MedicaidCoverageMedium impact
Expanded Behavioral Health in Rural Health Clinics
Kentucky Medicaid·KY · Psychiatry, Family Medicine, General Practice·Provider Letter
Effective date
Oct 5, 2023
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid has expanded behavioral health services that Rural Health Clinics can provide and bill for, including new services like peer support, partial hospitalization, withdrawal management, medication assisted treatment (MAT), and applied behavior analysis. The policy also allows telehealth services and extends health record signature requirements from same day to 72 hours.
Action Required
Kentucky Rural Health Clinics should: 1) Review current behavioral health billing capabilities and identify new billable services (peer support, partial hospitalization, withdrawal management, MAT, applied behavior analysis) 2) Update health record documentation workflows to allow 72 hours for provider signatures instead of same-day requirement 3) Verify telehealth billing compliance with 907 KAR 3:170 regulations 4) Ensure laboratory billing includes appropriate certification documentation 5) Update vaccine billing processes to include ACIP recommended vaccines for Medicaid recipients