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PRINTED: 10/12/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Online CHFS KY printed refers to the online form used for filing Kentucky Medicaid claims.
Healthcare providers and facilities that provide services to Medicaid beneficiaries are required to file online CHFS KY printed.
Online CHFS KY printed can be filled out by entering the required information about the services provided to Medicaid beneficiaries.
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