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MedicaidAdministrativeMedium impact

Provider Letter #A-109: No Show or Cancellation Fees for Medicaid Members

Kentucky Medicaid·KY·Provider Letter
Effective date
May 21, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Kentucky Medicaid providers are prohibited from charging no-show or cancellation fees to Medicaid members, even if it's their standard practice for other patients. Providers must instead document missed and canceled appointments in the KYHealthNet system for monitoring purposes.

Action Required

Action needed
Immediately: Billing team must stop charging no-show or cancellation fees to Kentucky Medicaid members. Front desk staff should document all missed and canceled Medicaid appointments in the KYHealthNet system panel. Review current billing practices to ensure compliance - fees charged to Medicaid members for missed appointments must be reversed.