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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 Messages

May 29, 2020
To the Level of Care Community - Update on KLOCS Go Live and Training

The new planned go-live for the Kentucky Level of Care System (KLOCS) is August 3, 2020! LTC, ICF/IDD facilities, and Hospice Providers are required to use KLOCS starting August 3 in order to receive payment. Beginning July 20, DMS will be offering LTC staff who administratively handle LOC applications the opportunity to attend a free 2-part webinar series on KLOCS system functionality. The webinars will be hosted on the free Zoom platform. Registration information will be provided in the coming weeks. Thank you for your understanding as well as your continued commitment to keep your communities and residents safe.

May 4, 2020
Public Notification Revised
Notification Revised-alphabetical by last name (Excel)
Notification Revised-alphabetical by last name (PDF)

April 15, 2020
2020 Census be counted for Kentucky, complete your census today. For more information go to 2020census.gov.

March 23, 2020
Provider Telehealth or Telephonic Health Services FAQs

March 16, 2020
COVID-19 Alert
- For the latest information on the novel coronavirus in Kentucky, please visit kycovid19.ky.gov

Important Message: Kentucky Medicaid has issued guidance to providers regarding COVID-19.
Provider Letter A-105: COVID-19 Guidance for all Medicaid providers
Provider Letter: COVID-19 Guidance for 1915(c) HCBS waiver providers
Provider Letter: COVID-19 and Telehealth for 1915(c) HCBS waiver providers
Provider Letter: COVID-19 and Waiver Provider Certification and Monitoring
Provider Letter: COVID-19 ABI and MPW Assessments
Provider Letter: COVID-19 and Model II Assessments

November 6, 2019
Beginning January 1, 2020, beneficiaries and providers must use the new Medicare Beneficiary Identifier (MBI) to receive services and submit Medicare claims. With limited exceptions, CMS will reject claims submitted with the HICN and will reject all eligibility transactions submitted with the HICN. Sister Agencies, Managed Care Organizations, and Fiscal Agents that use the HICN need to make sure they are able to receive and process the MBI before the end of the transition period on December 31, 2019. In addition, you should have updated anything with the HICN, such as ID cards, beneficiary letters, training materials, or call center scripts with the MBI.

June 28, 2019
Telehealth Message
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. It has been discovered that many of the modifier combinations we chose are not HIPAA compliant and/or are out of the Industry Standard. Because of the fact that claims could be denied due to this error, DMS is postponing the two-letter modifier requirement and will allow claims to be processed without them. Providers will still be required to place the “02” place of service modifier so that the claim will be adjudicated as a Telehealth claim. The Department for Medicaid Services apologizes for any confusion caused by this oversight and thanks you for your time and attention to this decision. When a viable solution is developed to address this data need, we will notify our partners and providers alike.

March 28, 2018
Please ONLY submit Map-24 forms to Carewise Health for Fee for Service members by faxing to the following numbers.

1-800-807-8843
1-800-807-7840

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

Last Updated 5/15/2019 
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