Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in Kentucky?
Last verified October 17, 2026 · All Kentucky resources
Kentucky pays for Medicaid home care fee-for-service. Kentucky's Medicaid managed care organizations do not cover 1915(c) waiver services, so home care agencies enroll directly with Kentucky Medicaid and bill the state for waiver services. The Department for Medicaid Services' Division of Community Alternatives oversees the waivers.
For the programs that pay for home care, see Kentucky Medicaid waivers.
Sources
More for Kentucky
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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