Medical Assistance (State Medicaid Program)
- 205.510 Definitions for Medical Assistance Law
- 205.512 Authority to Organize Regional Hospital Corporations; Controlling Provisions; Approval—Repealed
- 205.514 Standards for Approval of Articles of Incorporation—Repealed
- 205.516 Hospital Care Benefits Regulation—Repealed
- 205.518 Hospital Care Fund—Repealed
- 205.520 Title and Purpose of KRS 205.510 to 205.630; Recovery from Third Parties for Services Rendered
- 205.522 Duty of Department for Medicaid Services and Medicaid Managed Care Organizations to Comply with Specified Sections of Subtitle 17a of KRS Chapter 304
- 205.525 Application by Cabinet for Waiver, Waiver Amendment, or Request for Plan Amendment; Cabinet to Provide Updates upon Request
- 205.526 Application for Waiver to Provide Coverage to Prerelease Prisoners
- 205.527 Managing of Impact Plus Program by Medicaid Managed Care Organization; Continuation of Services for Eligible Children; Billing; Gaps in Service and Lack of Access
- 205.528 Hospital-to-Home Transition Program
- 205.529 Synchronization of Multiple Prescriptions for Treatment of a Chronic Illness
- 205.530 Administration of Medical Assistance; Provisions—Repealed
- 205.531 Administrative Hearings
- 205.532 Definitions for KRS 205.532 to 205.536; Contracts for Medicaid Services by Managed Care Organizations; Credentialing Alliance; Procedures; Enrollment of and Contracts with Providers; Failure to Agree on Terms and Conditions; Application Date; Credentialing Verification by University Hospitals; Electronic Verification of Licensure Information
- 205.533 Web Site of Managed Care Organization
- 205.534 Toll-Free Telephone Line; Duties Relating to Adverse Determinations; in-Person Meeting; Reprocessing Claims; Internal Appeals; Timely Decisions on Authorization and Preauthorization Requests; Monthly Reports; Penalties
- 205.535 Medicaid Enrollee Not Automatically Assigned to Managed Care Organization
- 205.536 Utilization Review; Prohibition Against Prospective or Concurrent Review of Prescription Drug for Alcohol or Opioid Use Disorder
- 205.5371 Community Engagement Program
- 205.5372 Specific Authorization from General Assembly Required to Exercise State's Option to Develop Basic Health Program Under Federal Law
- 205.5373 Department's Duties when Limited in Ability to Disenroll Individuals from State Medical Assistance Program
- 205.5374 Limitation on Designation of Cabinet or Department of Medicaid Services as Qualified Health Entity
- 205.5375 Definitions for Section; Presumptive Eligibility; Determination; Requirements; Administrative Regulations
- 205.5376 Substance Use Disorder Treatment for Incarcerated Individuals; Requirements
- 205.538 Statistics Report on Cancer Services for Colorectal Cancer Among Medicaid Recipients
- 205.540 Advisory Council for Medical Assistance; Membership; Expenses; Meetings; Qualifications of Members
- 205.550 Subjects on Which Council Advises
- 205.5510 Definitions for KRS 205.5510 to 205.5520
- 205.5512 Selection of and Contract with Third-Party Administrator as Pharmacy Benefit Manager for Medicaid Managed Care Organizations; Requirements for Department's Contracts, Procurement Process, Disclosure of Information, and Legislative Committee Review
- 205.5514 Department's Duties Regarding State Pharmacy Benefit Management
- 205.5516 Compliance of Payment Arrangements with State and Federal Laws and Regulations
- 205.5518 Required and Prohibited Actions by Pharmacy Benefit Manager; Penalty for Violation
- 205.5520 Annual Recommendations Regarding Pharmacy Benefit Reimbursement Methodologies and Dispensing Fees
- 205.557 Medicaid Reimbursement for Advocacy Center's Child Medical Evaluation; Waivers; Administrative Regulations
- 205.558 Prescreening and Admissions Review System
- 205.559 Requirements for Medicaid Reimbursement to Participating Providers for Telehealth Consultations; Reimbursement for Rural Health Clinics, Federally Qualified Health Centers, and Federally Qualified Health Center Look-Alikes; Location in State Not Required if Provider Offers Services Exclusively by Telehealth; Audio-Only Encounters
- 205.5591 Medicaid Providers Using Telehealth; Duties of Cabinet, Department for Medicaid Services, and Managed Care Organizations; Administrative Regulations; Policies and Guidelines
- 205.560 Scope of Care to be Designated by Administrative Regulations; Reimbursements Mandated or Prohibited; Payments to Community Mental Health Centers; Participation of Providers in Medical Assistance Program
- 205.5601 Cabinet's Reimbursement for Qualifying Ground Ambulance Service Transports
- 205.5602 Duties of Department for Medicaid Services Regarding Ground Ambulance Service Transports; Assessment Amount and Administration; Need for State Plan or Waiver Amendment; Reports
- 205.5603 Ambulance Service Assessment Fund; Appropriation and Transfer of Fund Moneys; Sole Purposes of Fund; Effect of Invalidity of KRS 205.5602