MAP 9 –MCO 012016
Kentucky Medicaid MCO
Prior Authorization Phone Numbers
ANTHEM BLUE CROSS BLUE SHIELD KENTUCKY
DEPARTMENT
PHONE
FAX
Precertification/Notification
1-855-661-2028
1-800-964-3627
Pharmacy
1-855-661-2028
Dental (DentaQuest)
1-800-508-6787
Vision (EyeQuest)
1-888-696-9551
COVENTRYCARES/AETNA BETER HEALTH KENTUCKY
DEPARTMENT
PHONE
FAX
Medical
1-888-725-4969
1-855-454-5579
Behavioral Health/Psych Testing
1-888-604-6106
1-844-885-0699
Dental (Avesis)
1-800-327-4462
Express Scripts
1-877-215-4100
1-877-554-9137
Pain Management (Triad)
1-888-584-8742
1-888-229-5680
Radiology (NIA)
1-877-907-2363
1-800-784-6864
Vision (Avesis)
1-800-327-4462
HUMANA CARESOURCE
DEPARTMENT
PHONE
FAX
CareSource Medical Management
1-855-852-7005
1-888-246-7043
Behavioral Health (Beacon)
1-877-380-9729
1-781-994-7633
Dental (MCNA)
1-877-375-6262
1-954-628-3331
Pharmacy
1-800-364-6331
1-866-930-0019
Radiology (Health Help)
1-877-637-6940
1-877-667-0944
PASSPORT HEALTH PLAN
DEPARTMENT
PHONE
FAX
Email
General Number
1-800-578-0636
1-502-585-7989
Concurrent Review
1-502-585-2077
1-502-213-8997
Retrospective Review
1-502-585-7972
1-502-585-8207
Home Health
1-502-585-7320
1-502-585-8204
DME
1-502-585-7310
1-502-585-7990
Therapies
1-502-585-6055
1-502-585-8205
Cosmetics
1-502-585-7069
1-502-213-8998
Pain Management
1-502-212-6614
1-502-212- 6611
Appeals
1-502-585-7307
1-502-585-8461
High Dollar Radiology
1-888-693-3211 OR
1-888-693-3210
On line request:
(MedSolutions/eviCore)
1-877-791-4099
WELLCARE OF KENTUCKY
DEPARTMENT
PHONE
FAX
All Medical
1-800-351-8777
Inpatient
1-877-338-2996
Outpatient
1-877-431-0950
DME
1-877-338-3713
Home Health
1-866-886-4321
Prenatal Notifications
1-877-338-3659
Speech Therapy
1-855-620-1871
Outpatient – 1-877-544-2007
Behavior Health
1-855-620-1861
Inpatient – 1-877-338-3686
Dental (Avesis)
1-855-469-3368
1-866-653-5544
Vision (Avesis)
1-855-776-9466
1-855-591-3566
Main Fax: 1-866-896-2152
EviCore
1-888-333-8641
PT/OT 1-855-774-1319