Welcome to the Kentucky Medicaid provider enrollment website
Thank you for participating in the Kentucky Medicaid Program. The Kentucky Medicaid Program appreciates your interest and welcomes the opportunity to work with you to provide health care services to Kentucky Medicaid members.
If you have any further questions or need assistance, please either email us or call toll free: (877) 838-5085 Monday to Friday 8 a.m. - 4:30 p.m. ET.
Note: Please read the Important Provider Enrollment Information regarding new phone hours and email address.
(Dec. 16, 2015) - The new 2016 application fee is $554. For more information, please see the Federal Register notice.
(May 28, 2015) - Starting July 1 providers no longer will be required to file an Annual Disclosure of Ownership (ADO). Therefore, any provider who has a due date of July 1st and thereafter is not required to submit an ADO. Only those providers with a due date up to and including June 30 are required to submit an ADO.
Medicaid was updating its system to prevent the 60-day and 30-day notice letters from going out to providers with a due date starting July 1, but it did not take effect in time. Therefore, providers may receive letters erroneously.
If a provider has a due date of July 1 and thereafter, please disregard any letters requiring the ADO. However, please do not ignore other correspondence from us including revalidation notices.
Attention Providers - MAP 811 form launch delayed
(May 5, 2015) - An April 26, 2015, letter sent to providers regarding 2015 legislative changes to provider enrollment included the statement, "In addition, effective May 1, 2015, all applications must be submitted on the revised MAP-811 in order to be processed. Otherwise, the application will be returned."
Due to technical difficulties launching the new MAP-811 form, DMS advises providers this change will not take effect until July 1, 2015. You may submit either version of the MAP 811 application until July 1, 2015.
Attention Providers - Important 2015 General Assembly Legislative Changes to the Provider Enrollment Program.
(April 21, 2015) - Thank you for participating as a provider in the Medical Assistance Program. The Department for Medicaid Services is working continuously to improve provider participation and streamline processes and is pleased to inform you of two important changes to KY Medicaid enrollment requirements resulting from legislation passed during the 2015 General Assembly. Read the general provider letter regarding 2015 legislative changes to provider enrollment
Attention Providers - Disabling the Electronic Funds Transfer
(Feb. 18, 2015) - The Electronic Funds Transfer (EFT) update function via KY Health Net will be disabled on March 6, 2015. In order to update your EFT, please contact provider enrollment at 877-838-5085 for further instructions. We apologize for any inconvenience.
Attention Providers - Disabling the EADO Process
(Jan. 23, 2015) - The Electronic Annual Disclosure of Ownership (EADO) process has been disabled. This functionality may be available in the future. If you have an EADO currently in process, you may be contacted for further information if additional information is needed to process your EADO. We apologize for any inconvenience.
On Jan. 16, the Centers for Medicare and Medicaid Services issued a letter to state Medicaid directors reiterating a long-standing policy. The letter clarifies the federal statutory and regulatory prohibitions regarding providers who have been excluded from participation in federal health care programs. For more information please review the following letters.
You may also visit the Office of the Inspector General Exclusions Program website for the List of Excluded Individuals/Entities.
Updated Kentucky Medicaid Excluded/Termed Provider Listing