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Kentucky Chapter 205 — Public Assistance and Medical Assistance

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  • KRS 205.010— Definitions for chapter
  • KRS 205.020— Repealed, 1950
  • KRS 205.030— Repealed, 1950
  • KRS 205.040— Repealed, 1950
  • KRS 205.045— Renumbered as KRS 45.235
  • KRS 205.050— Repealed, 1950
  • KRS 205.060— Repealed, 1942
  • KRS 205.065— Repealed, 1950
  • KRS 205.070— Repealed, 1950
  • KRS 205.080— Repealed, 1950
  • KRS 205.090— Repealed, 1966
  • KRS 205.100— Repealed, 1966
  • KRS 205.110— Repealed, 1966
  • KRS 205.120— Repealed, 1966
  • KRS 205.130— Repealed, 1966
  • KRS 205.140— Repealed, 1966
  • KRS 205.150— Repealed, 1966
  • KRS 205.160— Repealed, 1974
  • KRS 205.170— Powers of secretary
  • KRS 205.172— Required reports to Legislative Research Commission
  • KRS 205.173— Attorney General jurisdiction to enforce chapter and bring action -- Conditions
  • KRS 205.175— Confidential treatment of information and records -- Persons to whom furnished
  • KRS 205.177— Information may be shared by state and local governmental agencies -- Conditions
  • KRS 205.178— Enrollment or benefit tracking agency to receive information on recipients of Medicaid and Supplemental Nutrition Assistance Program benefits -- Memorandum of understanding with departments providing information -- Independent vendors -- Multistate cooperative -- Review when information indicates change in circumstances affecting recipient's eligibility -- Waiver of federal requirements relating to Supplemental Nutrition Assistance Program -- Rules and regulations -- Report
  • KRS 205.179— Annual review of sites where residents receive state supplemental benefits to determine registration status of boarding home
  • KRS 205.180— Destruction of records
  • KRS 205.190— Repealed, 1974
  • KRS 205.191— Definitions for KRS 15.812, 205.178, 205.193, 205.200, 205.231, 205.232, and 205.525
  • KRS 205.193— Cabinet to establish and maintain policies and practices -- Restrictions on recipient's use of cash assistance benefits -- Penalties -- Duties of cabinet
  • KRS 205.200— Eligibility for public assistance
  • KRS 205.201— Duties of cabinet as to the aging and the minority elderly
  • KRS 205.202— Acceptance and disposition of gifts and grants
  • KRS 205.203— Authorization to provide in-home services to the aging -- Collection of fees
  • KRS 205.204— Cabinet to administer Older Americans Act -- Regulatory authority
  • KRS 205.210— Amount of assistance -- Proration in case of deficiency -- Resources defined
  • KRS 205.211— Secretary to correct any underpayment or overpayment of public assistance benefits
  • KRS 205.213— Technical amendment to material that has been incorporated by reference in administrative regulation governing Supplemental Nutrition Assistance Program
  • KRS 205.215— Repealed, 1998
  • KRS 205.217— Repealed, 2020
  • KRS 205.220— Payments, to whom made -- Accounting -- Exemption from assignment, levy or execution
  • KRS 205.222— Repealed, 1978
  • KRS 205.223— Repealed, 1978
  • KRS 205.225— Repealed, 1979
  • KRS 205.227— Action by secretary against persons legally liable for support
  • KRS 205.230— Repealed, 1964
  • KRS 205.231— Appeals -- Hearing officers -- Appeal board -- Procedure
  • KRS 205.232— Cash assistance benefits disqualification -- Protective payee -- Administrative regulations
  • KRS 205.234— Repealed, 1996
  • KRS 205.237— Public assistance claimant may have counsel -- Fees
  • KRS 205.240— Public assistance funds -- Availability to secretary
  • KRS 205.245— Supplementary payments
  • KRS 205.250— Repealed, 1972
  • KRS 205.260— Repealed, 1956
  • KRS 205.270— Repealed, 1956
  • KRS 205.280— Repealed, 1956
  • KRS 205.290— Revolving fund -- Disbursement -- Balance not to lapse
  • KRS 205.300— Repealed, 1960
  • KRS 205.310— Liability of stepparent for support furnished child
  • KRS 205.320— Repealed, 1956
  • KRS 205.325— Repealed, 1966
  • KRS 205.330— Repealed, 1972
  • KRS 205.335— Repealed, 1972
