907 KAR 1 — Medicaid Services

907 KAR 1:022.Nursing facility services and intermediate care facility for individuals with an intellectual disability services. RELATES TO: 42 C.F.R. 431.153, 431.154, 447.280, 482.58, 42 U.S.C. 1395tt, 1396l, 1396r STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), …

907 KAR 1:023.Review and approval of selected therapies as ancillary services in nursing facilities. RELATES TO: 42 C.F.R. Parts 430, 447, 455, 456, 482, 42 U.S.C. 1396a, b, d, c, r STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3) CERTIFICATION STATEMENT: NECESSITY, …

907 KAR 1:025.Payment for services provided by an intermediate care facility for individuals with an intellectual disability, a dually-licensed pediatric facility, an institution for mental diseases, or a nursing facility with an all-inclusive rate unit. RELATES TO: KRS 142.363, …

907 KAR 1:028.Independent laboratory and radiological service coverage and reimbursement. RELATES TO: KRS 205.520, 205.560, 333.090, 42 C.F.R. 440.30, Part 493, 42 U.S.C. 1395l(h)(1)(A), 1396a(a)(9), 1396b(i)(7), 1396d STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3)…

907 KAR 1:030.Home health agency services. RELATES TO: KRS 205.622, 216.935, 216.936, 216.937, 216.9375, 216.939, 369.101-369.120, 42 C.F.R. 431.17, 440.70, 447.325, 484.115, 45 C.F.R. 164.316, 42 U.S.C. 1396a-d STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3) NECESS…

907 KAR 1:031.Payments for home health services. RELATES TO: 42 C.F.R. 440.70, 447.325, 42 U.S.C. 1396a-d STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3) CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet for Health and Family Services, Depart…

907 KAR 1:032.Dual licensed pediatric facility services. RELATES TO: KRS 205.520 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 42 C.F.R. 442, 456, 42 U.S.C. 1396a, b, c, d, EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, effective July …

907 KAR 1:033.Payments for dual licensed pediatric facility services. RELATES TO: KRS 205.520, 42 C.F.R. 447.250, 42 U.S.C. 1396a, b, d STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004…

907 KAR 1:037.Hospital furnished nursing facility services. RELATES TO: KRS 205.520 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 42 C.F.R. 440.140, 42 U.S.C. 1396a, b, d, EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, effe…

907 KAR 1:038.Hearing program coverage provisions and requirements. RELATES TO: KRS 205.520, 205.622, 205.8451(9), 334.010(4), (9), 334A.020(5), 334A.030, 42 C.F.R. 400.203, 438.20, 457.310, 42 U.S.C. 1396a, b, d, 1396r-6 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520…

907 KAR 1:039.Hearing Program reimbursement provisions and requirements. RELATES TO: KRS 205.520, 205.8451, 334.010, 334.040, 334.200, 334A.020(2), 42 C.F.R. 400.203, Part 414, 438.2, 440.110, 447.200, 447.204, 42 U.S.C. 1395m, 1395w-4 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.0…

907 KAR 1:042.Amounts payable for hospital furnished skilled nursing and intermediate care facility services. RELATES TO: KRS 205.520 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-7…

907 KAR 1:044.Coverage provisions and requirements regarding community mental health center behavioral health services. RELATES TO: KRS 194A.060, 205.520(3), 205.8451(9), 422.317, 434.840-434.860, 42 C.F.R. 415.208, 431.52, 431 Subpart F STATUTORY AUTHORITY: KRS 194A.030(2), 194A…

907 KAR 1:045.Reimbursement provisions and requirements regarding community mental health center services. RELATES TO: KRS 205.520(3), 205.8451, 210.370-210.485, 42 C.F.R. 400.203, 413, 438.2, 447.325, 42 U.S.C. 1396n(c), 1396r-8(a) STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(…

