Radiology is a medical specialty that uses imaging to diagnose and treat diseases seen within the body.
Radiological services includes:
These are limited to procedures provided by a facility licensed to provide radiological services.
Prior Authorization Information
Radiology providers are not responsible for obtaining a prior authorization. Any necessary prior authorization should be obtained by the prescribing provider.
If you are a member and have questions, contact Member Services - (800) 635-2570
CT Scan Diagnoses
Recently, the Department for Medicaid Services requested a review of the medical necessity of CT scans performed for Medicaid members. The review revealed that many diagnoses appear unrelated to the medical conditions/reasons for CT scans.
Inaccurate diagnosis coding may result in the denial or recovery of services because the medical necessity of the scan can not be determined. Medicaid funds can be used only for medically necessary services. CT Scan Diagnoses
If you can't find the information you need or have additional questions, please direct your inquiries to:
DXC at (800) 807-1232
Provider Questions - Provider Services Call Center at (855) 824 5615 Provider Enrollment or Recertification - (877) 838-5085
KyHealth-net assistance - DXC
Member Services - (800) 635-2570
General questions - DMS Issues
Website Questions - CHFS DMS Webmaster
Fraud and Abuse - (502) 564-2348
Pharmacy Questions - (800) 432-7005
Pharmacy Clinical Support Questions - (800) 477-3071
Pharmacy Prior Authorization - (800) 477-3071
Billing Questions -