Medicaid Kentucky policies

Search Medicaid Kentucky's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

433 public policies Substrate tracks for Medicaid Kentucky, by title.

Medicaid Kentucky policies
PolicyDetailsCodesSource
907 KAR 1:028 - Independent laboratory and radiological service coverage and reimbursement.907 KAR 1:028 · Effective Feb 13, 2025 · Medicaid · KY—Original policy ↗
907 KAR 1:049 - Payments for family planning services.907 KAR 1:049 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
907 KAR 1:065 - Payments for price-based nursing facility services.907 KAR 1:065 · Effective Jan 22, 2026 · Medicaid · KY—Original policy ↗
907 KAR 3:060 - Ambulance provider assessment program.907 KAR 3:060 · Effective Oct 20, 2021 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:012 - Inpatient hospital service coverage.907 KAR 10:012 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:014 - Outpatient hospital service coverage provisions and requirements.907 KAR 10:014 · Effective Aug 10, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:015 - Payments for outpatient hospital services.907 KAR 10:015 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:016 - Coverage provisions and requirements regarding inpatient psychiatric hospital services.907 KAR 10:016 · Effective Jan 22, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:017 - Hospital Indigent Care Assurance Program HICAP907 KAR 10:017 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:018 - Repeal of 907 KAR 10:017, 907 KAR 10:372, and 907 KAR 10:376907 KAR 10:018 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:020 - Coverage provisions and requirements regarding outpatient psychiatric hospital services.907 KAR 10:020 · Effective Jan 30, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:025 - Reimbursement provisions and requirements regarding outpatient psychiatric hospital services.907 KAR 10:025 · Effective Jan 30, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:183 - Supplemental payments to participating DRG hospitals.907 KAR 10:183 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:372 - Incorporation by reference of the Mental Hospital Services Manual907 KAR 10:372 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:376 - Incorporation by reference of the Hospital Services Manual907 KAR 10:376 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:815 - Per diem inpatient hospital reimbursement.907 KAR 10:815 · Effective Jan 13, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:820 - Disproportionate share hospital distributions.907 KAR 10:820 · Effective Apr 21, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:825 - Diagnosis-related group DRG inpatient hospital reimbursement907 KAR 10:825 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:826 - Repeal of 907 KAR 10:825907 KAR 10:826 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:830 - Acute care inpatient hospital reimbursement.907 KAR 10:830 · Effective Jan 13, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 10:840 - Hospital Rate Improvement Program.907 KAR 10:840 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 11:034 - Early and periodic screening, diagnosis, and treatment services and early and periodic screening, diagnosis, and treatment special services.907 KAR 11:034 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 11:035 - Payments for early and periodic screening, diagnosis, and treatment services and early and periodic screening, diagnosis, and treatment special services.907 KAR 11:035 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 12:010 - New Supports for community living waiver service and coverage policies.907 KAR 12:010 · Effective May 9, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 12:020 - Reimbursement for New Supports for Community Living Waiver Services.907 KAR 12:020 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 13:005 - Definitions for 907 KAR Chapter 13.907 KAR 13:005 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 13:010 - Private duty nursing service coverage provisions and requirements.907 KAR 13:010 · Effective Jun 18, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 13:015 - Private duty nursing service or supply reimbursement provisions and requirements.907 KAR 13:015 · Effective Jun 18, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 14:005 - Health care-acquired conditions and other provider preventable conditions.907 KAR 14:005 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:005 - Definitions for 907 KAR Chapter 15.907 KAR 15:005 · Effective Jan 3, 2020 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:010 - Coverage provisions and requirements regarding behavioral health services provided by individual approved behavioral health practitioners, behavioral health provider groups, and behavioral health multi-specialty groups.907 KAR 15:010 · Effective Jan 3, 2020 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:015 - Reimbursement provisions and requirements for behavioral health services provided by individual approved behavioral health practitioners, behavioral health provider groups, or behavioral health multi-specialty groups.907 KAR 15:015 · Effective Jan 3, 2020 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:020 - Coverage provisions and requirements regarding services provided by behavioral health services organizations for mental health treatment.907 KAR 15:020 · Effective Jan 3, 2020 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:022 - Coverage provisions and requirements regarding services provided by behavioral health services organizations for substance use disorder treatment and co-occurring disorders.907 KAR 15:022 · Effective Jan 22, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:025 - Reimbursement provisions and requirements regarding behavioral health services provided by behavioral health services organizations.907 KAR 15:025 · Effective Jan 3, 2020 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:040 - Coverage provisions and requirements regarding targeted case management for individuals with a substance use disorder.907 KAR 15:040 · Effective Mar 28, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:045 - Reimbursement provisions and requirements for targeted case management services for individuals with a substance use disorder.907 KAR 15:045 · Effective Mar 28, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:050 - Coverage provisions and requirements regarding targeted case management for individuals with a mental health or substance use disorder and chronic or complex physical health issues.907 KAR 15:050 · Effective Mar 28, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:055 - Reimbursement provisions and requirements regarding targeted case management for individuals with a mental health or substance use disorder and chronic or complex physical health issues.907 KAR 15:055 · Effective Mar 28, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:060 - Coverage provisions and requirements regarding targeted case management for individuals with a severe mental illness and children with a severe emotional disability.907 KAR 15:060 · Effective Mar 28, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:065 - Reimbursement provisions and requirements regarding targeted case management for individuals with a severe mental illness and children with a severe emotional disability.907 KAR 15:065 · Effective Mar 28, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:070 - Coverage provisions and requirements regarding services provided by residential crisis stabilization units.907 KAR 15:070 · Effective Jun 16, 2021 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:075 - Reimbursement provisions and requirements for behavioral health services provided by residential crisis stabilization units.907 KAR 15:075 · Effective Feb 11, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:080 - Coverage provisions and requirements regarding chemical dependency treatment center services.907 KAR 15:080 · Effective Jun 16, 2021 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:085 - Reimbursement provisions and requirements regarding outpatient chemical dependency treatment center services.907 KAR 15:085 · Effective Aug 10, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:090 - Crisis continuum services provided or mediated by an administrative service organization.907 KAR 15:090 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 15:100 - Crisis continuum of care.907 KAR 15:100 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 16:005 - Definitions for 907 KAR Chapter 16.907 KAR 16:005 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 16:010 - 1915(i) RISE Initiative Home and Community-Based Services (HCBS); Participant Eligibility.907 KAR 16:010 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 16:015 - Recovery, Independence, Support & Engagement (RISE) Initiative 1915(i) Home and Community-Based Services (HCBS); Provider Participation and Enrollment.907 KAR 16:015 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗

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The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

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