  • KRS 205.340— Repealed, 1972
  • KRS 205.350— Repealed, 1972
  • KRS 205.400— Energy Cost Assistance Program established -- Eligibility requirements -- Allocation of funds -- Payments
  • KRS 205.410— Repealed, 1976
  • KRS 205.420— Repealed, 1976
  • KRS 205.430— Repealed, 1976
  • KRS 205.440— Repealed, 1976
  • KRS 205.450— Repealed, 1976
  • KRS 205.455— Definitions for KRS 205.460
  • KRS 205.460— Essential services -- Funding -- Collection of fees and contributions
  • KRS 205.465— Repealed, 2017
  • KRS 205.470— Centralized resource and referral center for aging caregivers of individuals with an intellectual disability or other developmental disability
  • KRS 205.510— Definitions for medical assistance law
  • KRS 205.512— Repealed, 1972
  • KRS 205.514— Repealed, 1972
  • KRS 205.515— Medicaid program delivery system
  • KRS 205.516— Repealed, 1972
  • KRS 205.517— Records retention
  • KRS 205.518— Repealed, 1972
  • KRS 205.520— Title and purpose of KRS 205.510 to 205.630 -- Recovery from third parties for services rendered
  • KRS 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
  • KRS 205.525— Application by cabinet for waiver, waiver amendment, waiver renewal, or request for state plan amendment -- Cabinet to provide updates upon request
  • KRS 205.526— Application for waiver to provide coverage to prerelease prisoners
  • KRS 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
  • KRS 205.528— Hospital-to-Home Transition Program
  • KRS 205.529— Synchronization of multiple prescriptions for treatment of a chronic illness
  • KRS 205.530— Repealed, 1974
  • KRS 205.531— Administrative hearings
  • KRS 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
  • KRS 205.533— Web site of managed care organization
  • KRS 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
  • KRS 205.535— Medicaid enrollee not automatically assigned to managed care organization
  • KRS 205.536— Utilization review -- Prohibition against prospective or concurrent review of prescription drug for alcohol or opioid use disorder
  • KRS 205.538— Statistics report on cancer services for colorectal cancer among Medicaid recipients
  • KRS 205.539— Coverage and reimbursement for at-home anticoagulation management -- Administrative regulations
  • KRS 205.540— Advisory Council for Medical Assistance -- Membership -- Expenses -- Meetings -- Qualifications of members
  • KRS 205.541— Application of clinical criteria for sepsis
  • KRS 205.550— Subjects on which council advises
  • KRS 205.553— Kentucky Medicaid pharmaceutical rebate fund
  • KRS 205.556— Coverage for lactation consultation, breastfeeding equipment, in-home programs for pregnant and postpartum women, and telehealth or digital health services related to maternity care
  • KRS 205.557— Medicaid reimbursement for advocacy center's child medical evaluation -- Waivers -- Administrative regulations
  • KRS 205.558— Prescreening and admissions review system
  • KRS 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
  • KRS 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
  • KRS 205.561— Report on the dispensing of prescription medications
  • KRS 205.564— Pharmacy and Therapeutics Advisory Committee -- Membership -- Duties -- Information posted on Web site -- Recommendations -- Presentations by interested parties -- Appeals -- Administrative regulations
  • KRS 205.565— Cabinet to recognize unique costs of pediatric teaching hospital
  • KRS 205.566— Electronic medical record database
  • KRS 205.570— Repealed, 1974
  • KRS 205.575— Repealed, 1993
  • KRS 205.576— Repealed, 1993
  • KRS 205.577— Repealed, 1993
  • KRS 205.578— Repealed, 1993
  • KRS 205.580— Repealed, 1974
  • KRS 205.585— Review of services and treatment for sickle cell disease -- Annual report -- Short title
  • KRS 205.590— Technical advisory committees
  • KRS 205.591— "Fair market value" of applicant's property if used to determine eligibility
  • KRS 205.592— Eligibility of pregnant women, new mothers, and children up to age 1 to participate in Kentucky Medical Assistance Program
