Agency 30, Article 5 — PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND

Scope of physician services for medikan program recipients. The scope of physician services for medikan program recip- ients shall be identical to the physician services pursuant to K.A.R. 30-5-88 covered for medicaid program recipients with the exception that outpa- tient psycho…

Scope of home health services for medikan program recipients. The scope of home health services for medikan program recipi- ents shall be identical to the home health services pursuant to K.A.R. 30-5-89 covered for adult med- icaidprogramrecipients.(Authorizedbyandimple- menting …

Scope of pharmacy services for adult medikan program recipients. Cov- erage shall be limited to prescription-only and 71 30-5-165 Medicaid Program over-the-counter drugs, supplies and devices that have been accepted for inclusion on any formu- lary listing for adult medikan progr…

Scope of dental services for medikan program recipients. Dental services for medikan program recipients shall not be cov- ered. The effective date of this regulation shall be December 31, 1992. (Authorized by and imple- menting K.S.A. 1991 Supp. 39-708c, as amended by L. 1992, Ch…

(Authorized by K.S.A. 1975 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended Jan. 1, 1969; amended, E-70-37, Aug. 5, 1970; amended Jan. 1, 1971; amended Jan. 1, 1974; revoked May 1, 1976.)

Scope of chiropractic services for medikan program recipients. Chiroprac- tic services for medikan program recipients shall not be covered. The effective date of this regula- tion shall be December 31, 1992. (Authorized by and implementing K.S.A. 1991 Supp. 39-708c, as amended by…

Scope of podiatric services for medikan program recipients. Podiatric services for medikan program recipients shall not be covered. The effective date of this regula- tion shall be December 31, 1992. (Authorized by and implementing K.S.A. 1991 Supp. 39-708c, as amended by L. 1992…

Scope of psychological services for medikan program recipients. The scope of psychological services for adult medikan program recipients shall be identical to the psychological services pursuant to K.A.R. 30-5-104 covered for adult medicaid program recipients with the fol- lowing…

Scope of hearing services for medikan program recipients. The scope of hearing services for medikan program recipients shall be identical to the hearing services pursuant to K.A.R. 30-5-105 covered for adult medicaid program recipients. (Authorized by and imple- menting K.S.A. 39…

Scope of ambulance services for adult medikan program recipients. Cover- age shall be limited to emergency transportation to a facility where medical services are rendered. (Authorized by and implementing K.S.A. 1983 Supp. 39-708c; effective, T-84-8, April 1, 1983; effective May …

Scope of non-ambulance medi- cal transportation services for adult medikan program recipients. Non-ambulance medical transportationservicesshallnotbecoveredforadult medikan program recipients. (Authorized by and implementing K.S.A. 1983 Supp. 39-708c; effec- tive, T-84-8, April 1…

Scope of durable medical equipment, medical supplies, orthotic and prosthetic services for adult medikan pro- gram recipients. Coverage for durable medical equipment and medical supplies shall be limited to services necessary to support life. (Authorized by and implementing K.S.A…

Scope of services in free- standing inpatient psychiatric facilities for medikan program recipients. The scope of services in free-standing inpatient psychiatric fa- cilities for medikan program recipients shall be identical to the free-standing inpatient psychiatric facility ser…

Family planning services for medikan program recipients. The scope of family planning services for medikan program re- cipients shall be identical to the family planning services pursuant to K.A.R. 30-5-88(b)(5) covered for adult medicaid program recipients. (Autho- rized by and …

Scope of partial hospitalization services for medikan program recipients. (a) Partial hospitalization services shall be provided in a community mental health center or a facility affiliated with a community mental health center. (b) Supportive partial hospitalization services sha…

(Authorized by K.S.A. 1975 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; revoked May 1, 1976.)

Scope of services for ambula- tory surgical centers for medikan program recipients. The scope of ambulatory surgical center services for medikan program recipients shall be identical to the ambulatory surgical cen- ter services pursuant to K.A.R. 30-5-83 covered for adult medicai…

This rule and regulation shall ex- pire on December 31, 1992. (Authorized by and implementing K.S.A. 39-708c; effective, T-84- 8, April 1, 1983; effective May 1, 1984; amend- ed May 1, 1988; revoked, T-30-12-28-89, Jan. 2, 1990; effective, T-30-2-28-90, Feb. 28, 1990; amended, T-…

(d) Payment for medical services shall be made, at the discretion of the secretary, when it has been determined that an agency administrative error has been made. (e) This regulation shall take effect on and after October 1, 1998. (Authorized by and implement- ing K.S.A. 1997 Sup…

This rule and regulation shall be revoked on and after March 1, 1995. (Autho- rized by and implementing L. 1992, Chapter 322, K.S.A. 1991 Supp. 39-708c, as amended by L. 1992, Chapter 322, Sec. 5; effective Jan. 4, 1993; revoked March 1, 1995.)

