The Kentucky Medicaid Provider Portal, known as KyHealth Net, is a comprehensive web-based system designed to streamline healthcare provider interactions and access critical patient information efficiently. This powerful platform offers healthcare professionals a centralized, secure method to manage various administrative and clinical tasks.
Official Links
- Sign In Portal: https://home.kymmis.com/
- System Information: https://www.chfs.ky.gov/agencies/dms/Pages/kyhealthnet.aspx
What Healthcare Providers Can Do
The KyHealth Net system provides robust functionality for medical professionals, including:
Key Portal Features
- Instant member information access
- Claims submission and inquiry
- Prior Authorization (PA) management
- Real-time claim adjudication
- Remittance advice viewing
- Member eligibility verification
Who Can Use the Portal
The KyHealth Net system is exclusively available to:
- Medicaid providers
- Billing agents
- Authorized healthcare professionals
- Providers with valid credentials
Access and Login Process
Account Creation Requirements
- Complete PIN Release form
- Submit form with driver’s license copy
- Send to EDI helpdesk via fax:
- 502-209-3242
- 502-209-3240
Login Credentials
- Username required
- Password mandatory
- Password must be changed every 30 days
Privacy and Security
The system emphasizes strict confidentiality:
- Access strictly limited
- Highly confidential information protection
- Provider responsibility to ensure appropriate data use
- Recommended internal office guidelines for data management
Customer Support
Help Desk Contact:
- Phone: (800) 205-4696
- Email: KY_EDI_HelpDesk
- Support Hours: 7:00 am – 6:00 pm, Monday – Friday EST
Advanced Portal Capabilities
Claims Management
- Interactive claim submission wizard
- Immediate claim adjudication
- Real-time response and correction opportunities
Member Information Access
- Eligibility verification
- Card issuance data
- Waiver information
- Managed care details
- Third-party liability tracking
Additional Services
- Pharmacy history
- Service limitations tracking
- Diagnostic related group (DRG) letters
- Provider status information
Unprovided Information
Some potential details were not explicitly specified in the source documents, such as:
- Mobile app availability
- Specific security protocols
- Detailed login troubleshooting steps
Important Considerations
Providers should:
- Carefully review user manuals
- Understand confidentiality requirements
- Implement internal data usage guidelines
- Regularly update account credentials
The KyHealth Net Provider Portal represents a sophisticated, secure platform enabling Kentucky Medicaid providers to efficiently manage patient information, claims, and administrative tasks with unprecedented ease and reliability.
Disclaimer: Information accurate as of August 2025, based on available Kentucky Medicaid system documentation.
FAQ
How do I register my Zelis provider portal?Go to www.zelispayments.com and click on “Get Started” 2. Click on “Provider Login” 3. Enter your Login credentials (if your new to Zelis, select “Sign up now!”) Follow the appropriate instructions given on the portal to start the enrollment process.
What is Kentucky’s Medicaid called?Kentucky Medicaid/KCHIP is a state and federal program. It is authorized by Title XIX of the Social Security Act. Kentucky Medicaid/KCHIP provides health coverage for eligible low-income residents.
Is there a VA portal for providers?If you filed a claim with VA directly for Veteran care, you can check the status of your VA claim through the eCAMS Provider Portal (ePP). ePP is a reporting tool that allows registered users on demand access to claim status and line level adjudication information.
How do I check my Kentucky Medicaid status?For help with your Medicaid ID contact member services at (800) 635-2570. Review the frequently asked questions.
https://home.kymmis.com/
Providers: Manage your agent’s access. Kentucky Medicaid Billing Agents: To set up a Billing Agent account, please contact your Provider Administrator. This
https://www.chfs.ky.gov/agencies/dms/Pages/kyhealthnet.aspx
KyHealth Net is a web-based system that gives Medicaid providers instant access to pertinent member information, claims inquiries, PA inquiries, RA viewer and