Kentucky
Kentucky Spirit Health Plan (KSHP) has executed a contract with the Kentucky Finance and Administration Cabinet to serve Medicaid beneficiaries in Kentucky. Kentucky Spirit Health Plan (KSHP) will be headquartered in Lexington, Ky., and will provide integrated healthcare services to Medicaid recipients in all regions awarded by the Commonwealth. As the behavioral health vendor for KSHP, Cenpatico is currently contracting KSHP’s behavioral health and substance abuse provider network.
Benefits of Cenpatico network participation include:
- Timely claims payment & online claims submission functionality
- Flexible authorization processes
- Online member eligibility verification
- Care coordination services
- Comprehensive training materials
- E-Learning and CEU credit opportunities at no charge to you
- Participiation in advisory committees, etc., upon your interest
- CAQH credentialing applications accepted
* Please note that a Medicaid Number is required to join Cenpatico’s network.
Please look below for both Behavioral Health and Specialty Therapy (Occupational, Physical and Speech) Forms and Resources
Behavioral Health Providers
**NEW REQUEST FORM**
Click here for the Psychiatric Inpatient Facility
Discharge Authorization Request.
Administrative & Claims
OutPatient Treatment Request
- Behavioral Health Outpatient Treatment Request (OTR) Form: Used when requesting authorization for behavioral health services including substance abuse and IMPACT PLUS.
- Intensive Outpatient/Day Treatment (IOP)
- Outpatient Psychological Testing Request
Provider Manual
**Please note a change in where to submit grievances may be found on page 36 of the Provider Manual.**
Provider Mental Health Preferred Drug List
Frequently Asked Questions (FAQ)
Quick Reference Guides (QRG)
- Kentucky Provider Quick Reference Guide
- Kentucky Authorization Quick Reference Guide
- Kentucky CMHC Claim Billing Quick Reference Guide
- Kentucky EPSDT Billing Quick Reference Guide
- Kentucky IMPACT Plus Claim Billing Quick Reference Guide
- Kentucky PRTF Billing Quick Reference Guide
Specialty Therapy Providers (OT/PT/ST)
Outpatient Treatment Request
- OT, PT, ST Outpatient Treatment Request (OTR) Form: Used when requesting authorization for outpatient occupational, physical and speech therapy.
- Home Health Outpatient Treatment Request (OTR) Form: Used when requesting authorization for outpatient home health services.
- OT, PT, ST Outpatient Treatment Request (OTR) Training Presentation
Provider Manual
Frequently Asked Questions (FAQ)
If you would like to join our Kentucky network, please click here to send us an email with the following information:
- Organization Name
- Name and Contact Information
- Brief Description of Services Offered
- Medicaid Number
