Statutes, codes, and regulations
Kansas Administrative Code
Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM
Section 30-5-104 - Scope of psychological services

Kan. Admin. Regs. § 30-5-104

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Current through Register Vol. 43, No. 49, December 5, 2024
Section 30-5-104 - Scope of psychological services

Psychological services shall be covered for medicaid recipients when provided by clinical psychologists who are licensed by the behavioral sciences regulatory board.

(a) Psychotherapy services shall be limited to 40 hours per calendar year for Kan Be Healthy program participants.
(b) Psychotherapy services shall be limited to 32 hours per calendar year for those not participating in the Kan Be Healthy program.
(c) Psychotherapy shall not be covered when provided concurrently by the same provider with both partial hospitalization and case management.
(d) Special psychological services for Kan Be Healthy program participants shall be rendered pursuant to a plan approved by the Kansas department of social and rehabilitation services. The plan shall require prior authorization, and shall not exceed a two-year period. Quarterly progress reports shall be submitted to the department upon request.
(e) Inpatient hospital visits shall be limited to those visits ordered by the recipient's physician, and shall not exceed those allowable days for which the hospital is paid or would be paid if there were no spenddown requirements.
(f) Visits to nursing facilities by the psychologist as part of the plan of care shall be ordered by the recipient's physician. Visits to intermediate care facilities for mental retardation shall be limited to psychological testing and evaluation. Visits to nursing facilities for mental health shall be limited to program consultation.
(g) Four hours of psychological testing and evaluation shall be allowed every two consecutive calendar years for medicaid program recipients regardless of provider except that Kan Be Healthy program participants shall be allowed six hours. The effective date of this regulation shall be July 1, 1991.

Kan. Admin. Regs. § 30-5-104

Authorized by and implementing K.S.A. 1990 Supp. 39-708; effective May 1, 1981; amended May 1, 1982; modified, L. 1983, ch. 361, May 1, 1983; amended May 1, 1984; amended May 1, 1986; amended, T-87-5, May 1, 1986; amended May 1, 1987; amended May 1, 1988; amended Jan. 2, 1989; amended Aug. 1, 1990; amended Jan. 2, 1991; amended July 1, 1991.