Home-Delivered Meals

Home-Delivered Meals

​​Home-delivered meals are Kentucky Medicaid provider type 48. To enroll and bill Kentucky Medicaid, home-delivered meals providers must be:

Covered Services

Home-delivered meals are provided to qualified Medicaid members at their place of residence. A home-delivered meals provider must meet requirements in 907 KAR 7:010. Services must be performed in the scope of practice for any provider. Listing of services in an administrative regulation is not a guarantee of payment. Providers must follow all relevant state Medicaid regulations. All services must be medically necessary.

Verify Eligibility

Verify eligibility by calling the automated voice response system at (800) 807-1301 or by using the web-based KYHealth-Net System

Reimbursement 

Home delivered meals are reimbursed per 907 KAR 7:015.

Service Authorization

Case managers approve 1915(c) HCBS waiver services. Kentucky Medicaid reviews requests for high-cost or high-skill services. If you have questions, please email the 1915(c) waiver Help Desk or call (844) 784-5614.  

Claims Submission

Kentucky Medicaid currently contracts with Gainwell Technologies to process Medicaid fee-for-service claims.

Coding

Kentucky Medicaid uses the National Correct Coding Initiative edits and the McKesson Claim Check System to verify incidental or mutually exclusive codes. Kentucky Medicaid also uses Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding system codes. Kentucky Medicaid requires the use of ICD-10 codes on all claims submitted for reimbursement. Kentucky Medicaid requires the use of CMS 1500 billing forms. Providers must bill Kentucky Medicaid using the correct CPT codes.

Claim Appeals

Appeal requests made on denied fee-for-service claims must be submitted to DXC and include the reason for the request along with a hard-copy claim.

Timely Filing

Claims must be received the longer of either 12 months from the date of service or six months from the Medicare pay date or within 12 months of the last Kentucky Medicaid denial.

Provider Contact 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
Provider Questions - (855) 824-5615
Prior Authorization - (844) 784-5614
Provider Enrollment or Revalidation - (877) 838-5085
KYHealth-Net assistance - Gainwell Technologies - (800) 205-4696
1915(c)  HCBS waiver questions - (844) 784-5614
Department for Aging and Independent Living (DAIL) - (502) 564-6930

For more specific inquiries, view the 1915(c) waiver contacts listing

Report Fraud and Abuse

(800) 372-2970

Regulations

907 KAR - DMS Kentucky Administrative Regulations

902 KAR 45:005 - Kentucky Food Code

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

907 KAR 7:010 - Home- and Community-Based (HCB) Waiver

907 KAR 7:015 - Reimbursement for HCB Waiver 

910 KAR - DAIL Kentucky Administrative Regulations

910 KAR 1:190 - Nutrition program for older persons

Provider Resources

​Find Fee and Rate Schedules

HCB Waiver 

Medicaid Waiver Management Application (MWMA) Information

MWMA Access 

MWMA Training videos 

Search for MAP forms

Home Delivered Meals Provider Summary

Service Authorization Crosswalk: HCB

Service Authorization Resources 

1915(c) HCBS waiver webinars and training

Provider Letters

1915(c) HCBS Waiver Policy Updates

Use of MWMA for Incident Reporting and Service Notes

Use of Hospice and 1915(c) HCBS Waiver Services 

Search for all provider letters 

Billing Information

Billing Instruction Home

Contact Information