Kentucky Medicaid
The Department for Medicaid Services runs Kentucky Medicaid. Managed-care members are billed to their plan. Fee-for-service claims stay with the state program. An Ohio Medicaid payer ID does not pay a Kentucky member.
Medical Billing Services in Kentucky
Kentucky's Medicare contractor matches Ohio. Kentucky Medicaid does not match Ohio Medicaid. The Department for Medicaid Services runs Kentucky Medicaid. Managed-care members are billed to their plan. Fee-for-service claims stay with the state program. An Ohio Medicaid payer ID does not pay a Kentucky member.
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What a claim follows in Kentucky
Kentucky's Medicare contractor matches Ohio. Kentucky Medicaid does not match Ohio Medicaid.
CGS Administrators, Jurisdiction 15
Medicare Part A and Part B for a Kentucky practice go to CGS Administrators, Jurisdiction 15, the same contractor as Ohio. Indiana uses WPS Jurisdiction 8. Tennessee uses Palmetto GBA, Jurisdiction J. West Virginia uses Palmetto Jurisdiction M.
PIP and workers' compensation
Kentucky auto policies include personal injury protection. That bill goes to the auto insurer. A work injury goes to the employer's carrier under the Department of Workers' Claims. Neither one is a Kentucky Medicaid claim.
Louisville and Cincinnati share a Medicare contractor and do not share a Medicaid program. The claim is built from the card in front of the visit, then checked against Kentucky enrollment before it is released.
Nearby states
Kentucky billing questions
Where does a Kentucky Medicare claim go?
CGS Administrators, Jurisdiction 15, the same contractor as Ohio.
How is a Kentucky auto injury billed?
To the personal-injury-protection insurer, not to Kentucky Medicaid.
Does a Kentucky practice change the fee?
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.