Skip to main navigation Skip to main content

What It Is

​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.

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.

Regarding Billing: contact EDS at 800-807-1232 or visit their website.

Regarding Enrollment: contact Provider Enrollment at 877-838-5085 Monday to Friday 8 a.m. - 4:30 p.m. ET or visit their website.

Regarding Members: contact Member Services at 800-635-2570 from 8 a.m. to 5 p.m. Eastern time Monday - Friday.

Documentation