MISCELLANEOUS HEALTH COVERAGE PROVISIONS

Section 205.565 - Cabinet to recognize unique costs of pediatric teaching hospital
Section 205.566 - Electronic medical record database
Section 205.570 - [Repealed]
Section 205.575 - [Repealed]
Section 205.576 - [Repealed]
Section 205.577 - [Repealed]
Section 205.578 - [Repealed]
Section 205.580 - [Repealed]
Section 205.585 - Review of services and treatment for sickle cell disease - Annual report - Short title
Section 205.590 - Technical advisory committees
Section 205.591 - "Fair market value" of applicant's property if used to determine eligibility
Section 205.592 - [Effective Until 7/15/2024] Eligibility of pregnant women, new mothers, and children up to age 1 to participate in Kentucky Medical Assistance Program
Section 205.592 - [Effective 7/15/2024] Eligibility of pregnant women, new mothers, and children up to age 1 to participate in Kentucky Medical Assistance Program
Section 205.593 - Prohibition against health insurer's considering individual's eligibility for or receipt of medical assistance in enrollment or payment of benefits - Application of claims payment requirements to Medicaid services
Section 205.594 - Health coverage for child under medical child support order - Duties of health insurers
Section 205.595 - Health coverage for child under medical child support order - Duties of employers
Section 205.596 - Prohibition against health insurer's imposing requirements on state agency assigned rights of individual eligible for medical assistance that are different from those applicable to agent or assignee of other covered individual
Section 205.597 - Health coverage through insurer of noncustodial parent of child under medical child support order
Section 205.598 - Withholding of income and state tax refund of person required by court to provide cost of child's health service - Priority of claims for child support over costs of reimbursement of child medical support
Section 205.600 - [Repealed]
Section 205.604 - [Repealed]
Section 205.610 - [Repealed]
Section 205.615 - Use of allowable Medicaid funding for trauma care costs
Section 205.617 - Expansion of Medicaid coverage for screening and treatment of breast or cervical cancer or precancerous conditions - Short title
Section 205.618 - Coverage for tobacco cessation medications and services
Section 205.619 - Medicaid plan amendment to permit establishing of Kentucky Long-Term Care Partnership Insurance Program
Section 205.620 - [Repealed]
Section 205.621 - Increased reimbursement for Medicaid
Section 205.622 - Billing of third party by vendor for medical services
Section 205.623 - Information on claims paid for insurance policyholders and dependents - Use of data - Confidentiality of information - Prohibited fees
Section 205.624 - Assignment to cabinet by recipient of rights to third-party payments - Right of recovery by cabinet
Section 205.626 - Time assignment becomes enforceable - Payment to cabinet - Attorney's fees
Section 205.627 - [Repealed]
Section 205.628 - Liability of recipient
Section 205.629 - Notification of cabinet in actions seeking recovery for recipient
Section 205.630 - Prohibited activity by cabinet - Injunctive relief
Section 205.631 - Life settlement proceeds for long-term care services not considered as resource or asset for Medicaid eligibility - Notice of exhaustion of proceeds - Medicaid and applied income payments to begin immediately upon exhaustion of life settlement proceeds - Administrative regulations
Section 205.6310 - Cabinet to establish system to reduce unnecessary hospital emergency room utilization and costs
Section 205.6311 - Substance use disorder treatment benefit - Administrative regulations - Contracts with Medicaid managed care organizations - Annual report
Section 205.6312 - Prohibit charging medical recipients copayments or cost sharing
Section 205.6313 - Medicaid reimbursement for primary care practitioners at community mental health centers
Section 205.6314 - Review of reimbursement rates for emergency transportation providers - Promulgation of administrative regulations relating to emergency transportation providers
Section 205.6315 - Requirements when private peer review organization is contracted with to conduct reviews of levels of care
Section 205.6316 - Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse - Dispensing fee
Section 205.6317 - Department for Medicaid Services to develop strategies for reimbursing and paying persons participating in the Supports for Community Living Waiver Program - Allocation of slots - Administrative regulations - Funding
