AI HubExploring Kentucky's Medicaid Service Authorization Requirements
This video explains that Kentucky agencies must get service authorization from DMS before providing Medicaid-covered home care services. This ensures services are medically necessary and billable.
Who we empower every day
By Role- Agency Owners – Ensure service authorization is obtained before service start
- Supervisors – Monitor that delivered services match authorized scope
- Care Managers – Align care delivery with approval levels
- Billers – Use authorization to support claim eligibility
- Schedulers – Schedule only within authorized service hours
- Caregivers – Deliver approved services per authorization
- On-Call Coordinators – Manage adjustments if any authorizations change
Authorization is a gating mechanism for reimbursement. Services outside preapproved limits often face denial if not aligned in EVV and billing.
