Licensed Professional Art Therapist - PT (62) (629)

Kentucky Medicaid identifies licensed professional art therapist services as Provider Type (62) individual, or (629) group. To enroll in and bill Kentucky Medicaid, professional art therapist service providers must be:

  • Licensed in Kentucky with the Board of Professional Art Therapists and in accordance with KRS 309.133.
  • Enrolled as an active Medicaid provider and, if applicable, enrolled with the managed care organization (MCO) of any beneficiary served.

Covered Services

If determined medically necessary, art therapy facilitated by a professional art therapist effectively supports personal and relational treatment goals as well as community concerns. Art therapy is used to improve cognitive and sensorimotor functions, foster self-esteem and self-awareness, cultivate emotional resilience, promote insight, enhance social skills, reduce and resolve conflicts and distress and advance societal and ecological change.

Licensed professional art therapist service providers must meet the coverage provisions and requirements of 907 KAR 15:010 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 for in which they participate.

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 for professional art therapist services is in accordance with the Behavioral Health Fee Schedule as defined in 907 KAR 15:015.

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 service is covered during the same time period.

Prior Authorization

CareWise provides prior authorizations for fee-for-service (FFS) beneficiaries. Each MCO provides prior authorization for its beneficiaries.

Claims Submission

Kentucky Medicaid currently contracts with DXC to process the Kentucky Medicaid FFS claims. Each MCO processes its own claims.


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

Claim Appeals

Appeal requests made on denied FFS claims must be submitted to DXC. The request must include the reason for the request along with a hard copy claim. Please refer to the MCO in question, if appealing an MCO claim.

Timely Filing

Claims must be received within 12 months from the date of service (DOS) or 6 months from the Medicare pay date whichever is longer, or within 12 months from the last Kentucky Medicaid denial. Please refer to the MCO in question, if appealing an MCO claim.

Provider Contact Information

FFS Billing Questions - DXC - (800) 807-1232
Provider Questions - (855) 824-5615
Provider Enrollment or Revalidation - (877) 838-5085 assistance - DXC - (800) 205-4696
CHFS DMS BH and SU Inquires - (502) 564-6890
Pharmacy Questions - (800) 432-7005
Pharmacy Clinical Support Questions - (800) 477-3071
Pharmacy Prior Authorization - (800) 477-3071
Physician Administered Drug (PAD) List - Pharmacy Branch - (502) 564-6890

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 

Report Fraud and Abuse

(800) 372-2970


KRS 309 Miscellaneous Occupations and Professions

KRS 309.130 Definitions for KRS 309.130 to 309.1399

KRS 309.133 Requirements for licensure - Licensure without examination - Reciprocity

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

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

907 KAR 15:010 Coverage provisions and requirements regarding behavioral health services provided by individual behavioral health providers, behavioral health provider groups and behavioral health multi-specialty groups

907 KAR 15:015 Reimbursement provisions and requirements for behavioral health services provided by individual behavioral health providers, behavioral health provider groups or behavioral health multi-specialty groups

Provider Resources

PT 62 - Licensed Professional Art Therapist Provider Summary

PT 62(9) - Licensed Professional Art Therapist Group Provider Summary

Provider Letters

Provider Letter #A-107: COVID-19 Presumptive Eligibility

Provider Letter #A-106: COVID-19 Guidance Telehealth

Provider Letter A-105: COVID-19 Guidance for all Medicaid Providers

Notification of KY Medicaid Partner Portal Application (KYMPPA) Update

Multi Behavioral Health Provider Letter - Revisions to Behavioral Health and Substance Abuse Services fee Schedules

Behavioral Health and Substance Abuse Services Fee Schedules

General Provider Letter #A-103 - IMD Expansion

Provider Letter regarding Ordering, Referring Prescribing Providers

Billing Information

Provider Billing Instruction Home

Licensed Professional Art Therapist Billing Instructions

Fee and Rate Schedules

Fee and Rate Schedule Home
Behavioral Health and Substance Abuse Services Inpatient (Facility) effective Jan. 1, 2019
Behavioral Health and Substance Abuse Services Inpatient (Facility) effective July 1, 2019
Behavioral Health and Substance Abuse Services Outpatient (Non-facility) effective Jan. 1, 2019
Behavioral Health and Substance Abuse Services Outpatient (Non-facility) effective July 1, 2019

Contact Information