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We partner with providers to develop and deliver high-quality, cost-effective health care solutions.

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New Provider Portal

You spoke. We listened. The all new Provider Portal is now live! You'll have access to a new Portal that will streamline your work, keep you up-to-date more than ever before and provide critical information.
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Provider External Independent Third-Party Review

In accordance with 907 KAR 17:035, if you receive an adverse final decision of a denial, in whole or in part, of a health service or claim for reimbursement related to this service, you may request an external independent third-party review.
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Updating Provider Directory Information

Learn how to update your information in our provider directory, so we can keep our information current.
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Medicaid: Vaccines for Children (VFC) Program

This program ensures children receive their vaccines and stay healthy. Immunizations should be provided in accordance with ACIP guidelines and the Periodicity Schedule.

Provider Bulletins

  • The latest updates and information for providers.

  • Medicaid:

    Prior Authorization Reinstatement Effective August 1

  • Medicare:

    Updates to Prior Authorization Requirements: Wound Care and Skin Substitutes

Read Bulletins
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Last Updated On: 5/14/2020