Medicaid ID

• Enter the KY Medicaid ID for which you need to perform revalidation. Once the ID is entered, click Search.

Provider Name

• The name of the Provider, Group, or Entity will appear on the screen. These fields cannot be edited.

 NPI (National Provider Identifier)

• NPI is a unique identifier that is assigned in National Plan and Provider Enumeration System (NPPES). See the National Provider Identifier information page for more information.

• The NPI that displays on the Maintenance screen will be the NPI number that is associated with this specific KY Medicaid ID.

• Not all Provider Types will have a NPI and this field will not be displayed for those Provider Types.

• Additional NPIs can be added in a later section of Partner Portal or during maintenance after a Provider Medicaid ID is assigned.

Taxonomy

• The Taxonomy/Taxonomies is associated with this KY Medicaid ID.

• Not all Provider Types will have NPIs and Taxonomies.  This field will not be displayed for those Provider Types.

• A Provider may have multiple taxonomies but only one is identified as Primary for this enrollment.

Primary Physical Address

• ·         This address is associated with this KY Medicaid ID.  The primary address can be changed on screen 1.7: Address Information.

Revalidation Date

• This pre-populated field displays the date of revalidation for this KY Medicaid ID.

Medicaid ID Effective Date

• This is the date of approval for this Medicaid ID.

Medicaid ID End Date

• This is the date of expiration for this Medicaid ID.

Requested Effective Date

• Date cannot be more than 1 year prior than the current date nor greater than 90 days in the future.

• Provider’s supporting documents must be effective on the Requested Effective Date.

I Want to Perform

• There are five options available for KY MPPA users. Select the applicable path.

• • Maintenance

  • Revalidation

  • Voluntary Termination

  • Reinstatement

  • Reapplicant

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

Understanding Error Messages:

The NPI entered was not found on NPPES

• Verify the number entered is correct

• Verify the number in the NPPES NPI Registry

• 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.

• If Provider has multiple NPIs, Provider may select another NPI registered on NPPES

Active Medicaid ID found with same NPI/Taxonomy

• Verify the number entered is correct

• Check to see if Provider already has a Medicaid ID with this NPI/Taxonomy combination.  If so, changes can be made in Maintenance/Revalidation.  If the Provider owns a KY Medicaid ID that did not appear on Provider’s dashboard, Provider should call the Contact Center to make the connection

• Multiple groups cannot use the same NPI/Taxonomy combination  

• Verify if your other Medicaid IDs have this Taxonomy already listed; if so:

• • You may need to select a different Taxonomy

  • You may need to register another Taxonomy

• For additional assistance, call the Contact Center

Inactive Medicaid ID found with same NPI/Taxonomy

• Verify the number entered is correct

• If Provider has a previous KY Medicaid ID, the Provider must use the “Re-Application” option on the dashboard

• For additional assistance, call the Contact Center

Pending application with same NPI/Taxonomy found

• Verify the NPI/Taxonomy combination entered is correct

• The Provider (or Provider’s agent) has already started a new application.   Check the Provider’s dashboard for a pending application

• A pending application does not appear on the Provider’s dashboard for one of the following reasons:

• • Credentialing Agent has not sent invitation to the Provider at time of new enrollment

  • The email address is not correct for the Provider

  • The email address is correct but the Provider has not set up a KOG account

  • The email address is correct, the Provider already has a KOG account, but Provider does not have access to Partner Portal application in KOG menu

• For additional assistance, call the Contact Center

An active Kentucky Medicaid Number has been found with the same Provider Type (Atypical Individual 56) and SSN (or FEIN)

• Verify the Social Security Number or FEIN entered is correct

• Check to see if the Provider already has a Medicaid ID with this Provider Type/SSN (or FEIN) combination.  If so, changes can be made in Maintenance/Revalidation.  If the Provider owns an active KY Medicaid ID that did not appear on Provider’s dashboard, Provider should call the Contact Center to make the connection

• If you do not have a Medicaid ID but one has been found, call the Contact Center for further assistance

A Pending application has been found with the same Provider Type (Atypical Individual 56) and SSN (or FEIN)

• Verify the Social Security Number or FEIN entered is correct

• The Provider (or Provider’s agent) has already started a new application.   Check the Provider’s dashboard for a pending application

• A pending application does not appear on the Provider’s dashboard for one of the following reasons:

• • Credentialing Agent has not sent invitation to the Provider at time of new enrollment

  • The email address is not correct for the Provider

  • The email address is correct but the Provider has not set up a KOG account

  • The email address is correct, the Provider already has a KOG account, but Provider does not have access to Partner Portal application in KOG menu

• For additional assistance, call the Contact Center