Provider Information

Kentucky Medicaid enrolls providers based on their provider type using the Kentucky Medicaid Partner Portal Application (MPPA). A link to MPPA, resources and support for using the system, and other important enrollment, maintenance, and revalidation information is available on the Provider Enrollment, Revalidation, or Maintenance website.

Provider Enrollment, Revalidation, or Maintenance

Current Kentucky Medicaid Providers

Each page summarizes provider requirements by your provider type. Select the provider type for which you need information.

Acquired Brain Injury - PT (17)
Adult Day Care Services - PT (43)
Advanced Registered Nurse Practitioner (ARNP) - PT (78) (789)
Ambulatory Surgical Centers - PT (36)
Audiologist - PT (70) (709)
Behavioral Health Multi-Specialty Group - PT (66)
Behavioral Health Services Organization - PT (03)
Birthing Centers – PT (73)
Certified Community Behavioral Health Clinic - PT (16)
Certified Registered Nurse Anesthetist - PT (74) (749)
Chiropractor - PT (85) (859)
Community Health for Improved Lives and Development (CHILD) - PT (49)
Community Mental Health Services - PT (30)
Comprehensive Outpatient Rehabilitation Facilities - PT (91)
Dentist - PT (60) (61)
Early Periodic Screening Diagnosis And Treatment Services – Screenings - PT (45)
Early Periodic Screening Diagnosis And Treatment Services – Special Services - PT (45)
Emergency Transportation - PT (55)
Family Planning Services - PT (32)
FQHC/Non-FQHC - PT (31)
Health Access Nurturing Development Services (HANDS) - PT (15)
Hearing Aid Dealer - PT (50) (509)
Home Delivered Meals - PT (48)
Home and Community Based Waiver Services - PT (42)
Home Health Services - PT (34)
Hospice Services - PT (44)
Hospitals - PT (01)
Independent Laboratory and Radiological Services- PT (37)
iRISE - PT (51)
Intermediate Care Clinic for Individuals with Intellectual Disabilities - PT (10)
Intermediate Care Facilities for Individuals with Intellectual Disabilities - PT (11)
Kentucky Early Intervention System - PT (24)
Licensed Behavioral Analyst - PT (63) (639)
Licensed Clinical Alcohol and Drug Counselor - PT (67) (679)
Licensed Clinical Social Worker - PT (82) (829)
Licensed Marriage and Family Therapist - PT (83) (839)
Licensed Professional Art Therapist - PT (62) (629)
Licensed Professional Clinical Counselor - PT (81) (819)
Licensed Psychological Practitioner - PT (84) (849)
Licensed Psychologist – PT (89) (899)
Medical Supplies, Equipment, and Appliances (formerly DME) - PT (90)
Model Waiver II Services - PT (41)
Multi Therapy Agency - PT (76)
Non-Emergency Transportation - PT (56)
Nursing Facility - PT (12)
Occupational Therapist – PT (88) (889)
Office of Children With Special Health Care Needs – PT (22)
Optician - PT (52) (529)
Optometrist - PT (77)(779)
PACE - Program of All-Inclusive Care for the Elderly - PT (19)
Pharmacy - PT (54)
Physical Therapist – PT (87) (879)
Physician Assistant – PT (95) (859)
Physician Services - PT (64) (65)
Podiatry Services – PT (80) (809)
Preventative Care and Remedial Public Health Services - PT (20)
Primary Care - PT (31)
Private Duty Nursing (PDN) - PT (18)
Program of All-Inclusive Care for the Elderly (PACE) - PT(19)
Psychiatric Distinct Part Unit (DPU) – PT (92)
Psychiatric Hospital - PT (02)
Psychiatric Residential Treatment Facility I - PT (04)
Psychiatric Residential Treatment Facility II - PT (05)
Radiological Services and other Lab and X-Ray - PT (86)
Rehabilitative Distinct Part Unit (DPU) - PT (93)
Renal Dialysis Service - PT (39)
Residential Crisis Stabilization Unit - PT (26)
Rural Health Services - PT (35)
School-Based Health Services - PT (21)
Specialized Children 's Services Clinic or Child Advocacy Centers - PT (13)
Speech-Language Pathologist – PT (79) (799)
Supports For Community Living - PT (33)
Targeted Case Management and Rehab Services provided through Title V Services - PT (23)
Questions

If you can't find the information you need or have additional questions, please direct your inquiries to:
Provider Enrollment or Revalidation - (877) 838-5085
Policy Questions - (502) 564-6890
Waiver Policy Questions - Contact the Waiver Operating Agency
Billing Questions - Gainwell Technologies - (800) 807-1232
FFS Gainwell Technologies Provider Representative List - Email Provider Inquiry
Provider Questions - (855) 824-5615
KyHealth.net assistance - (800) 205-4696
Pharmacy Questions - (502) 564-6890
Report Fraud and Abuse - (800) 372-2970

Managed Care Organizations

As of Jan.1, 2025, Anthem is no longer a Medicaid Managed Care Organization, or MCO, in Kentucky. This does not change a member’s Medicaid eligibility. Medicaid coverage will not be interrupted.

Aetna Better Health of Kentucky
Anthem Blue Cross and Blue Shield
Humana Healthy Horizons in Kentucky
Passport Health Plan by Molina Healthcare
United Health Care Community Plan
WellCare of Kentucky

Open Records Request

DMS accepts open records requests via the Team Kentucky online portal. You can submit questions about the open records process to DMS at DMS.Records@ky.gov.

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What's New

Learn to Bill Medicaid Transportation Services

Gainwell Technologies, in partnership with Kentucky Medicaid, is offering a webinar to help providers bill emergency and non-emergency transportation services. Read the transportation webinar invitation (PDF) for additional information.

Kentucky Managed Care Plans Prior Authorizations (PA): The revised Kentucky Managed Care Plans Prior Authorization by Behavioral Health Service Comparison (PDF) is now available.

Community Health Workers: Learn more about Community Health Workers (CHW) and which provider types can bill for their services.

CHW Presentation (PDF)
CHW Frequently Asked Questions (PDF)