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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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.
Summaries are AI-assisted. Always confirm against the original payer notice.
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