Provider Credentialing/Recredentialing

Provider Credentialing

KY Medicaid requires that certain provider types be credentialed. This helps to assure that Medicaid providers maintain the standards of practice associated with their disciplines in providing quality services to members. These providers must complete the KAPER-1 in addition to the MAP-811 enrollment application for credentialed providers. CAQH may be submitted in place of the KAPER-1. Refer to Provider Type Summaries to verify if your provider type requires credentialing.

Provider Recredentialing

Recredentialing occurs every three years. Credentialed providers must complete both the MAP-811 Recredential application and the KAPER-1. Providers will be reminded when it is time to be recredentialed. Once the reminder is received, providers have 30 days to complete and submit their application. An extension may be requested by sending the official request, including the reason for the request, on office letter head. Refer to Forms for the appropriate application(s).