907 KAR 1:047.Community mental health center primary care services. RELATES TO: KRS 205.520, 205.622, 205.8451(9), 210.370-210.485, 319A.010(3), (4), 327.010(2), 334A.020(3), 369.101 – 369.120, 42 C.F.R. 400.203, 431.17, 438.2, 493, 45 C.F.R. 164, 42 U.S.C.12101 et seq., 1396r-8(…

907 KAR 1:048.Family planning services. RELATES TO: KRS 205.520 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 42 C.F.R. 441.20, 42 U.S.C. 1396a, b, d, EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, effective July 9, 2004, r…

907 KAR 1:049.Payments for family planning services. RELATES TO: KRS 205.520 STATUTORY AUTHORITY: KRS 194.050, 42 C.F.R. 447 Subpart B, 42 U.S.C. 1396a, b, d CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet for Human Resources has responsibility to admini…

907 KAR 1:054.Coverage provisions and requirements regarding federally-qualified health center services, federally-qualified health center look-alike services, and primary care center services. RELATES TO: KRS 205.520, 310.005, 314.011, 335.100, 42 C.F.R. 400.203, 405.2401, 2412-…

907 KAR 1:055.Payments for primary care center, federally-qualified health center, federally-qualified health center look-alike, and rural health clinic services. RELATES TO: KRS 205.560, 216B.010, 216B.105, 216B.130, 216B.990, 42 C.F.R. 413, 438.60, 491, Subpart A, 440.130, 440.…

907 KAR 1:060.Ambulance transportation. RELATES TO: KRS 205.520 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 42 C.F.R. 431.53, 440.170, 42 U.S.C. 1396d, EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, effective July 9, 2004…

907 KAR 1:061.Payments for ambulance transportation. RELATES TO: KRS 205.520, 205.8451, 42 C.F.R. 440.170, 447.200 -447.205, 42 U.S.C. 1396, 2005 Acts ch. 173 Parts I., A.22.(i), I., H.3.b.(19) STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3) NECESSITY, FUNCTION, AND…

907 KAR 1:065.Payments for price-based nursing facility services. RELATES TO: KRS 142.361, 142.363, 216.380, 42 C.F.R. Parts 430, 431, 432, 433, 435, 440, 441, 442, 447, 455, 456, 482.58, 483.10, 483.20, 42 U.S.C. 1395tt, 1396, 1396a, 1396b, 1396c, 1396d, 1396g, 1396l, 1396n, 139…

907 KAR 1:075.Hearings and appeals for individuals with an intellectual disability. RELATES TO: KRS 194A.060, 205.175, 205.231, 205.237, 210.270 STATUTORY AUTHORITY: KRS 194A.025(1), 194A.050(1), 205.231, 205.237, 205.520(3), 205.531, 42 C.F.R. 431 Subpart E, 42 U.S.C. 1396 CERTI…

907 KAR 1:082.Coverage provisions and requirements regarding rural health clinic services. RELATES TO: KRS 205.510, 205.520, 205.622, 205.8451, 309.080, 309.0831, 309.130, 311.840, 314.011, 319.010, 319.050, 319.053, 319C.010, 335.080, 335.100, 335.300, 335.500, 369.101 – 369.120…

907 KAR 1:084.Payment for medical assistance services furnished out of state. RELATES TO: KRS 205.520 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 42 C.F.R. 447 Subpart B, 42 U.S.C. 1396a, b, d, EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 20…

Title 907 | Chapter 001 | Regulation 010INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 1:010.Payments for physicians' services.RELATES TO:Not availableSTATUTORY AUTHORITY:Not availableCERTIFICATION STATE…

Title 907 | Chapter 001 | Regulation 100INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:100.Nurse-midwife servicesRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION, AND CONF…

907 KAR 1:102.Advanced practice registered nurse services. RELATES TO: KRS 205.520, 205.622, 205.8451, 314.011, 369.101 – 369.120, 42 C.F.R. 400.203, 431.17, 438.2, 455.410, 45 C.F.R. Parts 160, 164, 42 U.S.C. 1320d – 1320d-8, 1396r-8 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.05…

