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Welcome to the Kentucky Medicaid Management Information System (KYMMIS)

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Thank you for visiting the Kentucky Medicaid Website. Please use the navigation buttons at the left to navigate the site. If you have any questions, send email to: KY EDI HelpDesk


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Site Updates
May 17 , 2017
Public Notification Revised
Notification Revised-alphabetical by last name (Excel)
Notification Revised-alphabetical by last name (PDF)

April 28 , 2017
Please join DXC Technology, formerly known as Hewlett Packard Enterprise, and the Department for Medicaid Services for our Spring 2017 Webinars to be held in May.
You may find more information at the www.kymmis.com website under Provider Relations, Provider Workshop tab.

March 31, 2017
Effective 3/31/2017 members who are enrolled in an MCO will no longer be receiving a KyHealth Choices card. Members will only be receiving a card from the MCO in which they are enrolled. This change is being made to reduce duplication of effort as all required Medicaid information is located on their MCO card. This change does not affect Fee For Service members.

In addition, members who have had 6 months or more loss in eligibility will not be receiving a new card.

February 8, 2017
Attention Providers:
A letter (PDF) and FAQ document (PDF) were mailed regarding ORP (Ordering, Referring and Prescribing Providers). Questions regarding this notice may be directed to 855-824-5615, Monday through Friday, 8:00 am to 5:30 pm eastern time.

June 29, 2016
Attention Providers:

Effective July 1, 2016, claims subject to Prudent Pay will be decreased from 19 days to 6 days.

December 22, 2015
Attention Hospice Providers
Effective for dates of service 1/1/2016 and after, Hospice providers will be able to bill for Service Intensity Add-on (SIA) payments for routine home care services provided by a registered nurse or medical social worker during the last 7 days of a patient’s life. Billing for the Service Intensity Add-on (SIA) payment should be on a separate line and/or claim from your routine home care payment billing using revenue codes 551 or 561, as appropriate. Procedure code G0299 will be required with the use of revenue code 551 and G0155 will be required with the use of revenue code 561. SIA payments must be billed in 15-minute increments (1 unit = 15 minutes) and is to be billed on a claim with occurrence code 55 and an associated occurrence date that reflects the member’s date of death. Revenue codes 551 and 561 must be billed as a single date of service per line (span-dating is not allowed). Please continue billing for your regular routine home care payments with revenue code 651 using the current billing guidelines and unit increment.

October 29, 2015
Attention:
Please note claims received prior to 3pm EST on Friday will be processed through the financial cycle on Friday night. Claims received after 3pm EST on Friday may not be processed until the next financial cycle.

Last Updated 8/8/2005 
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