911 Ky. Admin. Regs. 1:090

Current through Register Vol. 51, No. 6, December 1, 2024

Section 911 KAR 1:090 - Appeals

RELATES TO: KRS 13B, 194A.030, 200.460 - 200.499, 200.654(13), 205.520(3), 205.5606(1), 205.6317, 211.645, 211.647, 213.046(16), 216.2970, 311, 319, 334A, 42 C.F.R. 435.603, 42 U.S.C. 9902

NECESSITY, FUNCTION, AND CONFORMITY: KRS 194A.050(1) requires the secretary of the Cabinet for Health and Family Services to promulgate administrative regulations necessary to operate the programs and fulfill the responsibilities vested in the cabinet, to implement programs mandated by federal law, or to qualify for federal funds. KRS 194A.030 authorizes the Office for Children with Special Health Care Needs (OCSHCN) to promulgate administrative regulations as may be necessary to implement and administer its responsibilities under KRS 200.460 to 200.490. This administrative regulation establishes appeal rights for eligibility, procedures for application, assignment of pay category, minimum monthly payments, fees, and reporting requirements for OCSHCN patients and diagnostic centers.

Section 1. Appeal Rights. An individual, provider, or entity who is affected by an adverse action in KAR Title 911, except those actions heard according to 911 KAR 1:060, may request an administrative hearing with the Cabinet for Health and Family Services Office of the Ombudsman and Administrative Review. A request for an administrative hearing shall be:

(1)

(a) Mailed to the Office of the Ombudsman and Administrative Review, Quality Advancement Branch, 275 E. Main Street, 2 E-O, Frankfort, Kentucky 40621;

(b) Emailed to CHFS Listens Inbox at CHFS.Listens@ky.gov; or

(c) FAXED to (502) 564-9523; and

(2) Received within thirty (30) calendar days from the date of the written notice of the adverse action.

(3) The administrative hearing shall be conducted in accordance with KRS Chapter 13B.

911 KAR 1:090

49 Ky.R. 1391, 1801; eff. 3/16/2023.

STATUTORY AUTHORITY:KRS 194A.050(1)