907 KAR 1:104.Reimbursement for advanced practice registered nurse services. RELATES TO: KRS 205.520, 314.011, 42 C.F.R. 438.2, 42 U.S.C. 1396s STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3) NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet for Health and Family Ser…

Title 907 | Chapter 001 | Regulation 011RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:005.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:011.Technical eligibility requirementsRELATES TO:Not availableSTATUTORY AUTHORITY…

Title 907 | Chapter 001 | Regulation 110INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:110.Recoupment of overpaymentsRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION, AND …

Title 907 | Chapter 001 | Regulation 012INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:012.Inpatient hospital service coverageRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCT…

Title 907 | Chapter 001 | Regulation 120INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:120.Health insuring organization and prepaid health plan servicesRELATES TO:Not availableSTATUTORY AUTHORITY:Not…

Title 907 | Chapter 001 | Regulation 121INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:121.Repeal of 907 KAR 1:120 and 907 KAR 1:130RELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY,…

907 KAR 1:126.Dental services' coverage provisions and requirements. RELATES TO: KRS 205.520, 205.622, 205.8451, 313.010, 313.040, 369.102(8), 369.101 to 369.120, 415.152, 42 C.F.R. 400.203, 415.170, 415.172, 415.174, 438.2, 45 C.F.R. Parts 160, 164, 42 U.S.C. 1320d, 1396a-d STAT…

Title 907 | Chapter 001 | Regulation 013INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:013.Diagnostic-related groupDRG inpatient hospital reimbursementRELATES TO:Not availableSTATUTORY AUTHORITY:Not …

Title 907 | Chapter 001 | Regulation 130INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:130.Payments for health insuring organizations and prepaid health plan servicesRELATES TO:Not availableSTATUTORY…

Title 907 | Chapter 001 | Regulation 014INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:014.Outpatient hospital servicesRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION, AN…

Title 907 | Chapter 001 | Regulation 140INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:140.Alternative intermediate services for individuals with MR or developmental disabilitiesRELATES TO:Not availa…

907 KAR 1:145.Supports for community living services for an individual with an intellectual or developmental disability. RELATES TO: KRS 205.520, 205.5605, 205.5606, 205.5607, 42 C.F.R. 441 Subpart G, 42 U.S.C. 1396a, b, d, n STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205…

Title 907 | Chapter 001 | Regulation 015INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:015.Payments for outpatient hospital servicesRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY,…

Title 907 | Chapter 001 | Regulation 150INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:150.Payments for alternative home and community based services for the MRRELATES TO:Not availableSTATUTORY AUTHO…

Title 907 | Chapter 001 | Regulation 151EINACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:151E.Repeal of 907 KAR 1:140, 150RELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION, …

907 KAR 1:155.Payments for supports for community living services for an individual with an intellectual or developmental disability. RELATES TO: KRS 205.520, 42 C.F.R. 441, Subpart G, 447.272, 42 U.S.C. 1396a, b, d, n STATUTORY AUTHORITY: KRS 142.363, 194A.030(3), 194A.050(1), 2…

Title 907 | Chapter 001 | Regulation 016INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:016.Psychiatric hospital servicesRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION, A…

907 KAR 1:160.Home and community based waiver services version 1. RELATES TO: KRS 205.520(3), 205.5605, 205.5606, 205.5607, 205.635, 42 C.F.R. 440.180 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 205.5606, 42 C.F.R. 440.180, 42 U.S.C. 1396a, 1396b, 1396d, 1396n …

Title 907 | Chapter 001 | Regulation 017RECODIFIEDThis document is no longer current.Recodified To 907 KAR 10:017.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:017.Hospital Indigent Care Assurance Program (HICAP)RELATES TO:Not availableSTATU…