Kentucky medicaid provider billing manual

 · Contact Information. If you need assistance, contact us by sending an e-mail to the following address: KY EDI HelpDesk. Provider billing instructions are displayed in Adobe Acrobat formats. Billing Instructions are for Fee For Service (FFS) providers only. Provider Type (PT) - The first two digits of the KY Medicaid provider number. hospitals and ancillary providers (collectively, providers). This Manual replaces and supersedes any previous versions prior to the Department’s approval date of Ma and is available on WellCare’s website at. WellCare of Kentucky, Inc. Medicaid Provider Manual KY_PRO_MAN_ENG Page 6 of ©WellCare 11_14 These documents and resources apply to all counties in Kentucky. Humana Healthy Horizons in Kentucky Provider Resource Guide, PDF opens new window. Humana Healthy Horizons in Kentucky Provider Manual, PDF opens new window. Humana Healthy Horizons in Kentucky Enrollee Handbook, PDF opens new window. Access our .

This manual applies to any health care provider, including physicians, health care professionals, hospitals, facilities, and ancillary providers, except when indicated otherwise. It includes policies. and procedures. Aetna may add, delete, or change polici es and procedures, including those. described in this manual, at any time. Kentucky Medicaid Pharmacy Provider POS Billing Manual | Page 7 Introduction Providers began submitting claims through Magellan Medicaid Administration, now Magellan Rx Management on December 4, The point-of-sale (POS) system will require pharmacies to submit claims to Magellan Rx. A Provider Administrator has control of a Provider’s account and can grant access to Billing Agents. A Personal Identification Number (PIN) is required to set up a Provider Administrator account, and only one Provider Administrator account can exist for each Kentucky Medicaid provider number. What is a Billing Agent?.

For providers and practitioners, the process to obtain criteria is communicated annually in the provider newsletter and in the provider manual. Reminders. The. 6 thg 2, Kentucky Medicaid Pharmacy Provider POS Billing Manual |. Page 7. Introduction. Providers began submitting claims through Magellan. Billing Instructions are for Fee For Service (FFS) providers only. Provider Type (PT) - The first two digits of the KY Medicaid provider number.