Division of Fiscal Management

The Division of Fiscal Management oversees the Department for Medicaid Services multibillion annual budget. The division builds the biennial budget, processes account payables, oversees the Disproportionate Share Hospital (DSH) and Electronic Health Record (EHR) incentive programs, requests federal funds, and provides information for federal reporting. The division also processes all account receivables, including the drug rebate program. The division works with various investigative agencies assuring payment suspensions are in place during investigations and collects cost reports from various provider types and cost settlements. With the help from Centers for Medicare and Medicaid Services and Kentucky Medicaid's Rate Setting Contractor, the division calculates the fee schedules and rates for over 69,000 enrolled providers.

Programs and Services

Branch Information

  • Financial Management Branch – Oversees the Medicaid budget as well as the DSH, EHR, and Drug Rebate programs and processes all account receivables.
  • Rate Setting Branch – Develops rates for various provider reimbursement
  • Administrative & Contract Branch – Oversees contracts, pays invoices, and handles open records requests
  • Advance Planning Document (APD) Branch​​ ​ – Develop and submit Advance Planning Documents required to secure enhanced Federal Financial Participation for Medicaid related IT Projects
  • Medicaid Open Records Request​​
    ​To request public records, please use thelink below. 

Note: If the records requested are maintained by and in the custody of another agency, a request must be submitted to that agency.

​Additional Information

Fee Schedules - Cabinet for Health and Family Services (ky.gov)​

Additional Information

Contact Information


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