Kentucky Medicaid emergency information for Providers in areas impacted by recent floods in Eastern Kentucky:

If an impacted member presents at a pharmacy for a refill and identifies him/herself as an affected member, the pharmacist will have the capability to use the Submission Clarification Code (420-DK) = 13 to indicate Payer-Recognized Emergency/Disaster Assistance Request - The pharmacist is indicating that an override is needed based on an emergency/disaster situation recognized by the payer.

This override will allow pharmacy providers to override claims denials for early refill and accumulated quantity edits.