Medicaid Kentucky policies, page 8

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 5:005 - Health Insurance Premium Payment (HIPP) Program.907 KAR 5:005 · Effective Jun 30, 2020 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 6:005 - Electronic health record incentive payments.907 KAR 6:005 · Effective Feb 5, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 7:005 - Certified waiver provider requirements.907 KAR 7:005 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 7:010 - Home and community based waiver services version 2.907 KAR 7:010 · Effective Jan 30, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 7:015 - Reimbursement for home and community based waiver services version 2.907 KAR 7:015 · Effective Jul 30, 2025 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 7:020 - 1915(c) Home and community based services waiting list and waiting list placement appeal processes.907 KAR 7:020 · Effective Jun 16, 2021 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:005 - Definitions for 907 KAR Chapter 8.907 KAR 8:005 · Effective May 9, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:010 - Independent occupational therapy service coverage provisions and requirements.907 KAR 8:010 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:015 - Independent occupational therapy service reimbursement provisions and requirements.907 KAR 8:015 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:020 - Independent physical therapy service coverage provisions and requirements.907 KAR 8:020 · Effective Jan 22, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:025 - Physical therapy service reimbursement provisions and requirements.907 KAR 8:025 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:030 - Independent speech-language pathology service coverage provisions and requirements.907 KAR 8:030 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:035 - Speech-language pathology service reimbursement provisions and requirements.907 KAR 8:035 · Effective Sep 24, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:040 - Coverage of occupational therapy, physical therapy, and speech-language pathology services provided by various entities.907 KAR 8:040 · Effective Jan 22, 2026 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 8:045 - Reimbursement of occupational therapy, physical therapy, and speech-language pathology provided by various entities.907 KAR 8:045 · Effective May 9, 2023 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 9:005 - Non-outpatient level I and II psychiatric residential treatment facility service and coverage policies.907 KAR 9:005 · Effective Oct 18, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 9:010 - Reimbursement for non-outpatient Level I and II psychiatric residential treatment facility services.907 KAR 9:010 · Effective Feb 16, 2024 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 9:015 - Coverage provisions and requirements regarding outpatient services provided by Level I or Level II psychiatric residential treatment facilities.907 KAR 9:015 · Effective Oct 18, 2022 · Medicaid · KY—Original policy ↗
[907 KAR] 907 KAR 9:020 - Reimbursement provisions and requirements regarding outpatient behavioral health services provided by Level I or Level II psychiatric residential treatment facilities.907 KAR 9:020 · Effective Oct 18, 2022 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 01 Hospital Services-5010 updateKyMMIS PT 01 · Medicaid · KY6Original policy ↗
[KyMMIS Billing Instructions] 02 Psychiatric Inpatient Hospital Services-5010 updateKyMMIS PT 02 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 03 Behavioral Health Services OrganizationKyMMIS PT 03 · Medicaid · KY7Original policy ↗
[KyMMIS Billing Instructions] 04/05 Psychiatric Residential Treatment Facility and PRTF2KyMMIS PT 04/05 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 06 Chemical Dependency Treatment CenterKyMMIS PT 06 · Medicaid · KY2Original policy ↗
[KyMMIS Billing Instructions] 08 Recovery Residence SupportsKyMMIS PT 08 · Medicaid · KY1Original policy ↗
[KyMMIS Billing Instructions] 09 Certified Waiver ProviderKyMMIS PT 09 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 10 Specialty Intermediate Care Clinic for Development and Intellectual DisabilitiesKyMMIS PT 10 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 11 Intermediate Care Facility for Individuals with Intellectual Disabilities or Developmental DisabilitiesKyMMIS PT 11 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 12 Nursing FacilityKyMMIS PT 12 · Medicaid · KY261Original policy ↗
[KyMMIS Billing Instructions] 13 Specialized Children's Services Clinic-5010 updateKyMMIS PT 13 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 16 Certified Community Behavioral Health Centers Provider Type-16KyMMIS PT 16 · Medicaid · KY4Original policy ↗
[KyMMIS Billing Instructions] 17 Acquired Brain InjuryKyMMIS PT 17 · Medicaid · KY16Original policy ↗
[KyMMIS Billing Instructions] 18 Private Duty NursingKyMMIS PT 18 · Medicaid · KY1Original policy ↗
[KyMMIS Billing Instructions] 20 Preventive Health Services-5010 updateKyMMIS PT 20 · Medicaid · KY7Original policy ↗
[KyMMIS Billing Instructions] 21 School Based Health ServicesKyMMIS PT 21 · Medicaid · KY84Original policy ↗
[KyMMIS Billing Instructions] 22 The Commission For Children With Special Health Care Needs-5010 updateKyMMIS PT 22 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 23 Title V Services Provided By The Department For Social Services-5010 updateKyMMIS PT 23 · Medicaid · KY13Original policy ↗
[KyMMIS Billing Instructions] 26 Residential Crisis Stabilization UnitKyMMIS PT 26 · Medicaid · KY1Original policy ↗
[KyMMIS Billing Instructions] 30 Community Mental Health ServicesKyMMIS PT 30 · Medicaid · KY97Original policy ↗
[KyMMIS Billing Instructions] 31 FQHC Primary Care- FQHCKyMMIS PT 31 FQHC · Medicaid · KY8Original policy ↗
[KyMMIS Billing Instructions] 31 NON-FQHC Primary Care non-FQHCKyMMIS PT 31 NON-FQHC · Medicaid · KY12Original policy ↗
[KyMMIS Billing Instructions] 32 Family Planning Services-5010 updateKyMMIS PT 32 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 33 Supports For Community LivingKyMMIS PT 33 · Medicaid · KY41Original policy ↗
[KyMMIS Billing Instructions] 34 Home Health Services-5010 updateKyMMIS PT 34 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 35 Rural Health Services-5010 updateKyMMIS PT 35 · Medicaid · KY8Original policy ↗
[KyMMIS Billing Instructions] 36 Ambulatory Surgical Centers-5010 updateKyMMIS PT 36 · Medicaid · KY1Original policy ↗
[KyMMIS Billing Instructions] 37 Independent Laboratory and Radiological Services-5010 updateKyMMIS PT 37 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 39 Renal Dialysis Services-5010 updateKyMMIS PT 39 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 42 Home and Community Based Waiver ServicesKyMMIS PT 42 · Medicaid · KY—Original policy ↗
[KyMMIS Billing Instructions] 43 Adult Day Care ServicesKyMMIS PT 43 · Medicaid · KY18Original 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.