June 23, 2021
Draft Kentucky Medicaid MCO PBM Pharmacy Provider Point-of-Sale (POS) Billing Manual
A draft version of the Kentucky Medicaid MCO PBM Pharmacy Provider Point-of-Sale (POS) Billing Manual has been published to Documents. You may also find the document here:
Pharmacy Billing Manual - Draft
A final version of this document will be published in July.
June 15, 2021
Kentucky Medicaid MCO Covered OTC List
The Kentucky Medicaid Single MCO PBM Program has implemented a single, combined Covered OTC List that will apply for all MCOs. You can find that list here:
May 19, 2021
Kentucky Medicaid MCO Single PBM Program Goes Live 7/1/2021
EFFECTIVE 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.