KY Medicaid Provider Enrollment

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Supplier Services Branch Contact Information. Toll-Free Phone number:(877)- 838-5085Email: Program.Integrity@ky.govHours of Operation:10:00 am-4:30 pmDMS Provider Services Branch Website: 2. The Enrollment Process. Decide enlistment prerequisites at the following: Types.htmObtain Application and Additional structures at th

Presentation Transcript

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´╗┐KY Medicaid Provider Enrollment August 23, 2010

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Provider Services Branch Contact Information Toll-Free Phone number : (877)- 838-5085 Email : Hours of Operation : 10:00 am-4:30 pm DMS Provider Services Branch Website:

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The Enrollment Process Determine enlistment prerequisites at the accompanying: Obtain Application and Additional structures at the accompanying : The supplier finishes and presents the proper structures with all supporting documentation to the accompanying location: KY Medicaid P.O. Box 2110 Frankfort, KY 40602 For help with finishing the structures, you can allude to the directions sheets included with each shape or contact the Provider Services Branch at (877)- 838-5085.

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Troubleshooting Forms Please entire all inquiries on the shape. Questions not relevant ought to be finished with "N/A". Join suitable licenses as well as confirmations and all other required records for asked for successful date and also present. Connect a duplicate of the Social Security card for individual Keep a duplicate of the application for your records.

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Troubleshooting Forms Continued.. On the off chance that the supplier is enlisted in CAQH (Council for Affordable Quality Healthcare), the CAQH application can be submitted in lieu of the KAPER-1 shape. Data with respect to CAQH can be found at . CAQH instructional exercises can likewise be found on their site.

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Maintenance of Provider File After the individual supplier is enlisted, certain progressions may happen. With a specific end goal to keep their supplier number current, the fitting structure or documentation must be submitted. Probably the most widely recognized changes/updates are the accompanying: -License Renewals -Change of Address-Map-529 frame -Change of Name-A marked composed demand from singular supplier asking for name change what's more to another permit and government managed savings card mirroring the new name must be submitted. - Linkage to gathering Map-347 frame

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