Medicaid Kentucky policies, page 2

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] 907 KAR 16:020 - 1915(i) Home and Community-Based Services (HCBS) Recovery, Independence, Support & Engagement (RISE) Initiative; Covered services.907 KAR 16:020 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 16:025 - Recovery, Independence, Support & Engagement (RISE) Initiative reimbursement provisions and requirements.907 KAR 16:025 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:005 - Definitions for 907 KAR Chapter 17.907 KAR 17:005 · Effective Mar 10, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:010 - Managed care organization requirements and policies relating to enrollees.907 KAR 17:010 · Effective Mar 10, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:015 - Managed care organization requirements and policies relating to providers.907 KAR 17:015 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:020 - Managed care organization service and service coverage requirements and policies.907 KAR 17:020 · Effective Mar 26, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:025 - Managed care organization requirements and policies related to utilization management and quality907 KAR 17:025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:026 - Repeal of 907 KAR 17:025 and 17:030907 KAR 17:026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:030 - Managed care organization operational and related requirements and policies907 KAR 17:030 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:035 - External independent third-party review.907 KAR 17:035 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 17:040 - Appeal and administrative hearing post external independent third-party review.907 KAR 17:040 · Effective Apr 17, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 18:001 - Definitions for 907 KAR Chapter 18.907 KAR 18:001 · Effective May 27, 2021 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 18:005 - Reimbursement provisions and requirements regarding Veterans Affairs nursing facility services.907 KAR 18:005 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:002 - Definitions907 KAR 1:002 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:003 - Repeal of 907 KAR 1:004907 KAR 1:003 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:004 - Resource and income standard of medically needy907 KAR 1:004 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:005 - Nonduplication of payments.907 KAR 1:005 · Effective Mar 10, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:006 - Coverage of and payment for services for persons eligible for benefits under both Title XIX and Title XVIII.907 KAR 1:006 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:007 - Documentation of medical assistance services907 KAR 1:007 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:008 - Ambulatory surgical center services and reimbursement.907 KAR 1:008 · Effective Jan 12, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:009 - Not available.907 KAR 1:009 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:010 - Not available.907 KAR 1:010 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:011 - Technical eligibility requirements907 KAR 1:011 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:012 - Inpatient hospital service coverage907 KAR 1:012 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:013 - Diagnostic-related groupDRG inpatient hospital reimbursement907 KAR 1:013 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:014 - Outpatient hospital services907 KAR 1:014 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:015 - Payments for outpatient hospital services907 KAR 1:015 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:016 - Psychiatric hospital services907 KAR 1:016 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:017 - Hospital Indigent Care Assurance Program (HICAP)907 KAR 1:017 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:018 - Reimbursement for drugs907 KAR 1:018 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:019 - Outpatient Pharmacy Program907 KAR 1:019 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:020 - Payment for drugs907 KAR 1:020 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:021 - Not available.907 KAR 1:021 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:022 - Nursing facility services and intermediate care facility for individuals with an intellectual disability services.907 KAR 1:022 · Effective Feb 9, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:022REG - Nursing facility services and intermediate care facility for individuals with an intellectual disability services.907 KAR 1:022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:023 - Review and approval of selected therapies as ancillary services in nursing facilities.907 KAR 1:023 · Effective Jan 22, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:024 - Intermediate care facility services907 KAR 1:024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:025 - Payment for services provided by an intermediate care facility for individuals with an intellectual disability, a dually-licensed pediatric facility, an institution for mental diseases, or a nursing facility with an all-inclusive rate unit.907 KAR 1:025 · Effective Oct 25, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:026 - Dental services' coverage provisions and requirements.907 KAR 1:026 · Effective Feb 5, 2016 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:026E - Dental services' coverage provisions and requirements.907 KAR 1:026E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:026E - Dental services' coverage provisions and requirements.907 KAR 1:026E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:026E - Dental services' coverage provisions and requirements.907 KAR 1:026E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:027 - Not available.907 KAR 1:027 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:029 - Payments for other laboratory and x-ray services907 KAR 1:029 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:030 - Home health agency services.907 KAR 1:030 · Effective Jan 13, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:031 - Payments for home health services.907 KAR 1:031 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:032 - Dual licensed pediatric facility services.907 KAR 1:032 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:033 - Payments for dual licensed pediatric facility services.907 KAR 1:033 · Effective Dec 6, 2019 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:034 - Early and periodic screening, diagnosis, and treatment services and early and periodic screening, diagnosis, and treatment special services907 KAR 1:034 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:035 - Payments for early and periodic screening, diagnosis, and treatment services and early and periodic screening, diagnosis, and treatment special service907 KAR 1:035 · Medicaid · KY—Original policy ↗

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Disclaimer

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.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.