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Radiology Services

Attention Providers

Image Gently Campaign
The Kentucky Department of Medicaid Services (DMS) wants to encourage our medical community to recognize the importance of radiation safety in pediatric imaging. The Image Gently Campaign is an initiative of the Alliance for Radiation Safety in Pediatric Imaging.

Click the Attention Providers Image Gentlly poster for more information about this Campaign. You may also visit the Image Gently webpage for more information.

CT Scan Diagnoses
Recently the Department for Medicaid Services (DMS) requested a review of the medical necessity of CT scans performed for Medicaid members. The review revealed that many diagnoses appear unrelated to the medical conditions/reasons for CT scans.

Inaccurate diagnosis coding may result in the denial or recovery of services because the medical necessity of the scan can not be determined. Medicaid funds can only be used for services that are medically necessary.

For more information, click on the CT Scan Diagnoses document.

Radiology Services

What services are provided?

This provider type provides radiological services. Radiological services (including x-rays, ultrasounds, computer-assisted tomography, and magnetic resonance imaging) are limited to procedures provided by a facility licensed to provide radiological services.

Prior Authorization Information

Radiology providers are not responsible for obtaining a prior authorization. Any neccessary prior authorization should be obtained by the prescribing provider.

 

Regulations, policy information, Letters, billing information and fee Schedule
 

Regulations
907 KAR 1:028 

Policy Information is contained in 907 KAR 1:028 

Provider Letters
To view a copy of the most current provider letters, go to the provider letter page.

Billing Information
Provider Billing Instructions 

Fee Schedule
To view the most current copy of the fee schedule, go to the Fee and Rate Schedule page.

 

Contact Information:
 

For Policy questions, contact
Division of  Provider Operations
Physicians and Individual Providers Branch
275 E. Main St.
6 W-D
Frankfort, KY 40621
(502) 564-2687

Contact us by email
CHFS DMS Webmaster

Providers may contact
(800) 807-1232 regarding billing issues

For further information on enrolling as a provider, refer to the provider enrollment website.

 

Last Updated 3/30/2012
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