Author Archives: kma_admin

CHFS Statement on Kentucky HEALTH Ruling

Posted March 29, 2019 Press release issued by the Commonwealth of Kentucky Cabinet for Health and Family Services Contact: Beth Fisher (502) 564-7042, ext. 3101 CHFS Statement on Kentucky HEALTH Ruling FRANKFORT, Ky. (March 27, 2019) – Secretary Adam Meier of the Cabinet for Health and Family Services (CHFS) released the following statement regarding the Commonwealth’s Section 1115 Medicaid waiver, known as Kentucky HEALTH: “The judge illogically concluded that Medicaid is all about paying for healthcare for as many people as

Kentucky Office of Rural Health to host annual Kentucky Telehealth Summit on May 23

Posted March 27, 2019 The Kentucky Office of Rural Health will host its third annual Kentucky Telehealth Summit on Thursday, May 23 at the Knicely Conference Center at Western Kentucky University in Bowling Green. The one-day event, which is intended for anyone interested in or currently practicing telehealth, will run from 8 a.m. to 3:30 p.m. Six plenary sessions are scheduled for the morning and early afternoon followed by two breakout sessions. Emily Wein, a health care lawyer at Foley

Déjà vu All Over Again

Posted March 20, 2019 You might recall that last year Anthem announced their intention to reduce payment for office visits (E&M services) performed on the same day as an office diagnostic or therapeutic procedure (billed using the CPT modifier 25) by 50%. The Kentucky Medical Association, together with the American Medical Association, the Greater Louisville Medical Society and several national specialty societies were able to convince Anthem to withdrawal their ill-conceived policy. This policy, which ignored established CPT rules, not

KMA Sends Letter to Anthem Regarding Modifier 25 Change

KMA President Bruce Scott, MD sent a letter to Anthem Health Plans of Kentucky President Kennan Wethington regarding a recent change in coding policy announced by Anthem concerning the use of Modifier 25. The new policy, published in the February 2019 Anthem Kentucky Provider Newsletter, says Anthem will deny an E/M service with a modifier 25 billed on the day of a related procedure, when there is a recent service or procedure for the same or similar diagnosis on record.

KMA Membership: A Resolution to Keep

Posted February 18, 2019 We’re almost two months into 2019, and I know many of us are working hard to make sure the resolutions we declared several weeks ago don’t fall by the wayside. With each passing day, it seems like these things just get harder, especially when work, family and community obligations start to compound. It’s completely understandable. But I wanted to take a second to remind you that with the start of the new year comes the opportunity

Kentucky Medicaid Partner Portal Application February 2019 Newsletter

Posted February 14, 2019 Link to MPPA February 2019 newsletter Starting in March 2019 the KY MPPA newsletter and public release notes regarding KY MPPA, will be available on the KY MPPA website.  KY MPPA will no longer be emailing them directly to you unless you have subscribed on the Listserv to receive.  To continue receiving the KY MPPA newsletter and other valuable information from the Department for Medicaid Services follow this link to complete your subscription registration: Subscribe to

Kentucky Online Gateway –New Portal to Access KASPER

Posted February 11, 2019 The Kentucky Online Gateway (KOG) is used by Medicaid patients to manage their Medicaid services, learn about online classes, employment opportunities and more with a single sign-on. Beginning April 1, 2019, physicians will use KOG to connect to the Kentucky All Schedule Prescription Electronic System (eKasper). To prepare for this change physicians must take the following actions to ensure uninterrupted access to eKASPER: Register at: Provide a unique email address prior to April 2019. Delegate

Update on Kentucky HEALTH Implementation Timeline

Posted February 4, 2019 The following is an update from the Cabinet for Health and Family Services regarding the implementation of the Kentucky HEALTH program. The phased-in approach for the implementation of Kentucky HEALTH has been extended to allow additional time for beneficiaries to prepare for any changes to accessing healthcare benefits. The extension is part of the program’s efforts to provide additional support for beneficiaries who will need to meet new requirements. For more information, please see the Updated Kentucky

Kentucky Medical Association and Madison County Health Department Announce Partnership

Posted January 30, 2019 Organizations to focus on five target health areas The Kentucky Medical Association (KMA) and the Madison County Health Department (MCHD) have announced a strategic partnership that will allow the organizations to combine resources to tackle five key health issues where Kentuckians rank behind the rest of the country. KMA and MCHD will work towards identifying solutions to barriers impacting smoking, diabetes, obesity, drug abuse and flu/pneumonia. These issues are the focus areas of KMA’s AIM for

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