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Get Ky Map-529 2009-2025
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How to fill out the KY MAP-529 online
The KY MAP-529 is a vital form used for notifying Kentucky Medicaid of changes in provider information. This guide provides clear, step-by-step instructions on how to efficiently complete the form online, ensuring that all necessary changes are accurately communicated.
Follow the steps to complete the KY MAP-529 online
- Click the ‘Get Form’ button to obtain the KY MAP-529 form and open it in your preferred online editor.
- Enter your current existing information in the 'Current Existing Information' section. This includes the provider name, provider number, and NPI. For individuals, list your last name, first name, and middle name. For entities or groups, provide the complete business name and any 'Doing Business As' name.
- Provide contact information by filling in the contact name, telephone number, and email in the relevant fields for the form preparer or credentialer.
- If you are changing your provider name, fill in the 'Name Change Section' with your new name and the reason for the change. Attach any required supporting documentation as needed.
- For changes of address, complete both the 'Physical Address' and 'Correspondence' sections with your new location details, including the street, city, state, zip code, and phone/fax numbers. Repeat this for the 'Pay-To' section if applicable.
- If there are additional locations, complete the 'Additional Location Section' with the necessary information for each new physical address.
- If your contact information has changed, fill in the 'Change to Contact Information' section with your new contact name, telephone number, and email.
- If you need to terminate your Kentucky Medicaid number, complete that section by stating your name, effective date of termination, and the Medicaid number being terminated.
- Finally, ensure you have signed and dated the form where indicated. Once completed, you can save your changes, download a copy, print it, or share it as necessary.
Take the next step in managing your Medicaid information by filling out the KY MAP-529 online today.
To claim 529 contributions on your taxes, you'll generally need to report them when filing your state return. While contributions to a KY MAP-529 plan are not federal deductions, they can still benefit you on your state tax return. Always keep receipts and proof of contributions in case of an audit. Staying organized in this way helps you navigate your tax filing smoothly.
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