MedicaidReimbursementHigh impact
Updated Dental Fee Schedule
Kentucky Medicaid·KY · Dentistry·Reimbursement
Effective date
Jul 1, 2026
We identified it
Aug 25, 2026
Summary
Kentucky Medicaid has updated its 2026 Dental Fee Schedule effective July 1, 2026, retroactively. All dental providers billing Kentucky Fee-for-Service Medicaid and MCOs must implement the new fee schedule rates immediately. The specific rate changes are posted on the DMS website and must be applied to all claims.
Action Required
By August 31, 2026: Billing team must immediately access the updated 2026 Kentucky Medicaid Dental Fee Schedule at https://www.chfs.ky.gov/agencies/dms/Pages/feesrates.aspx and download the complete fee schedule. Update all billing software fee tables and reimbursement rules to reflect the new rates for all dental CPT codes listed in the schedule. Verify that claims submitted to Kentucky Medicaid Fee-for-Service and all contracted MCOs use the updated fees. Process any claims submitted between July 1, 2026 and policy implementation date using the retroactive rates and adjust payments accordingly. Contact individual MCOs to confirm retroactive compliance requirements per their provider contracts. Failure to implement the updated fee schedule will result in claim denials and payment disputes.