Acute Care Hospitals - PT 01

​​​Acute Care Hospital is recognized in Kentucky Medicaid as Provider Type (01). In order to enroll as a Acute Care Hospital with Kentucky Medicaid, see the Kentucky Medicaid Provider Enrollment website​.

Covered Services

Inpatient services which are medically necessary and clinically appropriate pursuant to the criteria individualized in 907 KAR 10:012 Section 3 states that an admission primarily indicated in the management of acute or chronic illness, injury or impairment, or for maternity care that could not be rendered on an outpatient basis are covered.

Outpatient services may include the following when medically necessary and clinically appropriate pursuant to 907 KAR 3:130: emergency room services; drug therapy (administered while the patient is being treated in the emergency room or outpatient area); laboratory; radiology; pathology; medical/surgical anesthesia; rehabilitative services excluding occupational therapy include respiratory therapy; physical therapy; speech therapy.

Acute Care hospital service providers must meet the coverage provisions and requirements set forth in 907 KAR 10:012 and 907 KAR 10:014 in order to provide covered services. Any services performed must fall within the scope of practice for the provider. Listing of a service in an administrative regulation is not a guarantee of payment.  Providers must follow Kentucky Medicaid regulations. All services must be medically necessary.

Non-Covered Services

  • Services from providers who are not Kentucky Medicaid providers
  • Services that are not medically necessary
  • Cosmetic surgery​​

Verifying eligibility

Verify eligibility by contacting the automated voice response system toll-free at (800) 807-1301 or use the web-based KYHealth-Net System.

Reimbursement

Reimbursement for hospital services is regulated under 907 KAR 10:015.​​

A provider may request coverage for a CPT or HCPCS procedure code by submitting a request in writing to the department which includes necessity, CPT or HCPCS code, and expected reimbursement. Any codes considered experimental are not covered by Kentucky Medicaid.

Duplication of Service

Kentucky Medicaid will not reimburse for a service provided to a beneficiary by more than one provider of any program in which the same service is covered, during the same time.

Prior Authorization​​​

Each MCO provides prior authorization for its beneficiaries.

Gainwell Technologies provides prior authorizations for fee-for-service (FFS) beneficiaries. For more information, visit Prior Authorizations.​ ​​

Claims Submission 

Each MCO processes its own claims.

Kentucky Medicaid contracts with Gainwell Technologies to process the Kentucky Medicaid FFS claims. For more information, visit KYHealth-Net​.

Coding

Kentucky Medicaid requires (Acute Care Hospital) providers to bill on a (CMS UB-04) claim form utilizing the following code types where applicable:

  • Current Procedure Terminology (CPT) codes, regulated by the American Medical Association (AMA).
  • Healthcare Common Procedure Coding System (HCPCS) codes, regulated by the Centers for Medicare and Medicaid Services (CMS).
  • Current Dental Terminology (CDT) codes, regulated by the American Dental Association (ADA).
  • International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM) codes, maintained by the Centers for Disease Control & Prevention (CDC) and the National Center for Health Statistics (NCHS).
Kentucky Medicaid uses the Medicare National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) edits, the Medicaid Medically Unlikely Edits (MUEs), and the McKesson Claim Check System to verify codes mutually exclusive or incidental.

Claim Appeals

Appeal requests for denied FFS claims must be submitted to Gainwell Technologies. The request must include the Provider Inquiry Form, reason for the appeal, and a hard copy claim.

Please refer to the member's MCO if appealing an MCO claim.

Timely Filing

Claims must be received within twelve (12) months from the date the service was provided, twelve (12) months from the date retroactive eligibility was established, or six (6) months of the Medicare adjudication date if the service was billed to Medicare. 

Provider Inquiry Information 

If you can't find the information you need or have additional questions, please direct your inquiries to:

  • Billing Questions- Gainwell Technologies, (800) 807-1232, ky_provider_inquiry@gainwelltechnologies.com
  • Provider Questions- (855) 824-5615
  • Prior Authorization- Gainwell Technologies, (800) 292-2392, (800) 644-5725, (800) 807-8842
  • Provider Enrollment, Maintenance, and Revalidation- (877) 838-5085
  • KYHealth.net assistance- Gainwell Technologies, (800) 205-4696, ky_edi_helpdesk@gainwelltechnolgies.com
  • Pharmacy Questions- (502) 564-6890, dmsweb@ky.gov
  • Pharmacy Clinical Support Questions- (800) 477-3071
  • Pharmacy Prior Authorization- (844) 336-2676
  • Physician Administered Drug (PAD) list- (502) 564-6890
  • Hospital Cost Reports- Barb McCarter (502) 564-9271 or Eva Fincel (502) 564-9117​​

Provider MCO Information

*Anthem - (800) 205-5870
Aetna Better Health of KY - (855) 300-5528
Humana - (855) 852-7005
Passport Health Plan- (800) 578-0775
WellCare of KY - (877) 389-9457

*Effective Jan. 1, 2025, Anthem is no longer an active Medicaid Managed Care Organization, or MCO, in Kentucky. However, they are responsible for the payment of claims, appeals, or disputes for dates of service up to and including Dec. 31, 2024. 

  • Report Fraud and Abuse
(800) 372-2970

  • Regulations

907 KAR  Cabinet for Health and Family Services - DMS Title page

907 KAR 3:130  Medical necessity and clinically appropriate determination basis

907 KAR 10:012 Inpatient Hospital Coverage

907 KAR 10:014 Outpatient Hospital Coverage

907 KAR 10:015  Reimbursement for Outpatient Hospitals

907 KAR 10:830  Acute care inpatient hospital reimbursement

  • Provider Resources

Provider Type Summaries

Provider Billing Instructions

PT - 01 - Hospital Provider Summary

  • Provider Letters

Provider Letter Home​​

Addendum to Memorandum dated June 23, 2017, re Early Elective Deliveries (EED) Prior to 39 Weeks Gestation 

Early Elective Deliveries (EED) Prior to 39 weeks Gestation

Provider Letter regarding Ordering, Referring Prescribing Providers

  • Forms

Medicaid Assistance Program (MAP) Forms

MAP- 9 - Prior Authorization for Health Services and Instructions

MAP-383 - Other Hospital Statement Form

MAP-4092 - Exempted Hospital Discharge Physician Certification of Need for Nursing Facility Service

Obstetric Notification Form - To be used by providers to notify KY Medicaid of admissions for normal delivery. Normal delivery is defined as vaginal delivery or a scheduled cesarean section for a term pregnancy of 38 - 42 weeks. The form is to be faxed to DXC after the delivery to obtain the authorization number.

  • Fee and Rate Schedules


Contact Information

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