Ky Medicaid Mananged Care Organizations (MCO)
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MANAGED CARE  for Medicaid patients outside the Passport Region

Coventry and Ky Spirit answer our questions.
WellCare answers our questions.



Coventry Cares (Taken over by Aetna as of 11/01/15)
Passport Health Plan (Kentucky Spirit no longer available)
WellCare
Provider Contact

coventrycaresky.com

Customer Service: 855-300-5528
Functional Issues: 866-629-3975

eclaims:

302-283-6570 or EDIclaims@cvty.com

Provider Services: 800-578-0775 M-F 8AM-6PM

Claims: Option 2 then option 1

eclaims: 800-845-6592

Behavioral Health

Website

Providers: 855-538-0454

Medicaid Members: 866-530-9457

General Contact: 866-530-9491

Contact Us Page-includes links for provider manual and other resources

 

How do I register and contract with ...?
FAX the following THREE pages to 1-866-906-1219
1. Provider Info Form
2. "Execution" Page of agreement
3. Return W-9 Form
Links to join provider network, forms, etc. Online Application Form

Provider Agreement
Resources
Provider Document Library

Quick Guide
Provider Manual





Formulary
Alphabetical
Class



Behavioral Health
MH Net

Network Development

ProviderCredentialing@mhnet.com

888-646-6889 (ask for Network Development)


WellCare
Don Fowls, M.D.
djfowls@aol.com




KY Medicaid Managed Care Hot Line: 1-855-446-1245.

Hours of Operation: 8 a.m. – 6 p.m. ET, Monday – Friday, 9 a.m. – 5 p.m. ET, Saturday & Sunday

KY Medicaid managed care website 

Medicaid Provider Representatives (by county)

Member information is also provided by the KY Medicaid office at http://chfs.ky.gov/dms/member+information.htm.




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