Kentucky Medicaid Provider Application
Posted in the Frankfort Forum
#1 Dec 1, 2009
Not sure why these people are so slow in approving Kentucky Medicaid Provider licenses. I have been waiting for months for my application to go thru.
I have applied for other licenses and got a resonable timely response. These people are backed up in approving Medicaid licenses and there is something fishy go on there.
I know someone who's application was denied for incomplete information. The application was returned and the person was told she had to return the application and get in the back of the line again! Why didnt the office call to obtain information from her? Why didnt they email? This information could have been provided over the phone, fax or email without having to make the person wait another 90 days for approval. Poor choices like this jeopardize professionals business' and put them on undue hardships. Very inefficient because now she has to fix the application and send it back in to be reviewed again. No wonder they are backlogged, huh?
Yes, something fishy is going on at the Kentucky Medicaid Provider Application division!
#2 Dec 1, 2009
Here is the problem. This part of the process used to be contracted out to a private company. Due to recent budget shortfalls, the state could no longer afford the contract and brought this process back "in-house". There are not NEARLY as many state employees as there were employees at the private compnay.
The private company had employees who reviewed the applications, and contacted the provider for any additional info that was needed. The state doesn't have the man power to contact providers about mistakes that were made or information not provided. The application is very self-explanitory and lists exactly what you need to send with the application. So if a mistake is made, they can only return it and start over. They don't have the time to contact each provider.
I know the process can be unpleasant, I used to work for the private company. The best advice I can offer is to read all directions FIRST, before you fill out the application. Go over the check list and make sure all supporting documentation is included with your application. Many of the times when an application is filled out incorrectly or documents are missing, the office personnel has handled this instead of the doctor completing the application.
Hope you don't have to wait much longer for your approval.
#3 Dec 1, 2009
Thanks for your response.
The application is not as straightforward as you insinuate. You are right in that my friend didnt fill her application out correctly, but it was a little error that could've been rectified by 1 phone call. Now the end of the line is her doom and another 4 months...
My application sits waiting to be viewed. I am thankful reduced phone hours and extended man hours are coming, but waiting for months is still ridiculous. Must be nice to be so needed at your job. I hate that cutbacks have effected your department, but providers risk alot into a business and it hurts sitting on our thumbs waiting, waiting, waiting...
#4 Dec 2, 2009
I agree with you. The wait time is insane. Unfortunately, until this state can dig itself out of debt, this process is not going to improve. Maybe one day the state will be able to afford to outsource this program again and get it back on track.
#5 Dec 2, 2009
Well the applications arent that hard, just do them correctly the first time, fill in all the blanks as it states and turn in all your documentation and your application will be processed in a timely manner. All the directions are there in black and white. If the provider is sued by a patient, KMA could be held legally responible because the application wasnt completed correctly.
#6 Dec 2, 2009
I'm sure the wait times formerly weren't so long, that's my whole point. They were done in a timely manner. Now with cutbacks, it seems 4 months + is the norm.
The application is not simple. Blue ink, equivocal language, unnecessary information asked, 10 pages, documentation required, tax structures needed, etc. Couple errors and your application will be returned without a call, email or fax. The return time on the application is also a week or more. I know the application is very important, but the Medicare Application was a snap comparitively speaking.
Lets hope things get a little smoother. I know they work hard there, but inefficiency is a problem.
#7 Dec 3, 2009
Been waitin....I commend u for posting on topix...it made me LOL....i've done credentialling and it's the worst job on the planet; however the reason I'm laughing is that since the state took that task over due to budget shortfalls; it's hard telling who is processing your application; probably someone without the highest level of education who doesn't realize that time of the essence. I'm sorry, it is KY ur dealing with.
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