MedicaidCoverageMedium impact
Provider Letter: ABI Renewal Update and Therapy Information
Kentucky Medicaid·KY · Occupational Therapy, Physical Therapy·Provider Letter
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid is moving Occupational Therapy and Speech Therapy from ABI waiver coverage to Medicaid state plan coverage. Participants can receive up to 20 visits each of OT, ST, and PT before prior authorization is required, with prior auths now required every 90 days instead of the previous waiver schedule.
Action Required
Monitor for waiver renewal approval notice from Kentucky DMS. Once approved: Update billing procedures to bill OT and ST services to Medicaid state plan instead of ABI waiver. Ensure enrollment as Medicaid state plan provider if not already enrolled. Update prior authorization processes to 90-day cycles for OT, ST, and PT services. Request prior auth before reaching 20 visits for each therapy type. Attend upcoming DMS training webinars on billing procedures and prior authorization processes.