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Welcome to the Kentucky Medicaid Management Information System (KYMMIS)

KYHealthNet
Kentucky Capitol

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
August 29, 2014
Public Notification Revised
Notification Revised-alphabetical by last name (Excel)
Notification Revised-alphabetical by last name (PDF)

May 14, 2014
-Important Notice Regarding Non-Emergency Medical Transportation which will begin on July 1, 2014 for members in Ballard, Calloway, Carlisle, Fulton, Graves, Hickman, Marshall, and McCracken counties. Read the notice located at http://www.chfs.ky.gov/NR/rdonlyres/68D1D29E-903B-4835-A34D-C973B676C5F1/0/RECIPIENTLETTERFORDMSFY15FinalthenewR1.pdf

April 8, 2014
Notice to All Stakeholders

In light of the recent passing of House Resolution 4302 , the Department of Health and Human Services (HHS) cannot adopt the ICD-10 code set as the standard until at least October 1, 2015. The Kentucky Department for Medicaid Services (DMS) and Hewlett Packard Enterprise (HP) will continue to move forward with the goal of remediating the fiscal agent system and conducting end-to-end external testing by October 1, 2014. Providers and Clearinghouses are encouraged to contact HP's EDI helpdesk if they would like to test with DMS/HP when external testing begins June 2014.

DMS will continue to post updates to this site as more information about the delay and new implementation timelines are made available.

If you have questions, you may submit them through the mailbox.

November 22, 2013
Below is a list of new provider types that we anticipate enrolling effective 1/1/2014 due to Medicaid expansion under the Affordable Care Act. Please note that the new provider types are subject to change pending CMS approval. In addition, the regulations and enrollment requirements for each provider type are still being developed. Starting November 18, 2013, providers may submit an enrollment application for these new provider types. Although enrollment requirements are still being determined, each entity/individual must be licensed and submit their NPI documentation as well as SSN or FEIN verification. Applications will be held and processed once CMS approval is received and the regulations and enrollment requirements are finalized. DMS will provide new information as it becomes available.

As with the current enrollment process, if a provider will be contracting with an MCO the provider will need to submit their application through the MCO of their choice.

New Provider Types

18 – Private Duty Nursing Agency
79 – Speech Language Pathologist
799 – Speech Language Pathologist Group
81 – Licensed Professional Clinical Counselor
819 – Licensed Professional Clinical Counselor Group
83 – Licensed Marriage and Family Therapist
839 – Licensed Marriage and Family Therapist Group
84 – Licensed Psychological Practitioner
849 – Licensed Psychological Practitioner Group
97 – Behavioral Health Multi-Specialty Group


The QMB limitation will be removed from these provider types effective 1/1/2014 subject to CMS approval. If you are currently enrolled in this provider type you will automatically be transitioned:

82 – Licensed Clinical Social Worker
87 – Physical Therapist
879 – Physical Therapist Group
88 – Occupational Therapist
889 – Occupational Therapist Group
89- Licensed Psychologist
899 – Licensed Psychologist Group

November 8, 2013
Public Notification Revised
Notification Revised (Excel)
April 11, 2013
If you are enrolling in KY Medicaid and will be participating with any of the MCO’s (Managed Care Organizations), you will need to send your enrollment application to one of the MCO’s of your choice. Do not submit enrollment applications directly to KY Medicaid unless you are NOT participating with any of the MCO’s.

Coventry - 855-300-5528
Humana Caresource - 855-852-7005
Passport - 800-578-0775
Wellcare - 877-389-9457
Anthem - 800-880-2583

December 21, 2012
Attention Providers Kentucky Medicaid Enhanced Primary Care Payments Update
Effective January 1, 2013, healthcare providers who provide eligible primary care services to Medicaid clients are eligible to be paid the Medicare rates effective calendar years (CY) 2013 and 2014. The enhanced rate is available for fee for service providers who are fee for service providers with Kentucky Medicaid and eligible providers who are enrolled in the Kentucky managed care program. For more information, refer to the “What’s New” section of the DMS website at http://chfs.ky.gov/dms.

Thank you for your attention to this announcement.

Last Updated 8/8/2005 
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