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  • Map 351 - Kentucky: Cabinet For Health And Family Services - Chfs Ky

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MAP 351 Rev. 7/08 Name iast first middle Street address Commonwealth of Kentucky Cabinet for Health and Family Services Department for Medicaid Services MEDICAID WAIVER ASSESSMENT SECTION I - MEMBER DEMOGRAPHICS Medicaid Member ID Date of birth mo.

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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.

How to Apply for a Kentucky Medicaid ID Number Visit the Kentucky Department for Medicaid Services website. Scroll down to “Forms” & select the forms needed. Complete the MAP 811 currently accepted by KY Medicaid (08/2018 Version).

​​​​​​​​​​​​​​​​​​​​​​Medicaid provides medical assistance to eligible low-income Kentuckians. Use the links below to learn more about some available programs and services. If members have any questions, please contact Member Services toll-free at (800) 635-2570.

Kentucky Waiver Factsheet KY Acquired Brain Injury Waiver (0333. ... KY Acquired Brain Injury – Long Term Care Waiver (0477. ... KY Michelle P. ... KY Model Waiver II (40146. ... KY Supports for Community Living Waiver (0314. ... WAIVER TERMINATED - KY Home and Community Based Waiver (0144.

The Cabinet for Health and Family Services is the state government agency that administers programs to promote the mental and physical health of Kentuckians and support Kentucky's families.

For KY MPPA inquiries, customer service representatives are available Monday - Friday from 8 a.m. to 5 p.m. Eastern time toll-free at (877) 838-5085.

The MPW is a home- and community-based waiver program of the Kentucky Medicaid program developed as an alternative to institutional care for people with intellectual or developmental disabilities. The waiver allows individuals to remain in their homes with services and supports.

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© Copyright 1997-2025
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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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:
+1 833 426 79 33
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