MedicaidReimbursementMedium impact
Appendix K Supplemental Rate
Kentucky Medicaid·KY·Reimbursement
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid is continuing the 50% supplemental rate increase for certain Home and Community Based Services waiver programs, but only for providers who already have attestation forms on file as of May 1, 2024. Providers must continue passing 85% of the increase to direct service professionals and cannot selectively bill the add-on rate.
Action Required
Pending CMS approval: Billing team must verify attestation status for 50% add-on rate eligibility and ensure consistent billing practices - agencies cannot selectively bill the add-on rate for some visits but not others within the same service code. If choosing to discontinue the 50% add-on rate, notify Kentucky Medicaid at CHFS.HCBSWorkGroup@ky.gov before stopping, as resumption will not be allowed. Monitor for CMS approval notification to determine when new rates take effect.