Get the free Kentucky Medicaid ERA

This document serves as a guide for submitting and managing the Kentucky Medicaid Electronic Remittance Advice (ERA) through both electronic and paper forms, including related provider and payer information.

How to fill out kentucky medicaid era

How to fill out Kentucky Medicaid ERA

1. Obtain the Kentucky Medicaid ERA form from the official Medicaid website or your healthcare provider.
2. Fill in your personal information including your name, address, and Medicaid identification number.
3. Provide details about your healthcare provider, including their name and Medicaid provider number.
4. List the dates of service for which you are requesting the ERA.
5. Enter the specific services being billed, including appropriate CPT codes.
6. Review all the information entered to ensure accuracy.
7. Submit the completed form through the specified submission method (online or via mail).
8. Keep a copy of the submitted form for your records.

Who needs Kentucky Medicaid ERA?

1. Individuals enrolled in Kentucky Medicaid who receive medical services.
2. Healthcare providers who need to receive payments for services rendered to Medicaid recipients.
3. Patients who want to track the status of their Medicaid reimbursements.

People Also Ask about

What is traditional Medicaid in Kentucky?

​ Kentucky Medicaid is a​ state and federal program authorized by Title XIX of the Social Security Act to provide health care for eligible, low-income populations. These populations include children, low-income families, pregnant women, the aged, and the disabled.

What is Kentucky Managed Medicaid?

In contrast to the Kentucky Health Partnership program, which uses regional networks to deliver care, the Medicaid managed care program contracts with commercial managed care organizations (MCOs) to cover acute, primary, and specialty services, including behavioral health and dental services.

Who is eligible for Medicaid in Kentucky?

To be eligible for Kentucky Medicaid, you must belong to one of these specific groups: Senior citizens aged 65 or older. Individuals with permanent disabilities or blindness. Adults between 19 and 65 years old. Children up to age 19. Pregnant women seeking maternal and child health services.

What is the best Medicaid provider in Kentucky?

Aetna Better Health of Kentucky named the top-rated Managed Care Organization in Kentucky with a rating of 4 out of 5 in NCQA's Medicaid Health Plan Ratings 2023.

What is the lookback period for Medicaid in Kentucky?

The Medicaid Look-Back Period spans five years, starting from the date of an application for long-term care benefits. For example, if a Kentucky resident applies on January 1, 2024, the review covers transactions back to December 31, 2018.

When did Kentucky expand Medicaid?

Kentucky, starting in 2014, accepted federal funding to expand Medicaid and has been one of the most successful states in using the ACA to reduce its number of uninsured people. Its creation of a state-run health insurance marketplace has been held as a national role model.

Who is eligible for both Medicare and Medicaid in Kentucky?

Medicare-Medicaid enrollees are low-income seniors and people with disabilities. Qualified Disabled and Working Individuals (QDWIs) are Partial Benefit enrollees who receive assistance from Medicaid to pay Medicare premiums only.

For pdfFiller’s FAQs

What is Kentucky Medicaid ERA?

Kentucky Medicaid ERA (Electronic Remittance Advice) is an electronic document that provides details about claims processed by Kentucky Medicaid, including payment information and reasons for claim denials.

Who is required to file Kentucky Medicaid ERA?

Providers who offer services paid for by Kentucky Medicaid are required to file Kentucky Medicaid ERA to receive electronic remittance information regarding their claims.

How to fill out Kentucky Medicaid ERA?

To fill out Kentucky Medicaid ERA, providers need to follow the specific guidelines provided by Kentucky Medicaid which generally involves entering the required patient and claim details, and ensuring proper coding for services rendered.

What is the purpose of Kentucky Medicaid ERA?

The purpose of Kentucky Medicaid ERA is to streamline the payment process for Medicaid providers by providing detailed financial information related to claims processing, making it easier for providers to reconcile payments.

What information must be reported on Kentucky Medicaid ERA?

The information that must be reported on Kentucky Medicaid ERA includes patient identifiers, claim details, payment amounts, adjustment reasons, and any other relevant information needed for understanding claims outcomes.