  • KRS 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
  • KRS 205.594— Health coverage for child under medical child support order -- Duties of health insurers
  • KRS 205.595— Health coverage for child under medical child support order -- Duties of employers
  • KRS 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
  • KRS 205.597— Health coverage through insurer of noncustodial parent of child under medical child support order
  • KRS 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
  • KRS 205.600— Repealed, 1982
  • KRS 205.604— Repealed, 1972
  • KRS 205.610— Repealed, 1972
  • KRS 205.615— Use of allowable Medicaid funding for trauma care costs
  • KRS 205.617— Expansion of Medicaid coverage for screening and treatment of breast or cervical cancer or precancerous conditions -- Short title
  • KRS 205.618— Coverage for tobacco cessation medications and services
  • KRS 205.619— Medicaid plan amendment to permit establishing of Kentucky Long-Term Care Partnership Insurance Program
  • KRS 205.620— Repealed, 1966
  • KRS 205.621— Increased reimbursement for Medicaid
  • KRS 205.622— Billing of third party by vendor for medical services
  • KRS 205.623— Information on claims paid for insurance policyholders and dependents -- Use of data -- Confidentiality of information -- Prohibited fees
  • KRS 205.624— Assignment to cabinet by recipient of rights to third-party payments -- Right of recovery by cabinet
  • KRS 205.626— Time assignment becomes enforceable -- Payment to cabinet -- Attorney's fees
  • KRS 205.627— Repealed, 1996
  • KRS 205.628— Liability of recipient
  • KRS 205.629— Notification of cabinet in actions seeking recovery for recipient
  • KRS 205.630— Prohibited activity by cabinet -- Injunctive relief
  • KRS 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
  • KRS 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
  • KRS 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
  • KRS 205.635— Skilled nursing services provided to Medicaid recipients by adult day health care programs
  • KRS 205.636— Temporary COVID-19 personal care attendant -- Training and competency requirements -- Application for waiver or plan amendment
  • KRS 205.637— Enhanced Medicaid payments to county-owned or operated hospitals -- Payments to other hospitals
  • KRS 205.638— Portion of hospital provider tax collections to fund enhancements to inpatient payments to hospitals
  • KRS 205.639— Definitions for KRS 205.639 to 205.640
  • KRS 205.640— Medical Assistance Revolving Trust Fund (MART) -- Distribution of disproportionate share funds -- Authority for administrative regulations -- Duties of hospitals receiving funds from MART
  • KRS 205.641— Repealed, 2018
  • KRS 205.642— Pervasive developmental disorders -- Definition for KRS 200.654, 200.660, 347.020, and 387.510 -- Waiver application -- Report
  • KRS 205.643— IMPACT Plus Program -- Provider to receive copy of criteria used in audit, evaluation, or review
  • KRS 205.645— Recognition of varying overhead costs
  • KRS 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
  • KRS 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
  • KRS 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
  • KRS 205.650— Repealed, 1998
  • KRS 205.660— Repealed, 1998
  • KRS 205.670— Repealed, 1998
  • KRS 205.680— Repealed, 1998
  • KRS 205.690— Reports to General Assembly
  • KRS 205.700— Repealed, 1998
  • KRS 205.702— Educational and vocational programs for parents receiving public assistance -- Reports by cabinet
  • KRS 205.703— Educational and vocational programs eligible for supportive services -- Prohibition against discontinuance of service to low income parents except under certain circumstances
  • KRS 205.704— Preparation and submission of strategic plan to further education of low-income parents -- Parties included in planning process
  • KRS 205.705— Legislative intent regarding child support statutes
  • KRS 205.710— Renumbered as KRS 15.800
  • KRS 205.712— Renumbered as KRS 15.802
  • KRS 205.713— Renumbered as KRS 15.804
