http://www.kymmis.com/ Web• The Kentucky OIG is required, per HB 333 which updated 218A.202, to review KASPER data quarterly to identify trends on inappropriate prescribing or dispensing. • Any evidence of Medicaid fraud is referred to the Kentucky OIG for a preliminary investigation. Depending on the results of its investigation and KASPER query, OIG will

What do I have to do to become a Medicaid BHSO?

WebMedicaid Authorizations Claims Payment Policies Medicaid Medicaid Ancillary Providers Authorizations Behavioral Health Behavioral Health Toolkit for Get Providers, Containing Primary Care Physician; Higher Level of Care Guidelines; Outpatient Service Requirement Guidelines; Claims WebProviders enrolling in KY Medicaid and participating with any of the Managed Care Organizations (MCOs) may send your enrollment application to one of the MCOs of your choice. MCO Provider Credentialing Contacts: • Aetna (formerly Coventry) -855-300-5528 • Anthem - 800-205-5870 • Humana Caresource- 800-457-5683 • Passport - 800-578-0775 sample nursing care plan for tracheostomy

Department for Medicaid Services - Cabinet for Health and ... - Kentucky

WebOct 5, 2024 · Centers for Medicare & Medicaid Services . 7500 Security Boulevard, Mail Stop S2-25-26 . Baltimore, Maryland 21244-1850 ... Carol H. Steckel . Commissioner . Department for Medicaid Services . 275 East Main Street, 6 West A . Frankfort, KY 40621 . Dear Ms. Steckel: The Commonwealth of Kentucky submitted its Substance Use Disorder (SUD ... WebCommunity Plan in Kentucky **UnitedHealthcare Community Plan of Kentucky plan is effective, 1/1/2024. Kentucky Department of Medicaid Services has issued an authorization waiver in place through 4/30/2024. The authorization waiver is inclusive of all inpatient and outpatient Behavioral Health services (mental health/substance use disorder). WebKentucky Medicaid uses the National Correct Coding Initiative (NCCI) edits as well as the McKesson Claim Check System to verify codes mutually exclusive or incidental. Kentucky Medicaid also uses Current Procedural Terminology (CPT) codes and Healthcare … Title 907 - Cabinet for Health and Family Services - Department for Medicaid … Title 902 - Cabinet for Health and Family Services - Department for Public Health sample nursing diagnosis for pain