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Each year Kentucky Medicaid is required to provide an Upper Payment Limit demonstration for CMS on DME codes covered by Kentucky Medicaid. This demonstration must reflect reimbursement rates for Kentucky Medicaid are set at or below the rates for the same codes listed by Medicare.
Kentucky Medicaid Billing Agents: To set up a Billing Agent account, please contact your Provider Administrator. This will ensure that your account is setup properly to access claims submission, eligibility, etc. Sign in to Kentucky MEUPS.
How do I check recipient eligibility? You can check recipient eligibility by: Obtaining a copy of the recipients Medicaid card. Contacting the 24 hour Automated Voice Response line at 1-800-807-1301.
Please refer to the DMS Provider Enrollment website for specific forms and documentation required for enrollment. Also please check out our Provider Information Resources page. The Provider Relations area is available for service 8:00 a.m. until 6:00 p.m. ET, Monday through Friday.
Eligibility and benefit information is available to providers via the following: Voice Response Eligibility Verification (VREV) available 24 hours/7 days a week at 1-800-807-1301; Access KyHealth-Net.
RA Viewer Tutorial (MP4) Access Your KYHealthNet Account Tutorial (MP4) Member Eligibility Verification Tutorial (MP4) Professional Claim Submission Tutorial (MP4) Medicare, Medicaid, and PA requirements (MP4) Viewing Remit Information After 1 Year (MP4) CLIA Billing Change (MP4) Supplemental Training Documentation.
All MAP (Medicaid Assistance Program) Agreements and forms are available in the Adobe Acrobat format, and require the Adobe Acrobat Reader 5.0. PRIOR AUTHORIZATION.
• You are age sixty-five (65) years or older, blind or disabled or are currently Medicaid eligible. • You reside in a facility that participates in the Kentucky Medicaid Program and are placed in a Medicaid certified bed. • You require and meet the nursing facility level of care criteria giving consideration to the
Kentucky Medicaid Web Site For assistance, email us at KY_EDI_HelpDesk or call (800) 205-4696 during normal business hours 7:00 am - 6:00 pm Monday - Friday EST. Please enter your Kentucky MEUPS username and email address to start the password recovery process.
Each Kentucky Medicaid Provider has been issued a Personal Identification Number (PIN) which can be used to set up an account. This PIN is the key that “unlocks” the account initially.