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Welcome to the Kentucky Medicaid Management Information System (KYMMIS)
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any questions, send email to: KY EDI HelpDesk
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May 30, 2018
Please watch for information on upcoming June 2018 Webinars regarding KY HEALTH and My Rewards. Please RSVP under Provider Relations, Provider Workshops.
March 28, 2018
Please ONLY submit Map-24 forms to Carewise Health for Fee for Service members by faxing to the following numbers.
to discharge a member from a psychiatric facility or nursing facility.
In addition, if they are not sent this way they may not get reviewed or processed. Thank you
February 16, 2018
Public Notification Revised
Notification Revised-alphabetical by last name (Excel)
Notification Revised-alphabetical by last name (PDF)
June 23, 2017
Attention Providers - Due to revisions, the July 1, 2017 implementation date for the new Level 1 PASSR form (PDF) stated in the March 2017 Provider Letter (PDF) has been delayed. Please continue to use the current Level I PASRR Screening form until further notice from the Department for Medicaid Services. Please also be advised the new MAP 4095 PASRR Significant Change Form (PDF) will be implemented on 7/1/17 17 as planned.
For additional questions, please feel free to call or email either stated in the Vicki Barber at 502-564-6890 or Benita Jackie at 502-782-6217.
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
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
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
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.