  • KRS 205.715— Renumbered as KRS 15.806
  • KRS 205.720— Renumbered as KRS 15.808
  • KRS 205.721— Renumbered as KRS 15.810
  • KRS 205.725— Renumbered as KRS 15.812
  • KRS 205.730— Renumbered as KRS 15.814
  • KRS 205.732— Renumbered as KRS 15.816
  • KRS 205.735— Renumbered as KRS 15.818
  • KRS 205.740— Repealed, 1988
  • KRS 205.741— Repealed, 1990
  • KRS 205.743— Repealed, 1990
  • KRS 205.744— Repealed, 1990
  • KRS 205.745— Renumbered as KRS 15.820
  • KRS 205.750— Renumbered as KRS 15.822
  • KRS 205.752— Renumbered as KRS 15.824
  • KRS 205.755— Renumbered as KRS 15.826
  • KRS 205.760— Repealed, 1988
  • KRS 205.765— Renumbered as KRS 15.828
  • KRS 205.766— Renumbered as KRS 15.830
  • KRS 205.767— Renumbered as KRS 15.832
  • KRS 205.768— Renumbered as KRS 15.834
  • KRS 205.769— Renumbered as KRS 15.838
  • KRS 205.770— Renumbered as KRS 15.842
  • KRS 205.772— Renumbered as KRS 15.844
  • KRS 205.774— Renumbered as KRS 15.846
  • KRS 205.775— Repealed, 1988
  • KRS 205.776— Renumbered as KRS 15.848
  • KRS 205.778— Renumbered as KRS 15.850
  • KRS 205.780— Renumbered as KRS 15.854
  • KRS 205.782— Renumbered as KRS 15.856
  • KRS 205.785— Renumbered as KRS 15.858
  • KRS 205.790— Renumbered as KRS 15.860
  • KRS 205.792— Renumbered as KRS 15.862
  • KRS 205.793— Renumbered as KRS 15.864
  • KRS 205.795— Renumbered as KRS 15.866
  • KRS 205.796— Renumbered as KRS 15.868
  • KRS 205.798— Renumbered as KRS 15.872
  • KRS 205.800— Renumbered as KRS 15.874
  • KRS 205.802— Renumbered as KRS 15.876
  • KRS 205.810— Repealed, 1998
  • KRS 205.830— Legislative intent
  • KRS 205.835— Disclosure of financial data pertinent to applicants for or recipients of benefits -- Fee -- Written consent
  • KRS 205.845— Repealed, 1994
  • KRS 205.850— Repealed, 1994
  • KRS 205.855— Repealed, 1994
  • KRS 205.900— Definitions for KRS 205.905 to 205.920
  • KRS 205.905— Subsidy for personal care assistance
  • KRS 205.910— Eligibility standard -- Subsidy not income for federal law purposes -- Supplements other programs
  • KRS 205.915— Appeal of decision by aggrieved party
  • KRS 205.920— Regulations
  • KRS 205.925— Implementation of KRS 205.900 to 205.920 by cabinet
  • KRS 205.935— Definitions for KRS 205.940
  • KRS 205.940— Representative payee fund
  • KRS 205.950— Repealed, 2020
  • KRS 205.955— Repealed, 2020
  • KRS 205.990— Penalties
  • KRS 205.991— Repealed, 1979
  • KRS 205.992— Penalties for child support recovery offenses
  • KRS 205.1781— Legislative findings
  • KRS 205.1783— Transitional benefit alternative -- Elderly Simplified Application Project -- Online employment and training program -- Administrative regulations
  • KRS 205.2001— "Public assistance under Title IV-A of the Federal Social Security Act standard of need" defined
  • KRS 205.2002— Repealed, 1998
  • KRS 205.2003— Administrative regulations for work program for public assistance recipients
  • KRS 205.2005— Opt-out of 21 U.S.C. sec. 862a(a)
  • KRS 205.5361— Utilization rates and expenditures for all Medicaid-covered behavioral health and substance use disorder services -- Annual report
  • KRS 205.5365— Prohibition on expenditure of Medicaid funds for cross-sex hormones for treatment of gender dysphoria or gender reassignment surgery
  • KRS 205.5371— Community engagement waiver program
  • KRS 205.5372— Specific authorization from General Assembly required to exercise state's option to develop basic health program under federal law or make changes to eligibility, coverage, or benefits -- Fiscal impact assessment required -- Construction
  • KRS 205.5373— Department's duties when limited in ability to disenroll individuals from state medical assistance program
  • KRS 205.5374— Limitation on designation of cabinet or Department for Medicaid Services as qualified health entity
  • KRS 205.5375— Definitions for section -- Presumptive eligibility -- Determination -- Requirements -- Administrative regulations
  • KRS 205.5376— Substance use disorder treatment for incarcerated individuals -- Requirements
  • KRS 205.5510— Definitions for KRS 205.5510 to 205.5520
