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​Most inpatient hospital services are covered as long as the inpatient stay is justified as medically necessary. Certain hospital outpatient and emergency room services are also covered.Payment

  • A co-pay of $50 will be assessed for each inpatient hospital visit.
  • A co-pay of $3 will be assessed for each visit to the emergency room which is determined to be not an emergency.

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

Hospital Types & Programs

Acute Care Hospital facilities provides both inpatient and outpatient services, including emergency room services.

Psychiatric Inpatient Hospitals

Disproportionate Share Hospital (DSH) Program prior to billing a patient and submitting hospital service expenses to Medicaid as uncompensated, a hospital uses the Indigent Care Eligibility form to determine if the patient meets DSH guidelines.

Provider Information

  • Regarding Rates: contact Division of Fiscal Management, Rate Setting Branch, 275 E. Main St. 6W-C, Frankfort, KY 40621. Phone: 502-564-8196.
  • 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 DXC.
  • 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.