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MAP-811 Addendum D (8/06) KENTUCKY PATIENT ACCESS AND CARE SYSTEM (KenPAC) PRIMARY CARE CASE MANAGEMENT AGREEMENT CONTRACT TO PROVIDE PRIMARY CARE CASE MANAGEMENT BETWEEN THE COMMONWEALTH OF KENTUCKY.

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Kentucky Medicaid/KCHIP is a state and federal program. It is authorized by Title XIX of the Social Security Act. Kentucky Medicaid/KCHIP provides health coverage for eligible low-income residents.

How to renew Keep an eye out for a notice in the mail. You'll get a renewal notice in the mail from the state telling you it's time to renew. Go to the Benefind website. Choose “Let's Get Started” to log in or create an account. Complete your online renewal.

Kentucky Medicaid members are issued Medicaid ID cards in the mail that look similar to the images at right. The ID card has the member's name and a randomly generated Medicaid identification number on the front of the card.

Your Payer ID is 00660 (Professional ID) or 00160 (Institutional ID). Note: If you use a billing company or clearinghouse for your EDI transmissions, please work with them directly to determine which payer ID they want you to use.

Visit the Kentucky Department for Medicaid Services website. Scroll down to “Forms” & select the forms needed.

Department for Medicaid Services - Cabinet for Health and Family Services.

Request a Payer Payer IDPayer Name84105Blue Cross Blue Shield of Kentucky FEP (Anthem)84105Blue Cross Blue Shield of New Hampshire (Anthem)84105Blue Cross Blue Shield of Ohio (Anthem)84105Blue Cross Blue Shield of Ohio FEP (Anthem)16 more rows

Timely Filing Claims must be received within 12 months from the date of service (DOS) or six months from the Medicare pay date whichever is longer, or within 12 months from the last Kentucky Medicaid denial. Please refer to the MCO if appealing an MCO claim.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232