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Prescribed Pediatric Extended Care Providers PT 45 #A-10 Work or School Note

Kentucky Medicaid·KY · Pediatrics·Provider Letter
Effective date
Aug 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Kentucky Medicaid has eliminated the requirement for work or school notes when requesting prior authorization for Prescribed Pediatric Extended Care (PPEC) services. This simplifies the authorization process by removing one documentation requirement, though prior authorization and the Leveling Evaluation Tool are still required.

Action Required

Action needed
Immediately: Billing and prior authorization staff should stop collecting and submitting work or school notes when requesting PPEC service authorizations for Kentucky Medicaid patients. Update internal checklists and procedures to remove this requirement. Continue to obtain prior authorization and complete the Leveling Evaluation Tool as required.