Serve Kentucky waiver participants with software that understands KYMMIS, KyHealth Net, and MEUPS. Document services, track authorizations, and bill Medicaid the Kentucky way.
One Care Portal speaks Kentucky Medicaid.
Kentucky Medicaid Management Information System. We generate claims that meet KYMMIS requirements and submit through approved channels.
Kentucky's provider portal for eligibility verification, claim submission, and remittance. We integrate with KyHealth Net workflows.
Medicaid Eligibility and Utilization Portal System. Verify participant eligibility and track prior authorization status.
We support Kentucky's HCBS waiver programs.
Supports for Community Living waiver services with KY-specific documentation.
Home and community-based services for individuals with disabilities.
ABI waiver services with specialized assessment and goal tracking.
Home and Community Based waiver for elderly and disabled populations.
Person-centered service plans that meet Kentucky DMS requirements. Include required elements for SCL, Michelle P., and other waivers.
Track Kentucky prior authorizations by service type. Get alerts before PAs expire and monitor utilization.
Generate claims with Kentucky-specific procedure codes, modifiers, and billing rules. Pre-validate before submission.
Verify Kentucky Medicaid eligibility. Check waiver enrollment status and managed care assignment.
Note templates configured for Kentucky waiver services. Capture required elements for billing and audits.
Generate reports that match Kentucky audit requirements. Export data for DMS reviews and provider renewals.
We generate KYMMIS-compliant 837P files that can be submitted through KyHealth Net or your preferred clearinghouse. Our claims are formatted to meet Kentucky's specific requirements.
We support SCL (Supports for Community Living), Michelle P. Waiver, Acquired Brain Injury waiver, HCB waiver, and other Kentucky HCBS programs. Each is configured with KY-specific requirements.
Yes. Check Kentucky Medicaid eligibility, waiver enrollment status, and prior authorization status. We help you verify before delivering services.
Yes. We support billing to Kentucky's managed care organizations including Aetna, Anthem, Humana, Molina, Passport, and WellCare with appropriate routing and requirements.
Join Kentucky providers using One Care Portal for HCBS case management and KYMMIS billing.