This rule and regulation shall be revoked on and after March 1, 1995. (Autho- rized by and implementing L. 1992, Chapter 322, K.S.A. 1991 Supp. 39-708c, as amended by L. 1992, Chapter 322, Sec. 5; effective Jan. 4, 1993; revoked March 1, 1995.)

Delivery of managed care. Counties shall be selected by the secretary pur- suant to K.S.A. 1994 Supp. 39-7,112, as amend- ed, to participate in managed care service deliv- ery options. Subject to provider availability, any beneficiary may be required to choose a managed care opti…

(AuthorizedbyK.S.A.1975Supp.39- 708c; effective Jan. 1, 1967; revoked May 1, 1976.)

(Authorized by K.S.A. 1980 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-9, Dec. 4, 1969; amend- ed Jan. 1, 1971; amended, E-72-1, Oct. 1, 1971; amended, E-72-3, Nov. 5, 1971; amended Jan 1, 1972;amended,E-72-12,March31,1972;amend- ed Jan. 1, 1973; am…

(Authorized by K.S.A. 1975 Supp. 39- 708c; effective Jan. 1, 1967; amended Jan. 1, 1971; amended, E-71-34, Aug. 11, 1971; amended Jan. 1, 1972;amendedJan.1,1974;revokedMay1,1976.) 31 30-5-26 Medicaid Program

(Authorized by K.S.A. 1980 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-9, Dec. 4, 1969; amend- ed Jan. 1, 1971; amended, E-72-1, Oct. 1, 1971; amended, E-72-3, Nov. 5, 1971; amended Jan. 1, 1972; amended Jan. 1, 1973; amended Jan. 1, 1974; amended M…

(Authorized by K.S.A. 1980 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-9, Dec. 4, 1969; amend- ed Jan. 1, 1971; amended, E-72-1, Oct. 1, 1971; amended Jan. 1, 1972; amended Jan. 1, 1973; amended Jan. 1, 1974; amended, E-77-36, July 1, 1976;amendedFe…

(Authorized by K.S.A. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-9, Dec. 4, 1969; amended, E-70- 37, Aug. 5, 1970; amended Jan. 1, 1971; revoked, E-72-23, July 28, 1972; revoked Jan. 1, 1973.)

(Authorized by K.S.A. 1978 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-9, Dec. 4, 1969; amended Jan. 1, 1971; revoked, E-79-20, Aug. 17, 1978; re- voked May 1, 1979.)

(Authorized by K.S.A. 1976 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-9, Dec. 4, 1969; amended Jan. 1, 1971; revoked Feb. 15, 1977.)

(Authorized by K.S.A. 1980 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-9, Dec. 4, 1969; amend- ed Jan. 1, 1971; amended, E-72-1, Oct. 1, 1971; amended Jan. 1, 1972; amended Feb. 15, 1977; amended, E-79-20, Aug. 17, 1978; amended May 1, 1979; revoked…

(Authorized by K.S.A. 1980 Supp. 39-708c; effective Jan. 1, 1967; amended, E-70-9, Dec. 4, 1969; amended, E-70-37, Aug. 5, 1970; amended Jan. 1, 1971; amended, E-72-1, Oct. 1, 32 DEPARTMENT FOR CHILDREN AND FAMILIES 30-5-27 1971; amended Jan. 1, 1972; amended, E-77-36, July 1, 19…

(Authorized by K.S.A. 1971 Supp. 39-708; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-37, Aug. 5, 1970; amend- ed Jan. 1, 1971; amended, E-72-1, Oct. 1, 1971; amended Jan. 1, 1972; revoked, E-72-23, July 28, 1972; revoked Jan. 1, 1973.)

(Authorized by K.S.A. 1980 Supp. 39-708c; effective Jan. 1, 1967; amended Jan. 1, 1968; amended Jan. 1, 1974; amended, E-79-20, Aug. 17, 1978; amended May 1, 1979; amended, E-81-19, July 16, 1980; revoked May 1, 1981.)

