907 KAR 1 — Medicaid Services

Title 907 | Chapter 001 | Regulation 550REPEALEDThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:550.Incorporation by reference of the Targeted Case Management Services Adults ManualRELATES TO:Not availableSTA…

Title 907 | Chapter 001 | Regulation 555REPEALEDThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:555.Incorporation by reference of the Targeted Case Management Services Children ManualRELATES TO:Not availableS…

Title 907 | Chapter 001 | Regulation 056EINACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:056E.Repeal of 907 KAR 1:418 and 907 KAR 1:427RELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSIT…

907 KAR 1:560.Medicaid hearings and appeals regarding eligibility. RELATES TO: KRS Chapter 13B, 205.231, 205.237, 205.520, 205.531, 42 C.F.R. 431 subpart E, 42 C.F.R. 431.233, 42 C.F.R. part 456, 42 U.S.C. 1396 STATUTORY AUTHORITY: KRS 194A.025(1), 194A.030(2), 194A.050(1), 205.5…

907 KAR 1:563.Medicaid covered services appeals and hearings unrelated to managed care. RELATES TO: KRS Chapter 13B, 194A.025, 205.231, 205.237, 205.520, 205.8451, 210.270 42 C.F.R. 431.233, 431.244, Part 475, 475.101, 483.2, 483.12, 431 Subpart E, 483 Subpart E, 42 U.S.C. 1396n(…

907 KAR 1:575.Compliance with laboratory certification requirements. RELATES TO: KRS 205.520, 42 C.F.R. 493, 42 U.S.C. 1396a-d STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, eff…

Title 907 | Chapter 001 | Regulation 580EXPIREDThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:580.Adeditional classes of health care services and providers definedRELATES TO:Not availableSTATUTORY AUTHORITY:…

907 KAR 1:585.Estate recovery. RELATES TO: KRS 205.520, 205.619, 304.14-640, 42 C.F.R. 430.10, 435.236, 42 U.S.C. 1396p(b)(1)-(4) STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet f…

907 KAR 1:595.Model Waiver II service coverage and reimbursement policies and requirements. RELATES TO: KRS 205.8451(9), 314.011, 314A.010(3)(a), 42 C.F.R. 400.203, 42 C.F.R. 440.70, 440.185, 42 U.S.C. 1396, 42 U.S.C. 1396n(c) STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 20…

Title 907 | Chapter 001 | Regulation 600RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:060.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:600.Medicaid adverse action and conditions for recipientsRELATES TO:Not available…

907 KAR 1:604. Cost-sharing prohibited within the Medicaid program. RELATES TO: KRS 205.560, 205.6312, 205.6485, 205.8451, 319A.010, 327.010, 334A.020, 42 C.F.R. 430.10, 431.51, 447.15, 447.20, 447.21, 447.50, 447.52, 447.54, 447.55, 447.56, 447.57, 457.224, 457.310, 457.505, 457…

Title 907 | Chapter 001 | Regulation 605RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:010.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:605.Medicaid procedures for determining initial and continuing eligibilityRELATES…

Title 907 | Chapter 001 | Regulation 610RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:015.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:610.Medicaid right to apply and reapplyRELATES TO:Not availableSTATUTORY AUTHORIT…

907 KAR 1:615.Supplemental policy for the Medicaid Program. RELATES TO: KRS 205.520 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 42 U.S.C. 1396a, b, d, EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, effective July 9, 2004,…

Title 907 | Chapter 001 | Regulation 625EINACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:625E.Dental services reimbursementRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION,…

907 KAR 1:626.Reimbursement of dental services. RELATES TO: KRS 205.520, 42 C.F.R. 440.100, 447.200-205, 42 U.S.C. 1396a-d STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3) NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet for Health and Family Services, Department for…

Title 907 | Chapter 001 | Regulation 630EINACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:630E.Vision Care Services ReimbursementRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNC…

907 KAR 1:631.Vision Program reimbursement provisions and requirements. RELATES TO: KRS 205.520, 42 C.F.R. 440.40, 440.60, 447 Subpart B, 42 U.S.C. 1396a-d STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3) CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: …

907 KAR 1:632.Vision program coverage provisions and requirements. RELATES TO: KRS 205.520, 205.622, 205.8451(7), (9), Chapter 320, Chapter 326, 326.030, 326.040, 369.101 to 369.120, 42 C.F.R. 400.203, 431.17, 438.2, 440.40, 440.60, 447 Subpart B, 45 C.F.R. 147.126, Parts 160 and…

Title 907 | Chapter 001 | Regulation 635REPEALEDThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:635.Conditions of Coverage for the KY Hospital Care Program (KHCP)RELATES TO:Not availableSTATUTORY AUTHORITY:No…

Title 907 | Chapter 001 | Regulation 636INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:636.Repeal of 907 KAR 1:635RELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION, AND CON…

Title 907 | Chapter 001 | Regulation 640INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:640.Income standards for MedicaidRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION, A…

Title 907 | Chapter 001 | Regulation 642WITHDRAWNThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:642.Adult group 07-2018 benefit plan and copaymentsRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNEC…

Title 907 | Chapter 001 | Regulation 645RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:025.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:645.Resource standards for MedicaidRELATES TO:Not availableSTATUTORY AUTHORITY:No…

