Frequently Used Forms
- Provider Contracting and Credentialing
- Prior Authorizations
- Behavioral Health Prior Authorization Form
- Prior Authorization Code Matrix - Q3 2021
- Prior Authorization Pre-Service Review Guide & Request Form (Please use this form to request a PA for medically billed drugs including J Codes)
- Prior Authorization LookUp Tool
- Cosmetic
- DME
- Home Health
- Inpatient
- Therapy
- KY Universal Prior Authorization Request Form
- KY Medicaid Pharmacy Prior Authorization Form
- Appeals & Grievances
- Other Resources