  • KRS 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
  • KRS 205.5514— Department’s duties regarding state pharmacy benefit management
  • KRS 205.5516— Compliance of payment arrangements with state and federal laws and regulations
  • KRS 205.5518— Required and prohibited actions by pharmacy benefit manager -- Penalty for violation
  • KRS 205.5520— Annual recommendations regarding pharmacy benefit reimbursement methodologies and dispensing fees
  • KRS 205.5591— Medicaid providers using telehealth -- Duties of cabinet, Department for Medicaid Services, and managed care organizations -- Administrative regulations -- Policies and guidelines
  • KRS 205.5601— Cabinet’s reimbursement for qualifying ground ambulance service transports
  • KRS 205.5602— Definitions for this section and KRS 205.5601 and 205.5603 -- Duties of Department for Medicaid Services regarding ground ambulance service transports -- Assessment amount and administration -- Need for state plan or waiver amendment -- Reports
  • KRS 205.5603— Ambulance service assessment fund -- Appropriation and transfer of fund moneys -- Sole purposes of fund -- Effect of invalidity of KRS 205.5602
  • KRS 205.5604— Department for Medicaid Services to submit Medicaid preprint to establish supplemental payment program for public ground ambulance providers -- Administration of program -- Funding -- Eligibility
  • KRS 205.5605— Definitions for KRS 205.5605 to 205.5607
  • KRS 205.5606— Kentucky Independence Plus Through Consumer-Directed Services Program -- Consumer participation -- Responsibilities of cabinet and fiscal intermediary -- Background screening -- Regulations
  • KRS 205.5607— Applicability of KRS Chapter 342
  • KRS 205.5621— Definitions for KRS 205.5621 to 205.5625
  • KRS 205.5622— Kentucky Pharmaceutical Assistance Program -- Contingency for establishment -- Purpose -- Eligibility -- Enrollment priority
  • KRS 205.5623— Department's powers in providing program benefits
  • KRS 205.5624— Payment of benefits -- Limitations -- Qualification for coverage
  • KRS 205.5625— Residency standards
  • KRS 205.5631— Definitions for KRS 205.5631 to 205.5639
  • KRS 205.5632— Prior authorization requirements -- Administrative regulations
  • KRS 205.5634— Coordination of use of utilization data -- Identification of appropriate use of pharmaceuticals -- Determination of need for educational intervention
  • KRS 205.5636— Drug Management Review Advisory Board -- Membership -- Officers -- Meetings
  • KRS 205.5638— Duties and responsibilities of board
  • KRS 205.5639— Effect of board recommendations -- Written exceptions -- Final decision -- Appeal
  • KRS 205.5641— Prior authorization not required for medication-assisted therapies in pilot project -- No restrictions on participating pharmacies and pharmacists
  • KRS 205.6310— Cabinet to establish system to reduce unnecessary hospital emergency room utilization and costs
  • KRS 205.6311— Substance use disorder treatment benefit -- Administrative regulations -- Contracts with Medicaid managed care organizations -- Annual report
  • KRS 205.6312— Prohibit charging medical recipients copayments or cost sharing
  • KRS 205.6313— Medicaid reimbursement for primary care practitioners at community mental health centers
  • KRS 205.6314— Review of reimbursement rates for emergency transportation providers -- Promulgation of administrative regulations relating to emergency transportation providers
  • KRS 205.6315— Requirements when private peer review organization is contracted with to conduct reviews of levels of care
  • KRS 205.6316— Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse -- Dispensing fee
  • KRS 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
  • KRS 205.6318— Cabinet to establish integrated system to enhance program integrity of Medical Assistance Program
  • KRS 205.6320— Cabinet to strengthen managed care component of KenPAC Program and to establish standards for access and quality for organizations serving Medicaid recipients
