Medicaidsystems.ky.gov
Partner Portal Provider Directory
WEBWelcome to the Kentucky Medicaid Provider Directory. You can use this directory to search for basic information about healthcare providers. Your search will include information such as provider specialties, practicing locations and phone numbers. If you need more …
Actived: 9 days ago
Start New Enrollment
WEBEnter the appropriate Subcontractor Identifier and click the Start New Enrollment button. If you do not know the Subcontractor Identifier, you will need to contact your employer, or your contact person at the MCO to acquire it. If No is selected, User will click the Start …
5.1 Link Individual Providers to Existing Group
WEBTo Link to a Group: Select Add. Enter the Group Medicaid ID #. Enter the Group Federal Employer Identification Number (FEIN) The Group Medicaid ID and FEIN will be validated once the information has been added to the grid. Enter the Group Linkage Effective …
2.3 Certification Information
WEB2.3 Certification Information. To Add a certification on the Certification Information screen: Click the orange Add button. Select the appropriate type in the Certification Type drop down box. Certification requirements are determined by provider type selected during Start …
1.1b Basic Information
WEBBusiness Name: Business name is required D BA (Doing Business As): If the Group or Entity conducts business as some other name than its legal name, provide that information in this field. This is only for the provider’s name, not the practice location name. …
1.5 Add Group Members
WEBThere must be at least one group member with an active KY Medicaid Provider Number in each provider group. After entering the KY Medicaid Provider Number and the requested Provider Linkage Date, click the “Verify Provider NPI and Name” button to verify the …
1.5 Add Group Members
WEBThe group application cannot be submitted if the only provider in the group has not accepted the invitation. Providers can always be added to a group after the application has been approved using Maintenance. Invitations will be sent to the provider’s email …
8.0 Document Upload R
WEBPre-existing records cannot be removed from the grid. The Delete icon in the Action column is only enabled for newly added records. Document Type: The type of document required for completion of your application.Click on the hyperlinked text under this category for …
2.2 License Information
WEBLicense types default based on provider type: Providers outside of Kentucky that are NOT issued a license by their state should select Exempt from Licensure from the drop down menu and submit the supporting documentation on screen 8.0.. Provider Type 31 …
8.0 Document Upload
WEBDocument Type: The type of document required for completion of your application.Click on the hyperlinked text under this category for definitions of the type of document that needs to be uploaded. Upload File: Click the Browse button to upload the corresponding …
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