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Kentucky MedicaidMedicaid · Billing Codes · Provider Letter · KY · PsychiatryMedium impact

KY-Moms MATR Guidance

Act
immediately
Effective date
Jan 7, 2026
Identified
Jun 20, 2026

Summary

Kentucky Medicaid clarified billing requirements for KY-Moms MATR services for pregnant and postpartum women with substance use disorders. The guidance specifies required modifiers (UD for case management, HM for prevention), supervision requirements for non-licensed staff, and billing limitations based on client type and service maximums.

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What to do

immediately · 3 steps
01Billing team must update claims submission to use modifier UD for H0006 case management services and modifier HM for H0024/H0025 prevention services.
02Ensure billing supervisor is designated for all KY-Moms staff without independent licensing.
03Verify case management clients are not billed for prevention education services as these are mutually exclusive.

Codes mentioned

H0006H0024H0025

Original notice

KY-Moms MATR Guidance
chfs.ky.gov · Always check the source before changing claims.
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