Preventive Services - PT (20)

​​​Preventive Services are recognized in Kentucky Medicaid as Provider Type 20. In order to enroll as a Preventive Services provider with Kentucky Medicaid, see the Kentucky Medicaid Provider Enrollment webpage.

Covered Services

 The following medically necessary preventive, screening, diagnostic, rehabilitative, and remedial services provided by the Department for Public Health directly or indirectly through its subcontractors shall be covered:

  • A chronic disease service
  • A communicable disease service
  • An early and periodic screening, diagnosis and treatment (EPSDT) service
  • A family planning service
  • A maternity service
  • A pediatric service​

Preventative Service providers must mee​t the coverage provisions and requirements set forth in 907 KAR 1:360 to provide covered services.  All services must be performed within the scope of practice for any provider. Providers must follow Kentucky Medicaid regulations and the requirements of the MCO in which they participate.

Service Limitations

A laboratory procedure shall be limited to a procedure for which the provider has been certified in accordance with 42 C.F.R. Part 493. A service allowed in accordance with 42 C.F.R. 441, Subpart E or Subpart F shall be covered within the scope and limitations of these federal regulations. Coverage for a fetal diagnostic ultrasound procedure shall be limited to two per nine-month period per beneficiary unless the diagnosis code justifies the medical necessity of an additional procedure. ​ 

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 Preventive Services is listed on the Kentucky Medicaid Preventive Services fee schedule located on the Fee an​​d Rate Schedule Home Page. 

Reimbursement for Preventive Services is defined in regulation 907 KAR 1:360.

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 Preventive Service providers to bill on a CMS 1500 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 Resources

If you cannot 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

Managed Care Organizations

*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 1:360 -Preventive and remedial public health services

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

  • Provider Resources

Provider Letter Home

PT 20 - Preventative Services Provider Type Summary (PDF)

​​Provider Billing Instructions

Kentucky Medicaid Provider Directory

Fee and Rate Schedule Home

  • Forms

Medicaid Assistance Program (MAP) Forms

Contact Information

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