Medicaid

How to Get Credentialed with Kentucky Medicaid in Kentucky

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Kentucky-Specific Requirements

Kentucky Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the DMS (Department for Medicaid Services) Kentucky MMIS provider enrollment portal. (3) Submit application with KY state license, proof of malpractice insurance, and required documentation. (4) Register with KHIE (Kentucky Health Information Exchange) as required. (5) Background check including state and federal criminal history is required for all providers. Kentucky operates managed care through 5 MCOs statewide. Behavioral health providers accepted include LPCC, LCSW, and LMFT with active Kentucky licensure. Revalidation is required every 5 years.

Medicaid Information — Kentucky

Agency: Kentucky Cabinet for Health and Family Services

Program: Kentucky Medicaid

Portal: https://chfs.ky.gov/agencies/dms

Phone: 1-800-635-2570

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Kentucky.

2

Prepare Your Application

Complete Kentucky Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Kentucky Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Kentucky Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-635-2570

General Provider Inquiries

National

1-800-635-2570

Quick Links

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