How to Get Credentialed with Kentucky Medicaid in Kentucky
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
Delegated
No
Kentucky-Specific Requirements
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
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Kentucky.
Prepare Your Application
Complete Kentucky Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Kentucky Medicaid.
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
ConditionalRequired in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Kentucky Medicaid Provider Enrollment
RequiredContact Information
Provider Enrollment
National1-800-635-2570
General Provider Inquiries
National1-800-635-2570