Hospital Services

Most inpatient hospital services are covered as long as the inpatient stay is justified as medically necessary.  Certain hospital outpatient and emergency room services are also covered.

• The Obstetric Notification form is to be used by providers to notify Kentucky Health Choices of admissions for a normal delivery.  A normal delivery is defined as a vaginal delivery or a scheduled cesarean section for a term pregnancy of 38 - 42 weeks.  The form is to be faxed to Kentucky Health Choices after the delivery to obtain the authorization number.
  
• A co-pay of $50 will be assessed for each hospital visit.
  
• Change in Medicaid Payment Methodology for Hospital Emergency Room Service
  
  
• Emergency Room Outpatient Services Training Packet
  
  
• A co-pay of $3 will be assessed for each visit to the emergency room which is determined to be not an emergency.