·         There must be at least one group member with an active KY Medicaid Provider Number in each provider group.

·         Only certain provider types can link to specific provider groups.  Click here to see groups and associated provider types.

·         In order for the provider group application to be submitted, ALL invited members of the group need to accept prior to the application submission.

• Invitees must have an active KY Medicaid Provider Number.

• Invitees must accept the invitation to the group before the group application can be submitted.

• If at least one provider has accepted the invitation, the remaining Invitees who have not accepted the invitation can be removed and the group application can be submitted.

• The group application cannot be submitted if the only provider in the group has not accepted the invitation.

• Providers can always be added to a group after the application has been approved using Maintenance.

• Invitations will be sent to the provider’s email address on record with KY Medicaid.  If there is no email address in Partner Portal, you are encouraged to contact invitee to update contact information with KY Medicaid. The system will not allow the member to be added without having an email address on file.

·         After entering the KY Medicaid Provider Number and the requested Provider Linkage Date, click the “Verify Provider NPI and Name” button to verify the Provider is active with KY Medicaid.

At least one provider’s effective date has to be equal to or before the Group’s requested effective date.

Substance Use Disorder (SUD) PT 03 Behavioral Health Service Organization (BHSO) Tier Selections and PT 66 Behavioral Health Multi-Specialty Group:  

PT 03:  There are three tiers available for selection:  Tier 1 Mental Health, Tier 2 Outpatient SUD, and Tier 3 Residential SUD.  PT 66:  No tier selections.

• All PT 03 Tiers and PT 66:  Can add PT 64 Physician or PT 78 APRN as group members.  Based on selection, certain specialties are required.  If individual provider does not have the required specialty, the user will receive an error message.  A maintenance action must be performed on the Individual Provider Medicaid ID to add the specialty before continuing with this action.

• PT 03 Tier 1:  Requires individual Provider (PT 64 and PT 78) have active specialty “Psychiatric Specialty”

• PT 03 Tier 2 or PT 03 Tier 3 or PT 66:  Requires individual Provider have active “Psychiatric Specialty” or “Addictionology Specialty”.  If add PT 64 or PT 78, will be required to answer “Is this Provider licensed to prescribe buprenorphine?”

• If Yes, provider will be required to have XDEA.  If the individual provider does not have XDEA, the user will receive an error message.  A maintenance action must be performed on the Individual Provider Medicaid ID to add XDEA before continuing with this action.   

• If No, no action is required.

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