MedicaidBilling CodesMedium impact
KY-Moms MATR Guidance
Kentucky Medicaid·KY · Psychiatry·Provider Letter
Effective date
Jan 7, 2026
We identified it
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.
Action Required
Immediately: Billing team must update claims submission to use modifier UD for H0006 case management services and modifier HM for H0024/H0025 prevention services. Ensure billing supervisor is designated for all KY-Moms staff without independent licensing. Verify case management clients are not billed for prevention education services as these are mutually exclusive.