NPI

• At least one taxonomy has to be entered for each NPI

• NPIs were identified in the previous screen

• If the expected NPI is not in the dropdown, return to previous screen to add the NPI

• If the prepopulated NPI has a taxonomy associated that is incorrect, the taxonomy can be changed on this screen by selecting “Edit”.

Taxonomies

• If you wish to add Taxonomies, click “Add”

•  If you wish to remove Taxonomies, click “Discard"

• To End Date a Taxonomy, click the “Edit” button in the grid and enter the End Date. There must be at least one active Taxonomy. The End Date cannot be prior to today’s date.

Primary

• The primary NPI is the NPI number associated with this KY Medicaid ID. The primary NPI can be changed and/or updated.

• Click “Add” if you wish to add NPIs, “Edit” to End Date an existing record, or “Remove” to delete newly added records.

• If the pre-populated NPI is not going to be the primary NPI, you may assign the primary role to another NPI. Edit the current primary by unchecking the “Primary” indicator. Add or update the new primary NPI by checking the “Primary” indicator.

Verification on NPPES

• The NPIs and Taxonomies will be verified on NPPES.  If the NPI/Taxonomy is not found applicant will not be able to continue.  

• • Verify the number entered is correct

  • If you have registered with NPPES in the last several days, your number may not yet be verifiable.  You may need to wait a day or two to enroll. See the National Provider Identifier information page for more information

  • Add the NPI and/or Taxonomy to NPPES

  • Remove the NPI/Taxonomy from the application and continue.

• If NPPES is not available for verification, the applicant may continue and NPPES verification will happen later in the application.

Verification against Partner Portal Database

• The NPI/Taxonomy combination is verified in the Partner Portal Database for no duplication.

• • If the NPI/Taxonomy combination entered already has an active KY Medicaid ID for the same Provider Type, a new NPI/Taxonomy combination is required for a new application

  • If an application has already been submitted with this NPI/Taxonomy for the same Provider Type for your enrolling entity, the provider must wait until the original application process is complete

  • Provider may want to check the date range to ensure that there is no overlap in effective and/or end dates.  If the duplication is the result of a sale or change in ownership, then the previous owner needs to end date the NPI/Taxonomy combination before the application process of the new owner can be completed

• If the Taxonomy entered appears to be a duplicate, double check the number. Re-enter the correct number by clicking on the edit button so that the Taxonomy can be corrected

• Populate all of the fields for the new Taxonomy to be added and note that taxonomies must be 10 characters

• Indicate whether Taxonomy to be added will be primary by selecting the checkbox.  This will now clear any previously checked Taxonomy as primary.

• Click “Add to Grid” to update the new information

• All Taxonomies listed for the Provider must be on NPPES.  If it is not listed on NPPES,  it has to be removed from the current screen.  The Taxonomy should be listed on NPPES prior to being utilized in Partner Portal for enrollment

Effective Date

1. • Type the date into the field or select from the calendar.

Expiration Date:

In KY MPPA, some records cannot be deleted. To add a new record, the previous record must have an Expiration Date added in order to keep the history on file. To add an Expiration Date to a record, click the "Edit" button and add an End Date. If a new record is added to the grid, the active dates of the new record cannot overlap existing record dates.

Special Characters:

• The following Special Characters cannot be used in the situations below. Field properties will not allow the following characters in the box:

 For First Name, Business Name, Other name (if any):    | + \ '

 For Last Name field:    | + \ ', and numbers are not allowed

 For Comment Boxes:     <  >  ^  ~ ` + | \ / ¬ £

 For Address fields:    | + ! @ # $ ^ * ( ) ? / \ " < > & : ; _

• If you copy and paste an excluded special character, an error message will display after clicking Save & Next

• Remove excluded characters from pasted information or uploaded text in the document

Save & Next:

• When finished, click Save & Next to save the information and proceed to the next page

• Click Back to go to the previous screen without saving

• Click Exit to return to the dashboard without saving

• Note that if the information is not saved, you will lose the data on the current page