Kentucky Medicaid Rates: A Provider's Guide

Kentucky’s Medicaid program is administered by the Department for Medicaid Services, part of the Cabinet for Health and Family Services, with program information published at chfs.ky.gov.

What’s currently published

Current published rates tracked by MedicaidBench, effective 2024-04-01 across the board:

• 90791 (initial psychiatric diagnostic evaluation): $129.53 per encounter
• 90837 (individual psychotherapy, ~60 min): $109.47 per session
• 97153 (ABA treatment by technician, per 15 min): $11.77
• 99213 (established-patient office visit): $64.31 per visit
• 99214 (moderate-complexity office visit): $90.98

Kentucky is one of the few states in MedicaidBench’s coverage where all five of these tracked codes share the same effective date — a sign the state refreshed its fee schedule broadly in April 2024 rather than updating individual code families on separate cycles, at least for this set of codes.

Format and access

Kentucky’s fee schedule information is centralized under the Department for Medicaid Services’ provider resources, making it more straightforward to locate related codes together compared to states that split rates across many separate provider-category files.

What to watch for

Because Kentucky’s tracked codes currently share one effective date, a future update to any single code is worth flagging specifically — it would represent the state moving away from a synchronized refresh cycle, which could be an early signal of a broader upcoming rate review.

Keeping current

MedicaidBench tracks Kentucky’s published rates across all five of these codes and more, with the source document and effective date attached to each — so if the state does move to updating codes individually going forward, that becomes visible immediately rather than only at the next full-schedule refresh.