Medicaid Kentucky policies, page 7

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 20:055 - Breast and cervical cancer eligibility for Medicaid.907 KAR 20:055 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:060 - Medicaid adverse action and conditions for recipients.907 KAR 20:060 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:075 - Eligibility provisions and requirements regarding former foster care individuals, and individuals who were in out-of-state equivalents to foster care.907 KAR 20:075 · Effective Sep 27, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 20:100 - Modified Adjusted Gross Income (MAGI) Medicaid eligibility standards.907 KAR 20:100 · Effective Sep 27, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 23:001 - Definitions for 907 KAR Chapter 23.907 KAR 23:001 · Effective Jul 22, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 23:010 - Outpatient Pharmacy Program.907 KAR 23:010 · Effective Jul 22, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 23:020 - Reimbursement for outpatient drugs.907 KAR 23:020 · Effective Oct 26, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 2:720REG - 1915(c) Kentucky's Community Health for Improved Lives and Development (CHILD) Waiver Program Requirements.907 KAR 2:720 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 2:725REG - 1915(c) Kentucky's Community Health for Improved Lives and Development (CHILD) Waiver Reimbursement.907 KAR 2:725 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:005 - Coverage of physicians' services.907 KAR 3:005 · Effective Jul 16, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:010 - Reimbursement for physicians' services.907 KAR 3:010 · Effective Jul 16, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:015 - Supplemental payments for certain primary care and vaccines.907 KAR 3:015 · Effective Sep 24, 2026 · Medicaid · KY2Original policy ↗
[907 KAR] 907 KAR 3:017 - Enhanced reimbursement for preventive and wellness services.907 KAR 3:017 · Effective Jun 5, 2015 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:020 - Coverage and payments for targeted case management and rehabilitative services provided through an agreement with the state Title V agency.907 KAR 3:020 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:030 - Coverage and payments for IMPACT Plus services907 KAR 3:030 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:031 - Repeal of 907 KAR 3:030907 KAR 3:031 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:035 - Criteria for certification for out-of-state residential services for Medicaid-eligible children under twenty-one (21).907 KAR 3:035 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:062 - Public Ground Ambulance Supplemental Payment Program.907 KAR 3:062 · Effective Jan 22, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:065 - Not available.907 KAR 3:065 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:066 - Nonemergency medical transportation waiver services and payments.907 KAR 3:066 · Effective Jun 18, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:080 - Program of All-inclusive Care for the Elderly (PACE)907 KAR 3:080 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:090 - Acquired brain injury waiver services.907 KAR 3:090 · Effective Jan 30, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:091 - Repeal of 907 KAR 3:090 and 907 KAR 3:100 and 210907 KAR 3:091 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:100 - Reimbursement for acquired brain injury waiver services.907 KAR 3:100 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:110 - Community mental health center substance abuse services907 KAR 3:110 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:111 - Repeal of 907 KAR 3:110907 KAR 3:111 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:120 - Chiropractic services907 KAR 3:120 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:125 - Chiropractic services and reimbursement.907 KAR 3:125 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:130 - Medical necessity and clinically appropriate determination basis.907 KAR 3:130 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:140 - Coverage and payments for the Health Access Nurturing Development Services (HANDS) Program.907 KAR 3:140 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:150 - Published coding systems907 KAR 3:150 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:160 - Specialized children's services clinics.907 KAR 3:160 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:170 - Telehealth service coverage and reimbursement.907 KAR 3:170 · Effective Jun 2, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:180E - In-state inpatient hospital special reimbursement increase907 KAR 3:180E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:181 - In-state inpatient hospital special reimbursement increase907 KAR 3:181 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:182 - In-state inpatient hospital special reimbursement increase907 KAR 3:182 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:183 - Supplemental payments to participating DRG hospitals907 KAR 3:183 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:190 - Reimbursement for treatment related to clinical trials.907 KAR 3:190 · Effective Sep 27, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:205 - Hemophilia treatment reimbursement and coverage via the 340B drug pricing program907 KAR 3:205 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:206E - Repeal of 907 KAR 3:205907 KAR 3:206E · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:210 - Acquired brain injury long-term care waiver services and reimbursement.907 KAR 3:210 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:215 - Tobacco cessation coverage and reimbursement.907 KAR 3:215 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:225 - Specialty intermediate care (IC) clinic service and coverage policies and requirements.907 KAR 3:225 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:230 - Reimbursement policies and requirements for specialty intermediate care (IC) clinic services.907 KAR 3:230 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:250 - Programs of All-Inclusive Care for the Elderly (PACE).907 KAR 3:250 · Effective Feb 11, 2021 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:300 - Enhanced and suspended Medicaid services and requirements if there is a declared national or state emergency.907 KAR 3:300 · Effective Dec 1, 2020 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:310 - Community Health Worker services and reimbursement.907 KAR 3:310 · Effective Jan 18, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 3:320 - Beneficiary Advisory Council and modifications to the Advisory Council for Medical Assistance to establish the Kentucky Medicaid Advisory Committee.907 KAR 3:320 · Effective Mar 12, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 4:020 - Kentucky Children's Health Insurance Program Medicaid Expansion Title XXI of the Social Security Act.907 KAR 4:020 · Effective Jan 12, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 4:030 - Kentucky Children's Health Insurance Program Phase III Title XXI of the Social Security Act.907 KAR 4:030 · Effective Dec 6, 2019 · 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.