Kentucky Medicaid Program – Routine Vision and Eye Medical
As of January 1, 2013, WellCare of Kentucky has expanded into Region 3/31 and Avesis will administer the routine eye care benefit and eye medical benefits for those members. Region 3/31 consists of the following counties: Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, and Washington.
As of October 1, 2011, Avesis Third Party Administrators, Inc. became the eye care program administrator for WellCare of Kentucky within the Kentucky Department of Medicaid Services. Avesis administers the routine eye care benefit and eye medical benefits for WellCare of Kentucky members.
If you are currently an Avesis participating provider and are interested in participating in the Kentucky Medicaid program for these groups, please sign and return the addendum located here. Please note that all providers will need a Kentucky Medicaid member.
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 855-469-3368.
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 a NPI, current Medicaid ID number and fill out a Kentucky State 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:Avesis Third Party Administrators, Inc.
Attn: Kentucky Network Development
10324 South Dolfield Road
Owings Mills, MD 21117