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Department for Medicaid Services (DMS) - Cabinet for

The Kentucky Department for Medicaid Services will submit its draft state Quality Strategy for Medicaid Managed Care services plan to the Centers for Medicare and Medicaid Services no later than Sept. 30, 2019. Read the entire public notice. Public Notice Changes to the Hospital Payment language

Provider Billing Instructions - KYHealth-Net

Provider billing instructions are displayed in Adobe Acrobat formats. Billing Instructions are for Fee For Service (FFS) providers only. Provider Type (PT) - The first two digits of the KY Medicaid provider number. Relations/billingInst.aspx

Provider Manual | Kentucky – Medicaid | CareSource

The provider manual is a resource for working with our health plan. It communicates policies and programs and outlines key information such as claim submission and reimbursement processes, authorizations, member benefits and more to make it easier for you to do business with us. To view this file, you may need to download Adobe Acrobat Reader.

Provider Manual 2019 -

Provider Manual 2019 . Page 2 of 244 User Guide - Table of Contents Section 1.0 - Introduction 1.1 Provider Welcome 1.2 Kentucky Medicaid Program 1.3 Overview of Passport Health Plan 1.4 Mission and Values 1.5 Important Telephone Numbers 1.6 Claim Submission

Welcome to the Kentucky Medicaid Management - KYHealth-Net

On 7/1/2019, the Telehealth regulation expanding service locations and allowable providers becomes effective. By now you should have received a provider letter from Kentucky Medicaid that outlines the use of two letter modifiers that would capture the location of both the telehealth provider of service and the location of the recipient.


The manual was formulated to provide Medicaid providers with a useful tool for interpreting the procedures and policies of the Kentucky Medicaid Program. It has been designed to facilitate the processing of your claims for services provided to qualified recipients of Medicaid. This manual shall provide basic information concerning coverage and Resources Library/Targeted Case Management Medicaid Manual.pdf

Medicaid | Kentucky – Medicaid | CareSource

Kentucky HEALTH Program Update as of 3/27/2019 Given the legal decision on March 27, 2019, the Kentucky HEALTH program will not begin on April 1, 2019. View the program update here. View the Program Update Humana-CareSource. We’re here to help. Humana – CareSource® is a Medicaid Managed Care Plan (MCP) that provides health care services to eligible Kentuckians.


WellCare of Kentucky follows the Centers for Medicare & Medicaid Services’ (CMS) guidelines for paper claims submissions. Since Oct. 28, 2010, WellCare accepts only the

2019 Revised Provider Manual - Humana

A revised version of the Humana Provider Manual is now available and became effective on July 1, 2019. It was last updated in 2013. It’s important for all contracted healthcare providers and administrators to review the new provider manual, as your participation agreement with the Humana or

Provider Manuals |

Anthem provides health care professionals with supporting resources to help your relationship with us run as smoothly as possible. Download provider manuals for professionals, facilities, and others for more on our programs and policies.

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