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New Accounts - Provider | Member

KY Medicaid Lab Ordering

kentucky Medicaid

Kentucky Medicaid Program Routine Vision and Eye Medical

Beginning November 1, 2013, Avesis will be responsible for administering the routine eye care benefit and eye medical benefits for CoventryCares of Kentucky members enrolled through the Kentucky Department for Medicaid Services.

If you are currently an Avesis participating provider and are interested in participating in the Kentucky Medicaid program for this group, please contact a provider service rep at ProviderRelations@Avesis.com. Please note that all providers for this program are required to have a Kentucky Medicaid provider identification number.

If you are not currently an Avesis contracted provider and are interested in participating in these programs, please complete the Provider Credentialing and Contracting paperwork by following the link below.If you have any questions please contact one of our Provider Services Representatives at 855-214-6776.

Please click here to access KY Medicaid Eye Care Program Provider Forms.

Providers wanting to participate in the Kentucky Medicaid program administered by Avesis must have: 1) a NPI and 2) a current Kentucky Medicaid ID number or, complete a Kentucky State Provider Application. To apply for a NPI number click here; to apply for a Kentucky Medicaid ID number click here.

Send Completed Materials by mail to Provider Services. Mail To:

Mail To:

Avesis Third Party Administrators, Inc.
Attn: Kentucky Network Development
10324 South Dolfield Road
Owings Mills, MD 21117