) 644-5725, (800) 807-8842

Provider Enrollment, Maintenance, and Revalidation- (877) 838-5085​

​KYHealth.net assistance- Gainwell Technologies, (800) 205-4696, ky_edi_helpdesk@gainwelltechnolgies.com

​Pharmacy Questions- (502) 564-6890, dmsweb@ky.gov

Pharmacy Clinical Support Questions- (800) 477-3071​​​​​​

Pharmacy Prior Authorization- (844) 336-2676

Physician Administered Drug (PAD) list- (502) 564-6890​

Managed Care Organizations

*Anthem -(800) 205-5870

Aetna Better Health of KY -​(855) 300-5528

Humana -​(800) 444-9137

​​​Passport Health Plan - (800) 578-0603

UnitedHealthCare Community Plan​ - (866) 633-4449​

WellCare of KY - (877) 389-9457

*Effective Jan. 1, 2025, Anthem is no longer an active Medicaid Managed Care Organization, or MCO, in Kentucky. However, they are responsible for the payment of claims, appeals, or disputes for dates of service up to and including Dec. 31, 2024. ​​

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Report Fraud and Abuse

(800) 372-2970

Regulations

907 KAR- Cabinet for Health and Family Services - DMS Title page

907 KAR 1:479 MSEA Coverage and Reimbursement

907 KAR 3:130 Medical necessity and clinically appropriate determination basis

Provider Resources

Provider Letter Home

PT 90 - MSEA Provider Summary

Provider Training Videos​

MSEA Forms​

MAP 9 Prior Authorization Form

MAP 1001 - Advance Member Notice

Billing Information

Provider Billing Instructions

Fee Schedules

Fee and Rate Schedule Home

2025 MSEA- (PDF) ​(Excel)​


Contact Information

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