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.
- 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.
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.