  • KRS 205.6322— Cabinet to seek to prohibit sheltering of assets in long-term-care cases
  • KRS 205.6324— Cabinet to enhance third-party resource collection capacity
  • KRS 205.6326— Review of Medicaid reimbursement systems -- Implementation of a standardized patient assessment tool and consistent quality-of-care mandates
  • KRS 205.6328— Medicaid managed care contracts after March 27, 2025, to include provision for collection of expenditure data -- Quarterly budget analysis report required -- Applicability of Open Records Act -- Quarterly reports from managed care companies to department -- Quarterly enrollee demographics report -- Quarterly health care provider tax and assessment report
  • KRS 205.6330— Repealed, 1996
  • KRS 205.6332— System for monitoring use of covered services using appropriate technology and identification card
  • KRS 205.6333— Reimbursement for in-network suppliers of durable medical equipment, prosthetics, orthotics, and supplies -- Reimbursement rate -- Timeframe for claim submissions
  • KRS 205.6334— Request for necessary waivers of federal law
  • KRS 205.6336— Repealed, 2017
  • KRS 205.6338— Implementation of pilot projects to provide health care to frail elderly Medicaid-eligible individuals
  • KRS 205.6401— Penalty for failure of Medicaid managed care organization to provide accurate paid claims listing
  • KRS 205.6403— Administrative regulations to comply with change in federal law -- Payments contingent on federal participation
  • KRS 205.6405— Definitions for KRS 205.6405 to 205.6408
  • KRS 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
  • KRS 205.6407— Hospital Medicaid assessment fund
  • KRS 205.6408— Uses of excess disproportionate share taxes
  • KRS 205.6411— Definitions for KRS 205.6411 and 205.6412
  • KRS 205.6412— Rate improvement program for certain qualifying hospitals -- Eligibility -- Federal participation and approval required for implementation of program
  • KRS 205.6481— Legislative findings
  • KRS 205.6483— Kentucky Children's Health Insurance Program -- Purposes
  • KRS 205.6485— State child health plan -- Eligibility criteria -- Schedule of benefits -- Premium contributions -- Access
  • KRS 205.6487— Establishment of trust fund -- Maintenance
  • KRS 205.6489— Administration -- Outreach -- Data collection
  • KRS 205.6491— Repealed, 2017
  • KRS 205.6495— Short title for KRS 205.6481 to 205.6495 and KRS 304.17A-340
  • KRS 205.6497— Required provisions in plans
  • KRS 205.7685— Renumbered as KRS 15.836
  • KRS 205.7695— Renumbered as KRS 15.840
  • KRS 205.7785— Renumbered as KRS 15.852
  • KRS 205.7965— Renumbered as KRS 15.870
  • KRS 205.8451— Definitions for KRS 205.8451 to 205.8483
  • KRS 205.8453— Responsibility for control of fraud and abuse
  • KRS 205.8455— Recipient Utilization Review Committee -- Authority
  • KRS 205.8457— Responsibility of managed care primary physician
  • KRS 205.8459— Emergency service
  • KRS 205.8461— Unlawful referral practices of provider -- Penalties
  • KRS 205.8463— Fraudulent acts -- Penalties
  • KRS 205.8465— Mandatory reporting of violations -- Confidentiality -- Prohibition against employer discrimination or retaliation
  • KRS 205.8467— Liability of violators -- Payment of penalties to Medicaid trust fund
  • KRS 205.8469— Enforcement proceedings by Attorney General
  • KRS 205.8471— Lien on property of provider or recipient defrauding Medicaid program
  • KRS 205.8473— Reliance on written governmental advice as defense
  • KRS 205.8475— Forfeiture of provider's license
  • KRS 205.8477— Disclosure requirements for Medicaid providers, fiscal agents, and managed care entities -- Disclosure requirements for owners and investors of health facilities and health services -- When disclosure must be provided
  • KRS 205.8479— Report of license or certificate suspension, revocation, or limitation
  • KRS 205.8481— Prohibition against representation of provider by staff of Attorney General in private practice
  • KRS 205.8483— Toll-free hotline for receiving reports of fraud and abuse -- Report
  • KRS 205.63171— Short title for KRS 205.6317