main content

** Information for Providers in Areas Impacted by Recent Floods **

 

Tools

Drug Lookup

Search Kentucky Medicaid PDL and drug coverage status.

Pharmacy Locator

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

Managed Care Contact Information

Announcements

February 11, 2022

**Alert - Delay in Payment Delivery for 1/28/2022 - 2/3/2022 Claim Cycle**

It was just brought to our attention that an issue was encountered with this week’s payment delivery (EFT and Paper Checks) and will delay transmission of some payments until Monday February 14th. Affected EFT deposits sent on Monday would be visible in accounts on Tuesday and affected paper checks will be processed and mailed on Monday as well.

 

January 28, 2022

Kentucky Medicaid Physician Protocol for COVID-19 Testing

The Kentucky Department for Medicaid Services has published a statewide physician protocol for point-of-care COVID-19 testing. This protocol is intended for pharmacists that do not have a medical provider-issued protocol. You can view the document in the "Resources - Documents" section, and here: 

Physician protocol for COVID-19 testing

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: 

OTC List

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.

Upcoming Meetings

June 09, 2021

No upcoming meetings have been scheduled at this time.

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

Get More Info

Documents

Manuals, payer specs, newsletters and more!

Forms

Prior authorizations, new prescription, refills,  and claims.

Links

Links to helpful resources.

Commonwealth of Kentucky

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

Fraud & Abuse

Find more information about reporting fraud and abuse.

News

Kentucky Newsroom and Media Center.

Provider Directory

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