Medicaid Kentucky policies, page 6

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 1:640 - Income standards for Medicaid907 KAR 1:640 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:642 - Adult group 07-2018 benefit plan and copayments907 KAR 1:642 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:645 - Resource standards for Medicaid907 KAR 1:645 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:650 - Trust and transferred resource requirements for Medicaid907 KAR 1:650 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:655 - Spousal impoverishment and nursing facility requirements for Medicaid907 KAR 1:655 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:660 - Relative responsibility requirements for Medicaid907 KAR 1:660 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:665 - Special income requirements for hospice and home and community based services (HCBS)907 KAR 1:665 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:670 - Conditions of Medicaid provider participation; enrollment, documentation of services, disclosure, appeals process, and sanctions907 KAR 1:670 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:671 - Conditions of Medicaid provider participation; withholding overpayments, administrative appeal process, and sanctions.907 KAR 1:671 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:672 - Provider enrollment, disclosure, and documentation for Medicaid participation.907 KAR 1:672 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:673 - Claims processing.907 KAR 1:673 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:675 - Program integrity.907 KAR 1:675 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:677 - Medicaid Recipient Lock-in Program.907 KAR 1:677 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:680 - Vaccines for Children Program.907 KAR 1:680 · Effective Mar 9, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:685 - Commission for children with special health care needs services907 KAR 1:685 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:690 - Medicaid paymements for Commission for Children with Special Health Care Needs907 KAR 1:690 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:705 - Demonstration project: services provided through regional managed care partnerships (1115 Waiver)907 KAR 1:705 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:710 - Managed behavioral health care initiative (1915b Waiver)907 KAR 1:710 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:711E - Repeal of 907 KAR 1:705 and 907 KAR 1:710907 KAR 1:711E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:715 - School-based health services.907 KAR 1:715 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:720 - Coverage and payments for the Kentucky Early Intervention Program services provided through an agreement with the state Title V agency.907 KAR 1:720 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:725 - Medicaid appropriations for a long term care nursing facility907 KAR 1:725 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:755 - Preadmission Screening and Resident Review Program.907 KAR 1:755 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:755REG - Preadmission Screening and Resident Review Program.907 KAR 1:755 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:765E - Repeal of 907 KAR 1:460907 KAR 1:765E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:780 - Converted dual-licensed hospital-based nursing facility beds.907 KAR 1:780 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:790 - Medicaid service category expenditure information.907 KAR 1:790 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:800 - Breast and cervical cancer eligibility for Medicaid907 KAR 1:800 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:805 - Breast and cervical cancer eligibility for Medicaid907 KAR 1:805 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:810 - Presumptive eligibility for pregnant women907 KAR 1:810 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:815 - Nondiagnostic related group inpatient hospital reimbursement907 KAR 1:815 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:820 - Disproportionate share hospital distributions907 KAR 1:820 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:825 - Diagnosis-related group (DRG) inpatient hospital reimbursement907 KAR 1:825 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:835 - Michelle P. waiver services and reimbursement.907 KAR 1:835 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:900 - KyHealth Choices benefit packages907 KAR 1:900 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:901E - Repeal of 907 KAR 1:029907 KAR 1:901E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:911E - Repeal of 907 KAR 1:013907 KAR 1:911E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:913E - Repeal of 907 KAR 1:900907 KAR 1:913E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 1:999 - Repeal of 907 KAR 1:002907 KAR 1:999 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:001 - Definitions for 907 KAR Chapter 20.907 KAR 20:001 · Effective Mar 10, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:005 - Medicaid technical eligibility requirements not related to a modified adjusted gross income standard or former foster care individuals.907 KAR 20:005 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:010 - Medicaid procedures for determining initial and continuing eligibility other than procedures related to a modified adjusted gross income eligibility standard or related to former foster care individuals.907 KAR 20:010 · Effective Sep 27, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:015 - Medicaid right to apply and reapply for individuals whose Medicaid eligibility is not based on a modified adjusted gross income eligibility standard or who are not former foster care individuals.907 KAR 20:015 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:020 - Income standards for Medicaid other than Modified Adjusted Gross Income (MAGI) standards or for former foster care individuals.907 KAR 20:020 · Effective Jan 12, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:025 - Resource standards for Medicaid other than Modified Adjusted Gross Income (MAGI) standards or for former foster care individuals.907 KAR 20:025 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:030 - Trust and transferred resource requirements for Medicaid other than Modified Adjusted Gross Income (MAGI) standards or for former foster care individuals.907 KAR 20:030 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:035 - Spousal impoverishment and nursing facility requirements for Medicaid.907 KAR 20:035 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:040 - Relative responsibility requirements for Medicaid.907 KAR 20:040 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:045 - Special income requirements for hospice and 1915(c) home and community based services.907 KAR 20:045 · Effective Sep 27, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:050 - Presumptive eligibility.907 KAR 20:050 · Effective Mar 9, 2023 · 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.