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Click ‘Get Form’ to open the Kentucky Health Authorization Naloxone Medicaid form in our editor.
Begin by filling out the Patient Information section. Enter the patient's name, ID, group number, date of birth, and phone number accurately.
Next, complete the Prescribing Physician section. Provide the physician's name, specialty, NPI number, fax number, phone number, and address.
In the Diagnosis section, include the relevant diagnosis and ICD code as required.
Proceed to answer each question carefully. Circle 'Yes' or 'No' for questions regarding current prescriptions and consultations with certified physicians.
Ensure that all necessary documentation is attached before signing and dating the form at the bottom.
Finally, fax the completed form to Aetna Better Health of Kentucky at 1-855-799-2550 for processing.
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Does Kentucky Medicaid require prior authorization?
If you dont have a One Healthcare ID, visit UHCprovider.com/access. Note: Prior authorization is not required for emergency or urgent care. Out-of-network physicians, facilities and other health care professionals must request prior authorization for all procedures and services, excluding emergent or urgent care.
Will Medicaid cover Narcan?
Majority of Medicaid Managed Care Plans Cover Opioid Overdose Reversal Drug Naloxone.
What is the difference between Narcan and naloxone?
When naloxone was first approved to reverse opioid overdoses, its brand name was Narcan. There are now other formulations and brand names for naloxone, but many people continue to call all of these products Narcan. However, the proper generic name is naloxone.
Why doesnt insurance cover Narcan?
Many private insurance plans do not cover over-the-counter (OTC) drugs unless required to do so by state law or the Affordable Care Act, which does not require naloxone coverage.
Can a nurse administer naloxone without an order?
The registered nurse may administer naloxone or other opioid antagonist to anyone at risk for having or witnessing an opioid overdose.
kentucky health authorization naloxone medicaid
Kentucky medicaid prior Authorization Phone NumberKentucky Medicaid Prior Authorization FormKY Medicaid prior Authorization PortalKY Medicaid prior authorization LookUp ToolKentucky naloxone standing orderMedImpact KY MedicaidMedImpact KY Medicaid phone numberKy Medicaid PAD list
California to Purchase CalRx Branded Over-the-Counter Naloxone for $24 | Governor of California.
Is Narcan given out for free?
You can receive it: By mail Fill out the NARCAN order form. In person Visit a drop-in site for free training and kits. At pharmacies Available without a prescription in California (some fees may apply)
Related links
Majority of Medicaid Managed Care Plans Cover Opioid
Jun 27, 2025 A new study found that almost all plans in 40 states and Washington, DC covered at least one form of the opioid overdose reversal drug naloxone.
This will allow enrolled pharmacies in Kentucky to receive reimbursement for dispensing naloxone and nalmefene to members who do not have a prescription.
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