Electronic Visit Verification (EVV) for home health care services (HHCS) is scheduled to begin Dec. 28, 2023. HHCS providers should use EVV to document service visits as soon as possible and no later than Jan. 1, 2024. DMS expects providers to follow the adoption schedule below for EVV. As stated in the
DMS Electronic Visit Verification Compliance notice
, effective Jan. 1, 2025, any HHCS claim without a corresponding visit documented using EVV will be denied.
- Jan. 2024: Providers must use EVV to capture data for at least 50% of service visits.
- Feb. 2024: Providers must use EVV to capture data for at least 75% of service visits.
- March 2024: Providers must use EVV to capture data for 100% of service visits.
Therap Services® partnered with the Cabinet for Health and Family Services (CHFS) in the commonwealth of Kentucky to bring its EVV system to providers of home health and personal care services across the state. Providers with questions about EVV for HHCS adoption rates should call Kentucky DMS at 844-784-5614 or email Kentucky DMS at
1915cWaiverHelpDesk@ky.gov
. Providers with questions about the Therap system should visit the Therap Kentucky EVV website or email Therap at
KYSUPPORT@therapservices.net
.
Contact Information
Providers with questions can also reach out to DMS and Therap directly.
To contact DMS, call (844) 784-5614 or email
1915cWaiverHelpDesk@ky.gov
.
To contact Therap, email
KYSUPPORT@therapservices.net
.
Medicaid public health emergency (PHE) unwinding information
Consumer alert: What to know if someone calls a Medicaid recipient about short-term health insurance products
The Public Health Emergency (PHE) ended on May 11, 2023. Kentucky began annual renewals in April 2023 and will continue renewals over 12 months.
Learn more about the PHE unwinding from the Cabinet for Health and Family Services
Learn more about the Medicaid revalidation process
Network notices
2025
Behavioral Health Authorization Resumption Frequently Asked Questions
Psychoeducation, Peer Support, and Out of Network Policies
Humana Learning Center on Availity Essentials
Corrected claims reminder
Applied Behavior Analysis Reminder
Humana Healthy Horizons in Kentucky Provider Manual Update
Invoices for high-cost prescription drugs
Behavioral health authorization reinstatement
Webinar training for behavioral health authorization reinstatements - update
American Society for Addiction Medicine (ASAM) Fourth Edition
Prior Authorization for Behavioral Health Services – Rescission of the March 14, 2025 and Partial Rescission of the November 9, 2024 Letters
Kentucky Department for Medicaid Services: Resumption of Prior Authorization (PA) for Certain Behavioral Health Services
Humana Coverage Policy Updates - effective April 25, 2025
Humana Healthy Horizons in Kentucky’s partnership with ProgenyHealth®
Humana Coverage policy updates – effective March 26, 2025
Provider inquiry, grievance, contracted rate dispute, appeal and external independent review
Humana Coverage policy updates – effective February 10, 2025
Behavioral Health Policy Updates for Psychoeducation (H2027) and Peer Support Services (H0038)
2024
Kentucky Department for Medicaid Services - Vaccines for Children (VFC) billing modification
Oral Surgeon Billing Change
New Avēsis Portal Access
Medicaid Provider External Independent Review (EIR) Intake Form Network Notice
Humana Healthy Horizons in Kentucky Humana Coverage Policies Updates November 4, 2024
Expanded Retrospective Review Policy
Humana Healthy Horizons in Kentucky Humana Coverage Policy Updates - effective August 2, 2024
Claim Coverage Policies Network Notice
Contracted Rate Dispute Form and Process Network Notice
KY MCD Provider Modifier 52 and 53 Network Notification
KY MCD Provider Modifier 78 Network Notification
KY PROV NN ASC Bundled Svcs Network Notice
KY PROV NN DME Capped at Rental Network Notice
KY PROV NN Venipuncture EM Network Notice
Humana Healthy Horizons in Kentucky Humana Coverage Policy Updates - effective May 6, 2024
Urine drug testing policy
Humana Healthy Horizons in Kentucky Humana Coverage Policy Updates - effective February 12, 2024
Medicaid Physicians Certification Statement (PCS) Form for Non-Emergent Ground Transportation
