Miscellaneous Health Coverage Provisions

• 205.565 Cabinet to Recognize Unique Costs of Pediatric Teaching Hospital
• 205.566 Electronic Medical Record Database
• 205.570 Respective Functions of Departments of Economic Security and Health—Repealed
• 205.575 Hospital Indigent Care Assurance Program—Repealed
• 205.576 Assessment of Cost-Based Providers;  Use of Assessments;  Return to Providers;  Appeals—Repealed
• 205.577 Assessment of Medical Providers;  Use of Assessments;  Return to Providers;  Appeals—Repealed
• 205.578 Legislative Review of Medicaid Assessment Improvement Trust Fund Expenditures and Transfers—Repealed
• 205.580 Staff Assistance for Council—Repealed
• 205.585 Review of Services and Treatment for Sickle Cell Disease;  Annual Report;   Short Title
• 205.590 Technical Advisory Committees
• 205.591 "Fair Market Value" of Applicant's Property if Used to Determine Eligibility
• 205.592 Eligibility of Pregnant Women, New Mothers, and Children up to Age 1 to Participate in Kentucky Medical Assistance Program
• 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
• 205.594 Health Coverage for Child Under Medical Child Support Order;  Duties of Health Insurers
• 205.595 Health Coverage for Child Under Medical Child Support Order;  Duties of Employers
• 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
• 205.597 Health Coverage Through Insurer of Noncustodial Parent of Child Under Medical Child Support Order
• 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
• 205.600 County Medical Review Committees—Repealed
• 205.604 Authority of Counties and Cities to Contract with Hospitals—Repealed
• 205.610 Dedication of Federal-State Medical Care Fund—Repealed
• 205.615 Use of Allowable Medicaid Funding for Trauma Care Costs
• 205.617 Expansion of Medicaid Coverage for Screening and Treatment of Breast or Cervical Cancer or Precancerous Conditions;  Short Title
• 205.618 Coverage for Tobacco Cessation Medications and Services
• 205.619 Medicaid Plan Amendment to Permit Establishing of Kentucky Long-Term Care Partnership Insurance Program
• 205.620 Time of Payment—Repealed
• 205.621 Increased Reimbursement for Medicaid
• 205.622 Billing of Third Party by Vendor for Medical Services
• 205.623 Information on Claims Paid for Insurance Policyholders and Dependents;  Use of Data;  Confidentiality of Information;  Prohibited Fees
• 205.624 Assignment to Cabinet by Recipient of Rights to Third-Party Payments;  Right of Recovery by Cabinet
• 205.626 Time Assignment Becomes Enforceable;  Payment to Cabinet;  Attorney's Fees
• 205.627 PRO Rata Diminishment of Cabinet's Subrogation Claim for Reimbursement—Repealed
• 205.628 Liability of Recipient
• 205.629 Notification of Cabinet in Actions Seeking Recovery for Recipient
• 205.630 Prohibited Activity by Cabinet;  Injunctive Relief
• 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
• 205.6310 Cabinet to Establish System to Reduce Unnecessary Hospital Emergency Room Utilization and Costs
• 205.6311 Substance Use Disorder Treatment Benefit;  Administrative Regulations;  Contracts with Medicaid Managed Care Organizations;  Annual Report
• 205.6312 Prohibit Charging Medical Recipients Copayments or Cost Sharing
• 205.6313 Medicaid Reimbursement for Primary Care Practitioners at Community Mental Health Centers
• 205.6314 Review of Reimbursement Rates for Emergency Transportation Providers;  Promulgation of Administrative Regulations Relating to Emergency Transportation Providers
• 205.6315 Requirements when Private Peer Review Organization is Contracted with to Conduct Reviews of Levels of Care
• 205.6316 Review of Procedures for Medical Assistance Reimbursement of Pharmacists to Reduce Fraud and Abuse;  Dispensing Fee
• 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
• 205.63171 Short Title for KRS 205.6317
• 205.6318 Cabinet to Establish Integrated System to Enhance Program Integrity of Medical Assistance Program
• 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
• 205.6320 Cabinet to Strengthen Managed Care Component of Kenpac Program and to Establish Standards for Access and Quality for Organizations Serving Medicaid Recipients
• 205.6322 Cabinet to Seek to Prohibit Sheltering of Assets in Long-Term-Care Cases
• 205.6324 Cabinet to Enhance Third-Party Resource Collection Capacity
• 205.6326 Review of Medicaid Reimbursement Systems;  Implementation of a Standardized Patient Assessment Tool and Consistent Quality-of-Care Mandates
• 205.6328 Quarterly Reports to General Assembly Regarding Medicaid Program Changes;  Expiration Provision
• 205.6330 Promotion of Access to Preventive Health Services by Low-Income Kentuckians Through Local Health Departments;  Cabinet to Establish Program as a Provider of Last Resort—Repealed
• 205.6332 System for Monitoring Use of Covered Services Using Appropriate Technology and Identification Card
• 205.6333 Reimbursement for in-Network Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies;  Reimbursement Rate;  Timeframe for Claim Submissions
• 205.6334 Request for Necessary Waivers of Federal Law
• 205.6336 Certification to Interim Joint Committee on Appropriations and Revenue of General Fund Savings Realized from Procedures Adopted to Control Health-Care Costs;  Transfer of Savings to Trust Fund—Repealed
• 205.6338 Implementation of Pilot Projects to Provide Health Care to Frail Elderly Medicaid-Eligible Individuals
• 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
• 205.635 Skilled Nursing Services Provided to Medicaid Recipients by Adult Day Health Care Programs
• 205.636 Temporary Covid–19 Personal Care Attendant;  Training and Competency Requirements;  Application for Waiver or Plan Amendment
• 205.637 Enhanced Medicaid Payments to County-Owned or Operated Hospitals;  Payments to Other Hospitals
• 205.638 Portion of Hospital Provider Tax Collections to Fund Enhancements to Inpatient Payments to Hospitals
• 205.639 Definitions for KRS 205.639 to 205.640
• 205.640 Medical Assistance Revolving Trust Fund (Mart);  Distribution of Disproportionate Share Funds;  Authority for Administrative Regulations;  Duties of Hospitals Receiving Funds from Mart
• 205.6401 Penalty for Failure of Medicaid Managed Care Organization to Provide Accurate Paid Claims Listing
• 205.6403 Administrative Regulations to Comply with Change in Federal Law;  Payments Contingent on Federal Participation
• 205.6405 Definitions for KRS 205.6405 to 205.6408
• 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
• 205.6407 Hospital Medicaid Assessment Fund
• 205.6408 Uses of Excess Disproportionate Share Taxes
• 205.641 Disproportionate Share Funds Paid to Acute Care Hospitals and Private Psychiatric Hospitals—Repealed
• 205.642 Pervasive Developmental Disorders;  Definition for KRS 200.654, 200.660, 347.020, and 387.510;  Waiver Application;  Report
• 205.643 Impact Plus Program;  Provider to Receive Copy of Criteria Used in Audit, Evaluation, or Review
• 205.645 Recognition of Varying Overhead Costs
• 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
• 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
• 205.648 Plan Amendment, Waiver, or Alternative Payment Model for Services of Certified Community Health Workers;  Reimbursement;  Services Provided;  Not to be Considered Duplicative;  Administrative Regulations and Approvals