Quick Reference

 

Preferred Drug List (PDL)
Prior Authorization (PA) Criteria

Tools

Drug Lookup

Search Kentucky Medicaid PDL and drug coverage status.

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Pharmacy Locator

Search for a pharmacy to get directions or other helpful information.

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Managed Care Contact Information

Upcoming Meetings

Kentucky Medicaid Pharmacy and Therapeutics (P&T) Advisory Committee Meetings

  • Thursday, November 16, 2023 from 1 PM - 4:00 PM Eastern **Meeting Held**
  • Thursday, January 18, 2024 from 1 PM - 4:00 PM Eastern **Meeting Held**
  • Thursday, April 18, 2024 from 1 PM - 4:00 PM Eastern
  • Thursday, July 18, 2024 from 1 PM - 4:00 PM Eastern
  • Thursday, October 17, 2024 from 1 PM - 4:00 PM Eastern

View the full Kentucky Medicaid Pharmacy and Therapeutics (P&T) Advisory Committee Meeting calendar and other information here:

Kentucky Medicaid P&T Advisory Committee

Announcements

December 01, 2023

Kentucky Fee-For-Service Pharmacy Benefit Manager (PBM) Change Effective 1/1/2024

The following information applies to KY FFS Members Only:

EFFECTIVE 1/1/2024: BIN 026309; PCN KYPROD1; GROUP KYF01

Beginning 1/1/2024 Technical Call Center lines are open at (877) 403-6034 to answer your claim-related and other questions.

Also beginning 1/1/2024 the Clinical Call Center lines are open at (877) 403-6034 for PA requests and inquiries.

Click on the link below to access detailed information on this PBM change:

FFS PBM Change Notification

 

May 19, 2021

Kentucky Medicaid MCO Single PBM Program Goes Live 7/1/2021

The following information applies to KY MCO members only:

7/1/2021: BIN 023880; PCN KYPROD1; GROUP KYM01

Beginning 7/1/2021 Technical Call Center lines are open at (800) 210-7628 to answer your claim-related and other questions.

Also beginning 7/1/2021 the Clinical Call Center lines are open at (844) 336-2676 for PA requests and inquiries.

Get More Info

Documents

Manuals, payer specs, newsletters and more!

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Forms

Prior authorizations, new prescription, refills,  and claims.

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Links

Links to helpful resources.

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Commonwealth of Kentucky

The Commonwealth’s Medicaid program that provides health care for 1.2 million Kentucky members.

GO TO KENTUCKY.GOV

Fraud & Abuse

Find more information about reporting fraud and abuse.

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News

Kentucky Newsroom and Media Center.

GO TO CHFS NEWS

Provider Directory

To locate an enrolled Medicaid provider, use the DMS Provider Directory

GO TO PROVIDER DIRECTORY