MedicaidAdministrativeMedium impact
Provider Letter #A-269: Timely Filing
Kentucky Medicaid·KY·Provider Letter
Effective date
Mar 8, 2024
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid is reminding nursing facilities and ICF/ID providers that claims must be filed within 12 months of service date. For claims older than 12 months, providers must submit documentation proving timely receipt by DMS or Gainwell Technologies along with subsequent billing efforts.
Action Required
Immediately: Review all pending Medicaid claims to ensure filing within 12-month timely filing limit. For claims older than 12 months, gather documentation showing timely receipt by DMS or Gainwell Technologies plus proof of subsequent billing efforts before resubmission. For pending Medicaid members with aged claims, attach KY HealthNet card issuance screen to paper claims if filed within one year of eligibility date.