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Appendix K Supplemental Rate
Effective date
Not stated in the notice
Identified
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.
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What to do
Action · 3 steps
01Pending 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.
02If choosing to discontinue the 50% add-on rate, notify Kentucky Medicaid at CHFS.HCBSWorkGroup@ky.gov before stopping, as resumption will not be allowed.
03Monitor for CMS approval notification to determine when new rates take effect.
Codes mentioned
S513597535T1005S510897537H2015T1019S5130T1016S5125T2022T2040
Original notice
Appendix K Supplemental Rate
chfs.ky.gov · Always check the source before changing claims.