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Form 888 online Kentucky: What You Should Know

Kentucky.gov Agency for Health Care Administration (HCA) — Kentucky .gov Application form. Online:. To get application from the mail, you must contact the Office of Program and Management. You can also fax applications to 502.567.9677. Fee waiver — Health Care Plan for the Elderly (HC PHE) — Kentucky.gov You may apply and get a waiver through the Kentucky Medicaid online portal, and get your application by fax the information to 502.567.9677. Health Risk Classification Schedule (ARCS) — Kentucky.gov If you receive a request from the Centers for Medicare and Medicaid Services (CMS) that you have to change your health risk classification on your application; you may file an appeal within 30 days of receiving the Notice of Opportunity to Submit an Application for a New Patient Classification for the Individual Market (NO SPAN). Fee Waiver — Health Benefit Plan for the Elderly (HOPE) — Kentucky.gov You may file a request for Fee Waiver through the Kentucky Medicaid Online portal. You can also fax the information to 502.567.9677. Medicare DSP Prior Authorization — Health Care Planning and Information — Kentucky.

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