MedicaidAdministrativeLow impact
CHW Weekly Limitation Removal
Kentucky Medicaid·KY · Family Medicine, Internal Medicine, General Practice +4 more·Provider Letter
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid has removed the weekly limitation of 2 Community Health Worker (CHW) service units per provider group, while maintaining the annual limit of 104 units per year. This allows providers more flexibility in scheduling CHW services throughout the week.
Action Required
By July 1, 2024: Billing team should update any internal scheduling or billing system limitations that restrict CHW services to 2 units per week. Ensure staff understand that CHW services can now be billed more frequently per week as long as the annual limit of 104 units per provider group is not exceeded.