MedicaidBilling CodesMedium impact
Community Health Worker Codes for Dental Providers
Kentucky Medicaid·KY · Dentistry·Provider Letter
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid will begin covering Community Health Worker (CHW) services for dental providers starting July 1, 2023. Three new CPT codes (98960, 98961, 98962) are being added to the Dental Fee Schedule with specific rates and limitations of 2 units per member per week, maximum 104 units per calendar year.
Action Required
By July 1, 2023: Billing team must add CPT codes 98960, 98961, and 98962 to billing system with Kentucky Medicaid fee schedule rates ($22.53, $10.88, and $8.03 per 30-minute increment respectively). Configure system to limit billing to maximum 2 units per member per week and 104 units per calendar year. Update encounter forms for dental providers offering Community Health Worker services.