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  1. The Commonwealth of Kentucky's space to help you find and enroll in the health insurance plan that's right for you. Apply and manage your health insurance coverage with and without payment assistance. Prescreening Tool. See if your household may be potentially eligible for health coverage. Get Contacted.

    • Help & FAQs

      Child Care Provider Search. MCO Selection. QHP Selection....

    • FTE

      Full-time Equivalent (FTE) Employee Calculator. To calculate...

    • Shop

      The kynect Small Business Health Options Program (SHOP) is...

    • KYHealth-Net System

      KyHealth Net is a web-based system that gives Medicaid...

  2. New Kentucky Level of Care System (KLOCS) is an electronic system which streamlines and automates the current Level of Care (LOC) paper process. Starting August 3, 2020, all Nursing facilities, ICF/IID facilities, and Institutionalized Hospice Service Providers will be required to use KLOCS in order to receive payment.

  3. Learn about your health insurance coverage options in Kentucky - including ACA individual and family plans, small-group, short-term, Medicare and Medicaid. Please provide your zip code to see plans in your area.

  4. Sign in to the Kentucky MEUPS. Manage your contact information; Change your password; Providers: Manage your agent's access; Kentucky Medicaid Billing Agents: To set up a Billing Agent account, please contact your Provider Administrator. This will ensure that your account is setup properly to access claims submission, eligibility, etc.

    • What Is KyHealth Net?
    • To Access KyHealth Net
    • Features of KyHealth Net

    KyHealth Net is a web-based system that gives Medicaid providers instant access to pertinent member information, claims inquiries, PA inquiries, RA viewer and claims submission. A user manual is available to download designed to help you navigate the system (refer to user manuals listed on the right). Please email questions or support requests to t...

    To create a KyHealth Net account, complete the PIN Release form and send it to the EDI helpdesk along with a copy of your driver license to fax 502-209-3242 or 502-209-3240 attention: EDI Helpdesk. You may also obtain a copy of the PIN Release form from the KYMMIS website . For questions about the PIN Release form contact the EDI helpdesk at (800) ...

    Prior Authorization (PA) KyHealth Net has a PA link which offers the PA checklist, radiology prior authorization code list, PA letters and PA inquiry, school-based health services (only available t...
    Internet Claim Submission KyHealth Net has a claims wizard that offers interactive screens that walk you through the claim submission process.
    Immediate Claim Adjudication on Internet Claims Claims submitted via KyHealth Net are adjudicated immediately and real-time response is provided. This gives you the opportunity to correct denied cl...
    Remittance Advice The Remittance advice statements will be formatted differently. Sample remittance advice pages with corresponding explanations are included in the Provider Billing Instructions.
  5. Provider resources for Kentucky Community Plan products including prior authorization information, provider manuals, forms, recent news and more.

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  7. www.kymmis.com · kymmis · Provider RelationsKYHealth-Net - KYMMIS

    May 15, 2019 · Department for Medicaid Services. 6th Floor. 275 East Main Street. Frankfort, KY 40621. Department for Medicaid Services. Eligibility (Recipient) 800 635-2570. Fraud Hotline. 800-372-2970.

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