MedicaidAdministrativeHigh impact
Electronic Visit Verification Claims Compliance Deadline
Kentucky Medicaid·KY · Physical Therapy, Occupational Therapy·Provider Letter
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Starting January 1, 2026, Kentucky Medicaid will deny all claims for Home and Community Based Services waiver services that don't have corresponding visits documented in Electronic Visit Verification (EVV) systems. Providers must ensure all EVV visits are properly entered in Therap or integrated third-party systems to avoid automatic claim denials.
Action Required
By January 1, 2026: Billing team must ensure all Home and Community Based Services waiver claims have corresponding EVV visits documented in Therap or integrated third-party systems before submission. Coordinate with clinical staff to verify EVV entries are complete for all visits. Claims without EVV documentation will be automatically denied after this date.