WHO WE ARE
The Kentucky Primary Care Association was founded in 1976 as a not-for-profit 501(c)(3) corporation of community health centers, rural health clinics, licensed primary care centers and other organizations and individuals
concerned about access to health care services for the state’s under-served rural and urban populations.
KPCA is charged with promoting the mutual interests of our members, with a mission to promote access to comprehensive, community-oriented primary health care services for the underserved.
Association members are providers of primary care – first contact, broadly trained physicians, physician assistants, nurse practitioners, behavioral health providers,dental providers and other professionals delivering whole-person health care.
We support the development of primary care services throughout the Commonwealth by working with federal, state and local legislators, regulatory agencies, health policy organizations, foundations, and payers to build a stronger primary care system in Kentucky.
KPCA was established to:
- Develop a unified coalition of primary care providers.
- Stimulate and support development of primary health care services.
- Serve the needs of our members.
(5-19-17) Change of Contact form for Provider Enrollment.
- This allows the Provider to update contact and address information.
- Additionally, this form can update information on change of facility name, principals involved and redirect payment information.
- Update Contact information: and Addresses for Myers & Stauffer.
- Claim Reason Codes: This is the universal set of codes published by CMS explaining edits of patient claims. The applicable codes and explanation appear on the EOB.
- Problem #1: Although the MCOs use this, at times the code is applied too broadly thus becomes confusing.
- Problem #2: Providers do not always see the actual EOB, thus failing to be alerted to a fixable problem.
- Provider Research List: Claim adjustments reported in the Weekly Remittance Advice report, RA. The numbers are the first 2 numbers of the claim ICN listed on the right side of the report. The 85 & 88 codes are supplemental payments and recoupment that are solely used by DMS. The 86 & 87 codes indicate action on an encounter by the MCOs.
(5-10-17) New BPHC News
Calendar Year (CY) 2018 Requirements for Federal Tort Claims Act (FTCA) Medical Malpractice Coverage for Health Centers Program Assistance Letter (PAL) 2017-03
HRSA has issued PAL 2017-03 to describe the process for Health Center Program grantees to submit initial and redeeming FTCA deeming applications for CY 2017 and 2018. Redeeming applications are due by Monday, July 24, 2017, 11:59 p.m., EDT. Stay tuned for dates and times for the Technical Assistance (TA) webcast.
- (5-11-17) WHY Press Release - Women's Health & You
- (5-4-17) Free Workshop to Help Nonprofits Work with the Media Scheduled for May 24 in Owensboro, KY
- (5-3-17) Foundation Policy Initiative Keeps Kentucky's Health Issues Top-of Mind
- (5-1-17) KY Medicaid - Provider Webinars Spring 2017
- (4-27-17) Clinicians: MIPS Participation Status Letter
- (4-27-17) Antibiotic Stewardship
- (4-21-17) 2017 NARHC Spring News
- (4-17-17) MIPS Participation Fact Sheet
- (4-13-17) Communities Must Be Prepared to Respond to Opioid Abuse, Overdoses
- (4-12-17) Kentucky town worried about Obamacare repeal
- (4-11-17) NHSC New Site Application Cycle is Open
- (4-11-17) EM 99211 Job Aid (2010)
- (4-11-17) Understanding When to Use 99211
Conference Presentations, Federal Guidelines, and much more
Without health insurance many are unable to access the health care they need. Kynect, Kentucky’s State Based Health Insurance marketplace, allows individuals and families to enroll in health insurance coverage.
The Kentucky Primary Care Association operates a messenger-style Independent Practice Association (IPA), which contracts with Medicaid Managed Care Organizations, Medicare and commercial payors on behalf of KPCA members.
KPCA’s Quality Improvement Program supports practice transformation and the transition to value-driven care with the purpose of developing the IPA practices into a high performing preferred provider network