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Medicaid Kentucky policies, page 5

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 1:437 - Repeal of 907 KAR 1:436907 KAR 1:437 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:438 - Incorporation by reference of the KY Medical Assistance Outpatient Drug List907 KAR 1:438 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:439 - Repeal of 907 KAR 1:438907 KAR 1:439 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:440 - Case management services.907 KAR 1:440 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:441 - Repeal of 907 KAR 1:436907 KAR 1:441 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:450 - Nurse aide training criteria and registry.907 KAR 1:450 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:460 - Coverage and payments for preadmission screening and annual resident review907 KAR 1:460 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:470 - Durable medical equipment907 KAR 1:470 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:472 - Payments for durable medical equipment907 KAR 1:472 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:474 - Incorporation by reference of the Durable Medical Equipment Manual907 KAR 1:474 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:475E - Repeal of 907 KAR 1:470, 472, and 474907 KAR 1:475E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:476 - Incorporation by reference of the Advanced Registered Nurse Practitioner Manual907 KAR 1:476 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:478 - Durable medical equipment covered services and reimbursement907 KAR 1:478 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:479 - Medical supplies, equipment, and appliances covered benefits and reimbursement.907 KAR 1:479 · Effective Jun 18, 2024 · Medicaid · KY8Original policy ↗
[907 KAR] 907 KAR 1:480 - Tax assessment schedule for physicians907 KAR 1:480 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:485 - Tax assessment schedule for dentists907 KAR 1:485 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:490 - Tax assessment schedule for optometrists907 KAR 1:490 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:495 - Tax assessment schedule for pharmacies907 KAR 1:495 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:505 - Psychiatric residential treatment facility services907 KAR 1:505 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:510 - Payments for psychiatric residential treatment facility services907 KAR 1:510 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:512 - Incorporation by reference of Psychiatric Residential Treatment Facility Services Manual907 KAR 1:512 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:515 - Targeted case management services for adults with chronic mental illness907 KAR 1:515 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:516E - Repeal of 907 KAR 1:515, 1:520, 1:525, 1:530, 1:550, and 1:555907 KAR 1:516E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:520 - Payments for targeted case management services for adults with chronic mental illness907 KAR 1:520 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:525 - Targeted case management services for children with a severe emotional disability907 KAR 1:525 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:530 - Payments for targeted case management services for children with a severe emotional disability907 KAR 1:530 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:535 - Tax assessment schedule for mental health services907 KAR 1:535 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:536 - Repeal of 907 KAR 1:480, 485, 490, 495, and 535907 KAR 1:536 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:540 - Eligibility requirements and benefits under the Kentucky Hospital Care Program (KHCP)907 KAR 1:540 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:545 - Incorporation by reference of the Nursing Facility Services Manual907 KAR 1:545 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:550 - Incorporation by reference of the Targeted Case Management Services Adults Manual907 KAR 1:550 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:555 - Incorporation by reference of the Targeted Case Management Services Children Manual907 KAR 1:555 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:560 - Medicaid hearings and appeals regarding eligibility.907 KAR 1:560 · Effective Apr 21, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:563 - Medicaid covered services appeals and hearings unrelated to managed care.907 KAR 1:563 · Effective Apr 21, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:575 - Compliance with laboratory certification requirements.907 KAR 1:575 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:580 - Adeditional classes of health care services and providers defined907 KAR 1:580 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:585 - Estate recovery.907 KAR 1:585 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:595 - Model Waiver II service coverage and reimbursement policies and requirements.907 KAR 1:595 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:600 - Medicaid adverse action and conditions for recipients907 KAR 1:600 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:604 - Cost-sharing prohibited within the Medicaid program.907 KAR 1:604 · Effective Jan 13, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:605 - Medicaid procedures for determining initial and continuing eligibility907 KAR 1:605 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:610 - Medicaid right to apply and reapply907 KAR 1:610 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:615 - Supplemental policy for the Medicaid Program.907 KAR 1:615 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:625E - Dental services reimbursement907 KAR 1:625E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:626 - Reimbursement of dental services.907 KAR 1:626 · Effective Jan 30, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:630E - Vision Care Services Reimbursement907 KAR 1:630E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:631 - Vision Program reimbursement provisions and requirements.907 KAR 1:631 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:632 - Vision program coverage provisions and requirements.907 KAR 1:632 · Effective Jan 2, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:635 - Conditions of Coverage for the KY Hospital Care Program (KHCP)907 KAR 1:635 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:636 - Repeal of 907 KAR 1:635907 KAR 1:636 · 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.

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