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Kentucky Medical Management Information System (KYMMIS)

Provider Billing Instructions

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If you need assistance, contact us by sending an e-mail to the following address:

KY EDI HelpDesk

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.

PT	Program	Revision Date
01	Hospital Services-5010 update	New - November 2024
02	Psychiatric Inpatient Hospital Services-5010 update	New - March 2023
03	Behavioral Health Services Organization	New - November 2024
04/05	Psychiatric Residential Treatment Facility and PRTF2	New - March 2023
06	Chemical Dependency Treatment Center	New - November 2024
10	Specialty Intermediate Care Clinic for Development and Intellectual Disabilities	New - October 2023
11	Intermediate Care Facility for Individuals with Intellectual Disabilities or Developmental Disabilities	New - July 2024
12	Nursing Facility	New - February 2023
13	Specialized Children's Services Clinic-5010 update	New - October 2023
16	Certified Community Behavioral Health Centers Provider Type-16	New - November 2024
17	Acquired Brain Injury	New - March 2023
18	Private Duty Nursing	New - March 2023
20	Preventive Health Services-5010 update	New - October 2024
21	School Based Health Services	New - June 2024
22	The Commission For Children With Special Health Care Needs-5010 update	New - October 2023
23	Title V Services Provided By The Department For Social Services-5010 update	New - March 2023
26	Residential Crisis Stabilization Unit	New - November 2024
30	Community Mental Health Services	New - November 2024
31	Primary Care- FQHC	New - October 2024
31	Primary Care non-FQHC	New - October 2024
32	Family Planning Services-5010 update	New - March 2023
33	Supports For Community Living	New - March 2023
34	Home Health Services-5010 update	New - March 2023
35	Rural Health Services-5010 update	New - October 2024
36	Ambulatory Surgical Centers-5010 update	New - October 2023
37	Independent Laboratory and Radiological Services-5010 update	New - February 2023
39	Renal Dialysis Services-5010 update	New - March 2023
41	Model Waver II Services	New - March 2023
42	Home and Community Based Waiver Services	New - March 2023
43	Adult Day Care Services	New - March 2023
44	Hospice Services	New - October 2023
45	EarlyPeriodic Screening Diagnosis And Treatment Services	New - March 2023
48	Home Delivered Meals	New - March 2023
50/70	Hearing Services-5010 update	New - March 2024
51	Administrative Services Organization	New - January 2024
52/77	Vision Services-5010 update	New - June 2024
54	Pharmacy Services	New - July 2024
55/56	Transportation Services - 55/56 Spec 16-5010 update	New - March 2023
60/61	Dental Services	New - March 2023
62	Licensed Professional Art Therapist	New - November 2024
63	Licensed Behavioral Analyst	New - November 2024
64/65	Physician Services	New - October 2024
66	Behavioral Health Multi-Specialty Group	New - November 2024
67	Licensed Clinical Alcohol and Drug Counselor	New - November 2024
72/74/78	Advanced Registered Nurse Practitioner Services-5010 update	New - October 2024
76	Multi Therapy Agency	New - March 2023
79	Speech Language Pathologist	New - March 2023
80	Podiatry Services-5010 update	New - October 2023
81	Licensed Professional Clinical Counselor	New - November 2024
82	Licensed Clinical Social Worker	New - November 2024
83	Licensed Marriage and Family Therapist	New - November 2024
84	Licensed Psychological Practitioner	New - November 2024
85	Chiropractic Services-5010 update	New - March 2023
86	Radiological Services-5010 update	New - March 2023
87	Physical Therapist	New - March 2023
88	Occupational Therapist	New - March 2023
89	Licensed Psychologist	New - November 2024
90	Durable Medical Equipment Services-5010 update	New - March 2024
91	Comprehensive Outpatient Rehabilitation Facilities	New - March 2023
95	Physician Assistant	New - December 2023

Last Updated 5/15/2019

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