Welcome Kentucky Healthcare Providers

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.

As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.

If you have any questions, please call Provider Services at (800) 578-0775

Need a Prior Authorization?

* When Prior Authorization is 'Required', click here to create Service Request/Authorization

PA Lookup tool is under maintenance.

Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.

Interested in Joining Our Network?

Are you looking to become a Passport Provider?

To join our network, you must first be enrolled in Kentucky Medicaid. To enroll in Medicaid, please go to MPPA (Medicaid Provider Portal Application).

Once enrolled in Medicaid, please click the link below to join our network

Provider Contract Request Form

Contracted providers are an essential part of delivering quality care to our members. Passport Health Plan by Molina Healthcare values our provider partnerships and supports the doctor-patient relationship our members share with you.

As our partner, superior customer service and provider relations are one of our highest priorities. We welcome your feedback and look forward to assisting all your efforts to provide quality care.

If you are not currently a Molina Healthcare provider, but are interested in contracting with us, please call Passport Provider Services at (800) 578-0775.

Kentucky Health Information Exchange (KHIE)

Passport is dedicated to improving the health and quality of life of our members and actively supports the statewide implementation of the Kentucky Health Information Exchange (KHIE). The KHIE is the secure electronic information infrastructure created by the Commonwealth for sharing health information among health care organizations and offers health care providers the functionality to support meaningful use and a high level of patient-centered care.

Passport encourages participating PCP’s to connect to the KHIE through various communication channels such as annual workshops, routine onsite visits, and general provider relations interaction.

KHIE is a secure, interoperable network which participating providers with certified electronic health record (EHR) technology can use to locate and share needed patient information with each other which results in improved coordination of care among physician practices, hospitals, labs, and across the various health systems

We encourage you to visit https://khie.ky.gov/ to obtain more information on this program and guidance on how you can make the KHIE connection.

Quick Links

Prior Authorizations
Important Contacts 
Meet the Provider Services Team 

For Dates of Service prior to 1/1/2021, please use the Passport Provider Portal here


Provider Engagement 

2021 It Matters to Passport - Provider Forums:

November 17, 2021 - EPSDT


December 15, 2021 - A Year in Review


Diabetes and SDoH PIP Webinars:

November 3, 2021 11am EST

November 18, 2021 11am EST

Important Reminder:

It is important to Passport and your patients that your provider directory demographics are accurate. Please visit our Provider Online Directory at: providersearch.molinahealthcare.com to validate your information and notify us if there are any updates.

Please notify Passport at least 90 days in advance when you have any of the following:

  • Change in office location,
    remit location, office hours, phone, fax, or email
  • Addition or closure of office location
  • Addition or termination of a
  • Change in Tax ID and/or NPI
  • Open or close your practice to new
       patients (PCPs only)