Kan. Admin. Regs. § 30-5-116

Current through Register Vol. 43, No. 23, June 6, 2024

Section 30-5-116 - Scope of rehabilitation services

Rehabilitation services shall be covered for medicaid recipients when provided by providers enrolled pursuant to K.A.R. 30-5-59. These services may include the following:

(a) Substance abuse treatment provided by an enrolled alcohol and drug addiction community service provider;

(b) behavior management services provided by an enrolled behavior management provider, including the following:

(1) Family mental health treatment services that have received prior authorization from a provider recommended by either the juvenile justice authority or the department's division of children and family policy;

(2) group mental health treatment services that have received prior authorization from a provider recommended by either the juvenile justice authority or the department's division of children and family policy;

(3) in-home, family-based mental health services that have received prior authorization from a provider recommended by either the juvenile justice authority or the department's division of children and family policy; and

(4) comprehensive evaluation and transition services for children who have special psychological or emotional, developmental, or health needs directed toward placement of the recipient in the least restrictive environment;

(c) psychological services, audiological services, Kan Be Healthy screenings, physical therapy, speech pathology or occupational therapy services provided to recipients when medically necessary for purposes of screening and evaluation and for providing services pursuant to an individualized educational plan or individualized family service plan and when provided by employees or contractors of enrolled local education agencies; and

(d) long-term head injury rehabilitation provided by an enrolled head injury rehabilitation facility. Long-term head injury rehabilitation shall be limited to only those individuals who meet the following criteria:

(1) Have sustained a traumatic head injury;

(2) continue to show progress in their recovery; and

(3) can benefit from transitional living skills training.

This regulation shall be effective on and after January 1, 2004.

Kan. Admin. Regs. § 30-5-116

Authorized by and implementing K.S.A. 39-708c; effective July 1, 1989; amended, T-30-1-2-90, Jan. 2, 1990; amended, T-30-2-28-90, Jan. 2, 1990; amended Aug. 1, 1990; amended Jan. 7, 1991; amended, T-30-10-2-91, Oct. 2, 1991; amended Jan. 2, 1992; amended July 1, 1994; amended Sept. 1, 1995; amended Jan. 1, 2004.