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How to fill out the KY Map-811 online
Filling out the KY Map-811 form is an essential step for providers seeking enrollment in the Kentucky Medicaid program. This guide will walk you through each section of the form, ensuring you understand the necessary information and procedure for completion.
Follow the steps to complete the KY Map-811 form.
- Press the ‘Get Form’ button to access the online form and open it in your editor.
- In Section A, begin with administrative information. Indicate whether you are applying as a new provider, reapplicant, or if there is a change in ownership. Fill in all applicable fields, ensuring your provider name matches the supporting documentation.
- Enter your National Provider Identifier (NPI) and Taxonomy Code(s). Ensure you attach the required verification documents for both.
- After completing the form, review all sections to ensure accuracy and completeness. Save your changes and prepare for submission.
Get started with your online document submission today to ensure a smooth enrollment process.
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In Kentucky, it is advisable to call 811 before any digging, regardless of how shallow you plan to excavate. The KY Map-811 service ensures that underground utilities are clearly marked, protecting you from potential hazards. Even minor digging can inadvertently disrupt utility lines, leading to serious safety issues. For peace of mind, always prioritize safety by notifying utility companies before you dig.
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