Section 205.63171 - Short title for KRS 205.6317
Section 205.6318 - Cabinet to establish integrated system to enhance program integrity of Medical Assistance Program
Section 205.632 - Pilot project to create coverage provisions and reimbursement criteria for telemonitoring services based on evidence-based best practices provided by a qualified medical provider or community action agency
Section 205.6320 - Cabinet to strengthen managed care component of KenPAC Program and to establish standards for access and quality for organizations serving Medicaid recipients
Section 205.6322 - Cabinet to seek to prohibit sheltering of assets in long-term-care cases
Section 205.6324 - Cabinet to enhance third-party resource collection capacity
Section 205.6326 - Review of Medicaid reimbursement systems - Implementation of a standardized patient assessment tool and consistent quality-of-care mandates
Section 205.6328 - Quarterly reports to General Assembly regarding Medicaid program changes - Expiration provision
Section 205.6330 - [Repealed]
Section 205.6332 - System for monitoring use of covered services using appropriate technology and identification card
Section 205.6333 - Reimbursement for in-network suppliers of durable medical equipment, prosthetics, orthotics, and supplies - Reimbursement rate - Timeframe for claim submissions
Section 205.6334 - Request for necessary waivers of federal law
Section 205.6336 - [Repealed]
Section 205.6338 - Implementation of pilot projects to provide health care to frail elderly Medicaid-eligible individuals
Section 205.634 - Payments prohibited to out-of-state health facility providing services without required certificate of need - Nonreimbursement of out-of-state providers of residential care for children - Exception - Administrative regulations
Section 205.635 - Skilled nursing services provided to Medicaid recipients by adult day health care programs
Section 205.636 - Temporary COVID-19 personal care attendant - Training and competency requirements - Application for waiver or plan amendment
Section 205.637 - Enhanced Medicaid payments to county-owned or operated hospitals - Payments to other hospitals
Section 205.638 - Portion of hospital provider tax collections to fund enhancements to inpatient payments to hospitals
Section 205.639 - Definitions for KRS 205.639 to 205.640
Section 205.640 - Medical Assistance Revolving Trust Fund (MART) - Distribution of disproportionate share funds - Authority for administrative regulations - Duties of hospitals receiving funds from MART
Section 205.6401 - Penalty for failure of Medicaid managed care organization to provide accurate paid claims listing
Section 205.6403 - Administrative regulations to comply with change in federal law - Payments contingent on federal participation
Section 205.6405 - [Effective Until 7/15/2024] Definitions for KRS 205.6405 to 205.6408
Section 205.6405 - [Effective 7/15/2024] Definitions for KRS 205.6405 to 205.6408
Section 205.6406 - Hospital rate improvement programs - Calculation and payment of assessment on hospitals to provide state matching dollars for federal Medicaid funds - Supplemental payments to hospitals - Federal participation and approval required for implementation of programs - Modification upon approval of supplemental payment formula - Program to increase outpatient reimbursement
Section 205.6407 - Hospital Medicaid assessment fund
Section 205.6408 - Uses of excess disproportionate share taxes
Section 205.641 - [Repealed]
Section 205.642 - Pervasive developmental disorders - Definition for KRS 200.654, 200.660, 347.020, and 387.510 - Waiver application - Report
Section 205.643 - IMPACT Plus Program - Provider to receive copy of criteria used in audit, evaluation, or review
Section 205.645 - Recognition of varying overhead costs
Section 205.646 - External independent third-party review of Medicaid managed care organization's final decision denying a health care service or a claim for reimbursement - Submission of multiple claims in a single review - Appeal - Administrative regulations - Applicability of statute
Section 205.647 - State pharmacy benefit manager's report to Department for Medicaid Services - Requirements for Medicaid services contracts entered into or renewed on or after March 27, 2020 - Administrative regulations - Reimbursement rates between pharmacy benefit manager and contracted pharmacy
Section 205.648 - Plan amendment, waiver, or alternative payment model for services of certified community health workers - Reimbursement - Services provided - Not be considered duplicative - Administrative regulations and approvals