(Authorized by K.S.A. 1970 Supp. 39-708; effective Jan. 1, 1967; amended Jan. 1, 1968; amended, E-70-9, Dec. 4, 1969; amended Jan. 1, 1971; revoked Jan. 1, 1974.)

(Authorized by K.S.A. 1969 Supp. 39-708; effective Jan. 1, 1967; amended, E-70-9, Dec. 4, 1969; revoked Jan. 1, 1971.) 30-5-4 to 30-5-9. (Authorized by K.S.A. 1965 Supp. 39-708; effective Jan. 1, 1967; revoked Jan. 1, 1971.)

(Authorized by K.S.A. 1970 Supp. 39-708; effective Jan. 1, 1967; revoked, E-70-9, Dec. 4, 1969; revoked Jan. 1, 1971.)

Definitions. (a) The following words and terms for home- and community-based services (HCBS), when used in this article, shall have the following meanings, unless the context clearly indicates otherwise. (1) “Accept medicare assignment” means that the provider will accept the med…

Provider participation.(a)Each provider shall meet the provider participation re- quirements specified in K.A.R. 30-5-59, including record keeping requirements, and the following additional requirements: (1) All assessment records; (2) All plan of care records; and (3) All case f…

Limitations for independent living counselors. (a) An independent living center shall not use any consumer as an inde- pendent living counselor when that consumer re- ceives services from the same independent living counseling agency. (b) This regulation shall take effect on and …

Cost effectiveness. (a) Except for “cost cap” approvals, each HCBS plan of care shall be cost-effective. (b) This regulation shall take effect on and after January 1, 1997. (Authorized by and implement- ing K.S.A. 1995 Supp. 39-708c, as amended by L. 1996, Ch. 229, Sec. 104; effe…

Cost efficient plans of care. (a) Each HCBS plan of care shall be cost efficient and shallbeprovidedinaccordancewithK.A.R.30-5-70. (b) This regulation shall take effect on and after January 1, 1997. (Authorized by and implement- ing K.S.A. 1995 Supp. 39-708c, as amended by L. 199…

Assessment requirements. (a) Qualified staff and assessment providers shall con- duct an assessment prior to the implementation of any HCBS service. (b) This regulation shall take effect on and after January 1, 1997. (Authorized by and implement- ing K.S.A. 1995 Supp. 39-708c, as…

Effective date for HCBS eli- gibility. (a) The effective date of eligibility for HCBS services shall not be before the effective date of medicaid eligibility. (b) This regulation shall take effect on and af- ter January 1, 1997. (Authorized by and imple- menting K.S.A. 1995 Supp.…

Family reimbursement restric- tion. (a) Neither an adult consumer’s spouse nor a minor consumer’s parents shall be paid to provide HCBS services to that consumer, unless all other possible options are exhausted and one of the fol- lowing extraordinary criteria is met. (1) Three H…

Nonsupplementation of HCBS services. (a) An organization, agency, family, con- sumer, or other individual shall not be allowed to pay for services that are on the plan of care. (b) A consumer may accept the following: (1) Any available service that is provided free and voluntaril…

Scope of and reimbursement for medicaid home- and community-based services (HCBS). The scope of medicaid home- and community-based services shall consist of those services provided under the authority of the applicable federally approved waiver to the Kan- sas medicaid state plan…

(Authorized by K.S.A. 1980 Supp. 39-708c; effective Jan. 1, 1969; amended, E-70-9, Dec. 4, 1969; amended Jan. 1, 1971; amended, E- 72-1,Oct.1,1971;amended,E-72-3,Nov.5,1971; amended Jan. 1, 1972; amended, E-72-12, March 31, 1972; amended Jan. 1, 1973; amended Jan. 1, 1974; amende…

Scope and reimbursement for home- and community-based services for per- sons with a severe emotional disturbance. (a) Thescopeofhome-andcommunity-basedservices for persons with a severe emotional disturbance shall consist of those services provided under the authority of the appl…

(Authorized by K.S.A. 1980 Supp. 39-708c; effective Jan. 1, 1969; amended, E-70- 9, Dec. 4, 1969; amended Jan. 1, 1971; amend- ed, E 72-1, Oct. 1, 1971; amended Jan. 1, 1972; amended Jan. 1, 1973; amended Jan. 1, 1974; amended May 1, 1975; amended Feb. 15, 1977; amended, E-78-19,…