MedicaidAdministrativeMedium impact
Wrap Supplemental Payment Attachment
Kentucky Medicaid·KY · Family Medicine, Internal Medicine, General Practice +2 more·Reimbursement
We identified it
Jun 20, 2026
Summary
Kentucky DMS updated guidance for FQHC, RHC, and CCBHC providers on tracking and researching missing WRAP (supplemental) payments through the KYHealthNet system. The policy provides detailed procedures for reconciling supplemental payments between 30-45 days after MCO payment, including specific contact information for each MCO and required data elements for inquiries.
Action Required
Immediately: Billing teams at FQHC, RHC, and CCBHC practices must implement WRAP payment reconciliation procedures between 30-45 days after MCO payment. Use KYHealthNet Claims Inquiry to check for accepted encounters by Day 38 and run Supplemental Reports by Day 45. When submitting MCO inquiries about missing WRAP payments, include the Supplemental Claims Inquiry Spreadsheet with all required data elements from Table 1. Contact appropriate MCO using provided email addresses with subject line 'FQHC/RHC Action Required'. Failure to reconcile within 90 days may result in incomplete threshold encounter data in KYHealthNet.