Title 907 | Chapter 001 | Regulation 650RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:030.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:650.Trust and transferred resource requirements for MedicaidRELATES TO:Not availa…

Title 907 | Chapter 001 | Regulation 655RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:035.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:655.Spousal impoverishment and nursing facility requirements for MedicaidRELATES …

Title 907 | Chapter 001 | Regulation 660RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:040.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:660.Relative responsibility requirements for MedicaidRELATES TO:Not availableSTAT…

Title 907 | Chapter 001 | Regulation 665RECODIFIEDThis document is no longer current.Recodified To 907 KAR 20:045.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:665.Special income requirements for hospice and home and community based services…

Title 907 | Chapter 001 | Regulation 670WITHDRAWNThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:670.Conditions of Medicaid provider participation; enrollment, documentation of services, disclosure, appeals p…

907 KAR 1:671.Conditions of Medicaid provider participation; withholding overpayments, administrative appeal process, and sanctions. RELATES TO: KRS Chapter 13B, 194.515, 205.510-205.990, 312.015, Chapter 360, 42 C.F.R. 431.107, 431.151-431.154, 447.10, 455, 1002, 1003, 42 U.S.C.…

907 KAR 1:672.Provider enrollment, disclosure, and documentation for Medicaid participation. RELATES TO: KRS 205.520, 205.560, 205.8451(2),(7),(8),(9), 205.8477, 304.17A-545(5), 311.621-311.643, 42 U.S.C. 1396a(w), 42 C.F.R. 455.100-455.106, 42 C.F.R. 1003.101 STATUTORY AUTHORITY…

907 KAR 1:673.Claims processing. RELATES TO: KRS 205.520, 205.8451 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 42 C.F.R. 447.45, 42 U.S.C. 1396a, b, c, EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, effective July 9, 2004…

907 KAR 1:675.Program integrity. RELATES TO: KRS 205.8451, 205.8453, 42 C.F.R. 431 Subpart E, 455.12, 455.13, 455.16(c)(4) STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.8453(4), EO 2004-726 CERTIFICATION STATEMENT: NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, effect…

907 KAR 1:677.Medicaid Recipient Lock-in Program. RELATES TO: KRS 205.8453, 21 C.F.R. 1308.12, 1308.13, 1308.14, 42 C.F.R. 431.54, 433.111(b), 42 U.S.C. 1396(a), 1396 (a)(2) STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 205.6318, 205.6310, 205.8453, 42 C.F.R. 431…

907 KAR 1:680.Vaccines for Children Program. RELATES TO: KRS 205.520, 42 U.S.C. 1396s STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 42 U.S.C. 1396a, b, d, s NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet for Health and Family Services has responsibility to admi…

Title 907 | Chapter 001 | Regulation 685INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:685.Commission for children with special health care needs servicesRELATES TO:Not availableSTATUTORY AUTHORITY:N…

Title 907 | Chapter 001 | Regulation 690INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:690.Medicaid paymements for Commission for Children with Special Health Care NeedsRELATES TO:Not availableSTATUT…

Title 907 | Chapter 001 | Regulation 007REPEALEDThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:007.Documentation of medical assistance servicesRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSI…

Title 907 | Chapter 001 | Regulation 070INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:070.Homecare waiver servicesRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUNCTION, AND CO…

Title 907 | Chapter 001 | Regulation 705REPEALEDThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:705.Demonstration project: services provided through regional managed care partnerships (1115 Waiver)RELATES TO:…

Title 907 | Chapter 001 | Regulation 071INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:071.Repeal of 907 KAR 1:070, 907 KAR 1:072, 907 KAR 1:090, 907 KAR 1:092, and 907 KAR 1:320RELATES TO:Not availa…

Title 907 | Chapter 001 | Regulation 710REPEALEDThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:710.Managed behavioral health care initiative (1915b Waiver)RELATES TO:Not availableSTATUTORY AUTHORITY:Not avai…

Title 907 | Chapter 001 | Regulation 711EINACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:711E.Repeal of 907 KAR 1:705 and 907 KAR 1:710RELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSIT…

907 KAR 1:715.School-based health services. RELATES TO: KRS 156.070, 205.520, 605.115, 314.470, 20 U.S.C. 33, 34 C.F.R. 300.320, 300.321, 300.324, 42 C.F.R. 440.110 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 205.560 CERTIFICATION STATEMENT: NECESSITY, FUNCTION…

Title 907 | Chapter 001 | Regulation 072REPEALEDThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:072.Payments for homecare waiver servicesRELATES TO:Not availableSTATUTORY AUTHORITY:Not availableNECESSITY, FUN…

907 KAR 1:720.Coverage and payments for the Kentucky Early Intervention Program services provided through an agreement with the state Title V agency. RELATES TO: KRS 200.654, 200.656, 200.664, 200.668, 200.676, 205.520, 42 C.F.R. 431.615, 42 U.S.C. 1471-1485 STATUTORY AUTHORITY: …

Title 907 | Chapter 001 | Regulation 725INACTIVEThis document is no longer current.ALTERNATE VIEWThis is how this document appeared before it was engrossed.907 KAR 001:725.Medicaid appropriations for a long term care nursing facilityRELATES TO:Not availableSTATUTORY AUTHORITY:Not…