Documents

Manuals, payer specs, newsletters and more!

Provider Directory DATE ADDED
Link to Kentucky Medicaid Provider DirectoryKentucky Medicaid Provider Directory 06/16/2021
Payer Specs DATE ADDED
Download PDF - Kentucky Medicaid D.0 Payer Specs Kentucky Medicaid D.0 Payer Specs 07/21/2022
Drug Information DATE ADDED
Link to Preferred Drug List (PDL)Preferred Drug List (PDL) 06/16/2021
Download PDF - Over-the-Counter (OTC) Drug List Over-the-Counter (OTC) Drug List 01/21/2022
Link to Maximum Quantity Limits ListMaximum Quantity Limits List 06/15/2021
Link to Prior Authorization (PA) CriteriaPrior Authorization (PA) Criteria 06/15/2021
Link to Diabetic Supplies Preferred Drug ListDiabetic Supplies Preferred Drug List 06/29/2021
Link to Kentucky Medicaid Vaccine ListKentucky Medicaid Vaccine List 07/13/2021
Link to Kentucky Medicaid Vaccine List (effective 9/2/2022)Kentucky Medicaid Vaccine List (effective 9/2/2022) 07/28/2022
Link to Kentucky Medicaid Pharmacy Injectable Drug ListKentucky Medicaid Pharmacy Injectable Drug List 09/20/2022
Pharmacy and Therapeutics (P&T) Advisory Committee DATE ADDED
Link to Commissioner's Final Decisions - May 20, 2021Commissioner's Final Decisions - May 20, 2021 07/14/2021
Manuals DATE ADDED
Download PDF - Provider Billing Manual Provider Billing Manual 09/13/2021
Provider Notices & Newsletters DATE ADDED
Download PDF - Pharmacy Newsletter, October 2021 Pharmacy Newsletter, October 2021 11/29/2021
Download PDF - 340B Frequently Asked Questions June 30, 2021 340B Frequently Asked Questions June 30, 2021 07/01/2021
Download PDF - Provider Mailing June 21, 2021 Provider Mailing June 21, 2021 06/22/2021
Link to Provider SB 51 Notice June 10, 2021Provider SB 51 Notice June 10, 2021 06/16/2021
Download PDF - Provider Pharmacy Program Notice Provider Pharmacy Program Notice 06/16/2021
Download PDF - Pharmacy 835 Communication June 8, 2021 Pharmacy 835 Communication June 8, 2021 06/15/2021
Download PDF - Provider Mailing June 1, 2021 Provider Mailing June 1, 2021 06/15/2021
Download PDF - Provider Mailing May 1, 2021 Provider Mailing May 1, 2021 06/15/2021
Download PDF - Provider Mailing April 1, 2021 Provider Mailing April 1, 2021 06/15/2021
Member Notices DATE ADDED
Link to Aetna Pharmacy Program Member NoticeAetna Pharmacy Program Member Notice 06/16/2021
Link to Anthem Pharmacy Program Member NoticeAnthem Pharmacy Program Member Notice 06/16/2021
Link to Humana Pharmacy Program Member NoticeHumana Pharmacy Program Member Notice 06/16/2021
Link to Passport Pharmacy Program Member NoticePassport Pharmacy Program Member Notice 06/16/2021
Link to UnitedHealthcare Pharmacy Program Member NoticeUnitedHealthcare Pharmacy Program Member Notice 06/16/2021
Link to WellCare Pharmacy Program Member NoticeWellCare Pharmacy Program Member Notice 06/16/2021