Medicaid Kentucky policies

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.

14 policies name 98960, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Medicaid Kentucky policies
PolicyDetailsCodesSource
[KyMMIS Billing Instructions] 95 Physician AssistantKyMMIS PT 95 · Medicaid · KY3Original policy ↗
[KyMMIS Billing Instructions] 16 Certified Community Behavioral Health Centers Provider Type-16KyMMIS PT 16 · Medicaid · KY4Original policy ↗
[KyMMIS Billing Instructions] 52/77 Vision Services-5010 updateKyMMIS PT 52/77 · Medicaid · KY5Original policy ↗
[KyMMIS Billing Instructions] 72/74/78 Advanced Registered Nurse Practitioner Services-5010 updateKyMMIS PT 72/74/78 · Medicaid · KY5Original policy ↗
[KyMMIS Billing Instructions] 66 Behavioral Health Multi-Specialty GroupKyMMIS PT 66 · Medicaid · KY6Original policy ↗
[KyMMIS Billing Instructions] 03 Behavioral Health Services OrganizationKyMMIS PT 03 · Medicaid · KY7Original policy ↗
[KyMMIS Billing Instructions] 20 Preventive Health Services-5010 updateKyMMIS PT 20 · Medicaid · KY7Original policy ↗
[KyMMIS Billing Instructions] 31 FQHC Primary Care- FQHCKyMMIS PT 31 FQHC · Medicaid · KY8Original policy ↗
[KyMMIS Billing Instructions] 35 Rural Health Services-5010 updateKyMMIS PT 35 · Medicaid · KY8Original policy ↗
[KyMMIS Billing Instructions] 31 NON-FQHC Primary Care non-FQHCKyMMIS PT 31 NON-FQHC · Medicaid · KY12Original policy ↗
[KyMMIS Billing Instructions] 53 Reentry OrganizationsKyMMIS PT 53 · Medicaid · KY13Original policy ↗
[KyMMIS Billing Instructions] 64/65 Physician ServicesKyMMIS PT 64/65 · Medicaid · KY13Original policy ↗
[KyMMIS Billing Instructions] 21 School Based Health ServicesKyMMIS PT 21 · Medicaid · KY84Original policy ↗
[KyMMIS Billing Instructions] 30 Community Mental Health ServicesKyMMIS PT 30 · Medicaid · KY97Original 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.