Administrative Policies
These administrative policies apply to the Kentucky Marketplace plans.
Administrative policies offer guidance on determination of medical necessity, investigation and experimental services.
The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
Current Administrative Policies
The following policies have moved to the Pharmacy Policy page:
- Off Label Medication Request
- Multi-Source Brand Policy (previously DAW policy)
- Medical Benefit Medications
- Clinical Review for Formulary and Non-Formulary Medications
- Multi-ingredient Compound Policy