MedicaidAdministrativeMedium impact
Provider Letter regarding Ordering, Referring Prescribing Providers
Kentucky Medicaid·KY·Provider Letter
Effective date
Feb 1, 2017
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid has issued guidance requiring providers to ensure that ordering, referring, and prescribing providers are properly enrolled and credentialed in the Medicaid program. Claims may be denied if services are ordered by providers who are not properly enrolled or have enrollment issues.
Action Required
Immediately: Billing team must verify that all ordering, referring, and prescribing providers are enrolled in Kentucky Medicaid before submitting claims. Update internal processes to check provider enrollment status prior to claim submission. Ensure provider enrollment information is current in billing system. Claims may be denied if ordered by non-enrolled providers.