2023
Partial Hospitalization Place of Service after Public Health Emergency
Rural Health Clinic (RHC) amended regulation provider letter updated October 12, 2023
Durable Medical Equipment Provider (PT 90 / PL #A-42) updated October 20, 2023
Humana Healthy Horizons in Kentucky Humana Coverage Policy Updates- effective November 15, 2023
Public Health Emergency Prior Authorization Guidance – updated December 6, 2023
NEMT services for methadone treatment
Humana Healthy Horizons in Kentucky Humana Coverage Policy Updates- effective August 18, 2023
Emergency department E/M claim reimbursement policy update
Fee schedule – 90-day notice – effective Aug. 14, 2023
Substance use disorder (SUD) inpatient and residential services prior authorization (PA) reinstatement – effective Mar. 31, 2023
Humana Healthy Horizons in Kentucky coverage policy updates – effective Mar. 27, 2023
Annual sports physical exam
Annual MCG clinical guideline update
Neonatal Intensive Care Unit (NICU) DRG claims payment policy – effective July 1, 2023
Clinical trial attestation form requirement – effective May 10, 2023
Out-of-network claims payment policy update – effective March 3, 2023
Humana Healthy Horizons in Kentucky coverage policy updates – effective Feb. 20, 2023
Provider relations on-site visits with primary care physicians – effective Jan 1., 2023
2022
Adult benefit expansion for Kentucky Medicaid fee-for-service and Managed Care Organization (MCO) enrollees – Dec. 1, 2022
Enrollee eligibility redetermination and Compass enhancements - Nov. 14, 2022
Emergency department E/M reimbursement – Oct. 3, 2022
Colorectal cancer screening awareness - Sept. 23, 2022
PT/OT/ST Preauthorization notice – Sept. 1, 2022
Provider guidance for anesthesia modifier billing from Kentucky DMS – Aug. 2, 2022
Grievance and appeal time frame change – July 26, 2022
Billing requirements according to the SUD 1115 Waiver – July 25, 2022
Substance use disorder (SUD) inpatient and residential services prior authorization (PA) reinstatement – June 7, 2022
Neonatal Intensive Care Unit (NICU) claims payment policy – May 2, 2022
Required documentation: Notice, completion, retention and claim submission – Jan. 1, 2022
2021
PCP-enrollee relationships: Proactive status monitoring and involuntary dismissals – Dec. 14. 2021
Provider annual compliance training deadline notice – Oct. 8, 2021
Provider requirement to report incarceration guidance from Kentucky DMS – Sept. 2, 2021
Provider appeal time frame for medical necessity determination – Jan. 1, 2020 (posted August 31, 2021)
Interim billing requirements for enrollee disenrollment after inpatient admission – July 1, 2021
MedImpact single pharmacy benefit manager notice – July 1, 2021
Kentucky Revised Statute: 205.6312 – June 29, 2021
Durable Medical Equipment (DME) Claims Payment Policy update – June 21, 2021
No-show or cancellation fees for Medicaid members guidance from KDMS – May 21, 2021
State-supplied vaccines policy – May 1, 2021
Updated Retrospective Review Policy – March 1, 2021
Required forms: Notice, completion, retention and claim submission – Feb. 11, 2021
Reminder of department IMD requirements and Humana reimbursement policy – Feb. 1, 2021
Kentucky Medicaid Regulation: 902 KAR 2:020 Reportable Disease Surveillance – Jan. 1, 2021
Out-of-Network Claims Payment Policy update – Jan. 1, 2021
2020
Acupuncture value-added service notification – Dec. 1, 2020
Doula value-added service notification – Dec. 1, 2020
Reminder: Claim submission requirements update – Dec. 1, 2020
Claim dispute process network notification – Nov. 1, 2020
Incontinent supply reimbursement – Oct. 1, 2020
Introducing Humana Healthy Horizons® in Kentucky – Sept. 1, 2020
Updated Retrospective Review Policy – Aug. 7, 2020
Out-of-network Claims Payment Policy update – Aug. 1, 2020
Medicaid and CHIP Provider Relief Fund application deadline extended to Aug. 3, 2020 – July 31, 2020
Provider Relief Fund for Medicaid and CHIP distribution webinar – July 8, 2020
Timely filing change – July 1, 2020
Humana Urine Drug Testing (UDT) Policy – July 1, 2020
Urine Drug Testing Policy from KDMS – July 1, 2020
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