MedicaidDocumentationMedium impact
Removing Certificate of Medical Necessity
Kentucky Medicaid·KY · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy·Provider Letter
Effective date
May 1, 2024
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid is eliminating the Certificate of Medical Necessity requirement for Durable Medical Equipment (DME) providers effective May 1, 2024. This streamlines the billing process by removing a documentation requirement that was previously needed for DME claims.
Action Required
Effective May 1, 2024: Billing team should update DME billing workflows to remove Certificate of Medical Necessity documentation requirements for Kentucky Medicaid claims. Update staff training materials and billing checklists to reflect that CMN forms are no longer needed for DME authorizations and claims processing.