Kentucky Medicaid Billing For Home Care Agencies

Kentucky’s Medicaid system has comparatively high reimbursement rates for agencies willing to stay compliant with its newly updated EVV requirements. Paradigm is your one-stop solution for handling it all: automating claims, preventing denials, and getting you paid on time.

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Frequently Asked Questions

How long does Medicaid credentialing general take for a home care provider?

A common timeframe is 60–120 days, though the exact timeframe varies by state and can be longer if applications are incomplete or require corrections.

How does a home-based care provider get credentialed to bill Kentucky Medicaid?

You must first enroll through the Kentucky Medicaid Partner Portal Application (KY MPPA) and apply to provide services under one or more of the state’s Home and Community-Based Services (HCBS) waivers such as the Michelle P. Waiver or the Supports for Community Living (SCL) Waiver. Enrollment with any MCOs takes place as separate processes. Paradigm manages both the state enrollment and MCO contracting on your behalf.

How long does Medicaid credentialing take for a home care agency in Kentucky?

You must first enroll through the Kentucky Medicaid Partner Portal Application (KY MPPA) and apply to provide services under one or more of the state’s Home and Community-Based Services (HCBS) waivers such as the Michelle P. Waiver or the Supports for Community Living (SCL) Waiver. Enrollment with any MCOs takes place as separate processes. Paradigm manages both the state enrollment and MCO contracting on your behalf.

Do I need a separate Medicaid ID to bill for waiver services in Kentucky?

You must first enroll through the Kentucky Medicaid Partner Portal Application (KY MPPA) and apply to provide services under one or more of the state’s Home and Community-Based Services (HCBS) waivers such as the Michelle P. Waiver or the Supports for Community Living (SCL) Waiver. Enrollment with any MCOs takes place as separate processes. Paradigm manages both the state enrollment and MCO contracting on your behalf.

What waivers in Kentucky allow home care agencies to bill Medicaid for non-skilled services?

You must first enroll through the Kentucky Medicaid Partner Portal Application (KY MPPA) and apply to provide services under one or more of the state’s Home and Community-Based Services (HCBS) waivers such as the Michelle P. Waiver or the Supports for Community Living (SCL) Waiver. Enrollment with any MCOs takes place as separate processes. Paradigm manages both the state enrollment and MCO contracting on your behalf.

Do home care agencies need to enroll with each Medicaid MCO in Kentucky separately?

You must first enroll through the Kentucky Medicaid Partner Portal Application (KY MPPA) and apply to provide services under one or more of the state’s Home and Community-Based Services (HCBS) waivers such as the Michelle P. Waiver or the Supports for Community Living (SCL) Waiver. Enrollment with any MCOs takes place as separate processes. Paradigm manages both the state enrollment and MCO contracting on your behalf.

How Paradigm can Help

Paradigm offers a combination of tech and highly skilled people to bridge the gaps in:

Billing Automation

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Authorizations
& Eligibility

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Enrollment &
Credentialling

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Revenue Visibility

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Growth Coaching

We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.

Get in Touch

We don’t stop at submission. We scrub claims, verify all.

Schedule a Call

From Paradigm Clients

"Paradigm has been a tremendous help for managing and growing my business. They are the payer gurus in this industry.”

Mike Gibson
Griswold Home Care

“Prior to partnering with Paradigm, our VA billing was an ongoing stressor in the office. Working with Paradigm was the best choice we could have made.”

Amy and Jeff Peck
Synergy HomeCare

“We’re growing quickly. . . using Paradigm has taken a lot of work out of our hands and the customer service response time is fantastic.”

Karcher Argyle
Select Home Care

"Paradigm make the process incredibly simple and efficient, especially when we have any type of billing issue. I don't know if I could handle our VA caseload if it wasn't for them!"

Allison Negri
ComForCare

“I’ve been using Paradigm for two years now. They are very responsive and have EXCELLENT customer service. I highly recommend them.”

Melanie Nagy Mahran
Owner/Director, Visiting Angels

"In the past, some payments would show up 2-3 months after services were provided; with Paradigm in place, all VA payments arrive just a week after billing is concluded."

Alex Shenker
Senior Helpers

“Paradigm makes my life so much easier with automated billing. Gives me time to focus on other critical areas.”

Karen Straehle
Owner, Home Helpers of Norwood

"Paradigm handles all of our current billing; our claims are submitted timely and correct. Most importantly, we're being paid quickly and accurately for our work!"

Julie Mejia
Nu Care

Launch your Kentucky Medicaid revenue stream