Medicare & KY Medicaid Updates

On November 2, the Centers for Medicare and Medicaid Services (CMS) announced that it will extend the timeframe of the Medicare revalidation initiative to 2015. The agency recently began revalidating Medicare providers and was scheduled to complete this large-scale effort by March 2013. However, there have been some issues with these early revalidations…..thus the deadline change.  Those providers who have already received a revalidation notice should still submit their revalidation application within the required 60 days. However, all other providers will still have a few years before having to revalidate their information.

KY Medicaid recently changed to a Managed Care model, with CoventryCares of Kentucky, Kentucky Spirit and Wellcare of Kentucky taking over administration of the program. The 3 MCO’s took over as of 11/01/2011. Because they are still working on getting providers enrolled, updating demographics changes, etc. we have been told by key representatives with each company that there will be a lot of leniency during the first 60 days, while they are “working through the kinks”. Contact information is as follows:

CoventryCares: 855-300-5528

Wellcare: 877-389-9457

Kentucky Spirit: 866-641-3153

For further information about Medicaid Managed Care changes and updates, please visit the Kentucky Medicaid website at http://chfs.ky.gov/dms/