Get the free Kentucky Medicaid Dental Electronic Claims Enrollment Registration
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This document serves as an enrollment registration form for dental providers wishing to submit claims electronically to Kentucky Medicaid. It outlines the required information and agreements necessary
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How to fill out kentucky medicaid dental electronic
How to fill out Kentucky Medicaid Dental Electronic Claims Enrollment Registration
01
Obtain the Kentucky Medicaid Dental Electronic Claims Enrollment Registration form from the Kentucky Department for Medicaid Services website.
02
Fill in your provider information, including your name, clinic name, address, phone number, and email.
03
Provide your National Provider Identifier (NPI) number and any relevant tax identification information.
04
Indicate the type of services you provide and select the appropriate category for your dental practice.
05
Include any required supporting documentation, such as proof of licensure or malpractice insurance.
06
Review the completed form for accuracy and completeness.
07
Submit the form electronically according to the instructions provided, usually via an online portal or email.
08
Keep a copy of your submission for your records and follow up to ensure your enrollment is processed.
Who needs Kentucky Medicaid Dental Electronic Claims Enrollment Registration?
01
Any dental providers wishing to participate in the Kentucky Medicaid program for billing dental services.
02
Providers who are newly enrolling in Medicaid or want to change their enrollment status.
03
Dental practices that offer services covered by Kentucky Medicaid and wish to submit electronic claims.
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People Also Ask about
How to contact Medicaid in Kentucky?
Individuals may apply for Medicaid only by calling the Kentucky Healthcare Customer Service line toll-free at (855) 459-6328 or contacting an application assister through the Kentucky Health Benefit Exchange website.
Does Kentucky Medicaid cover dental?
Dental services are recognized by Kentucky Medicaid as Provider Type (60) individual or (61) group. To enroll or bill Kentucky Medicaid, dental service providers must be: Out-of-state providers must be licensed by the Kentucky Board of Dentistry.
What is the fax number for Ky Medicaid claims?
Telephone: 800-205-4696. Fax: 502-209-3200.
What does Medicaid cover for dental in KY?
Effective January 1, 2023, Kentucky Medicaid has covered for a range of new dental services, including cleanings, crowns, root canals, and dentures for all adult beneficiaries. Previously, the state provided only diagnostic services, limited preventive and restorative services, and extractions.
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What is Kentucky Medicaid Dental Electronic Claims Enrollment Registration?
Kentucky Medicaid Dental Electronic Claims Enrollment Registration is a process that allows dental providers to enroll in the Kentucky Medicaid program to submit electronic claims for reimbursement for dental services provided to eligible Medicaid recipients.
Who is required to file Kentucky Medicaid Dental Electronic Claims Enrollment Registration?
Dental providers who wish to bill Kentucky Medicaid for dental services via electronic claims must complete and file the Kentucky Medicaid Dental Electronic Claims Enrollment Registration.
How to fill out Kentucky Medicaid Dental Electronic Claims Enrollment Registration?
To fill out the Kentucky Medicaid Dental Electronic Claims Enrollment Registration, providers must complete the required form, ensuring that all fields are accurately filled, including practice information, provider identification numbers, and other necessary documentation as outlined in the registration guidelines.
What is the purpose of Kentucky Medicaid Dental Electronic Claims Enrollment Registration?
The purpose of Kentucky Medicaid Dental Electronic Claims Enrollment Registration is to streamline the claims submission process for dental services, ensuring providers can receive timely payments for services rendered to Medicaid recipients through electronic claims filing.
What information must be reported on Kentucky Medicaid Dental Electronic Claims Enrollment Registration?
The information that must be reported includes the dental provider's name, National Provider Identifier (NPI), practice address, contact information, Medicaid provider number, and any relevant certifications or licenses required for compliance with Medicaid regulations.
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