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MedicaidReimbursementMedium impact

Inpatient Behavioral Health Hospital Rates for EPSDT

Kentucky Medicaid·KY · Psychiatry·Provider Letter
Effective date
May 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Kentucky Medicaid is increasing reimbursement rates for EPSDT (Early and Periodic Screening, Diagnostic and Treatment) inpatient behavioral health hospital services to $700 per day. This rate increase aims to improve capacity for children with high-acuity behavioral health needs.

Action Required

Action needed
By May 1, 2024: Billing team must verify that Kentucky Medicaid claims for EPSDT inpatient behavioral health hospital services are billing at the new rate of $700 per day. Update billing system rate tables if applicable and confirm proper reimbursement on claims processed after the effective date.