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31 chapters · 950 sections in this title.
KRS § 205.5321 Contracts for Medicaid services by managed care organizations -- Extension and procurement requirements -- Sunset
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Extension and procurement requirements -- Sunset. (1) Notwithstanding any provision of law to the contrary, the Department for Medicaid Services shall: (a) Extend all contracts with Medicaid managed care organizations in effect on April 14, 2026, through December 31, 2028; and (b…
KRS § 205.533 Website of managed care organization -- Requirements
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(1) A managed care organization shall maintain an interactive website, operated by the managed care organization, that allows providers to file grievances, appeals, and supporting documentation electronically in an encrypted format that complies with federal law and that allows a…
KRS § 205.534 Toll-free telephone line -- Duties relating to adverse determinations -- In-person meeting -- Reprocessing claims -- Internal appeals -- Provider audits -- Timely decisions on authorization and preauthorization requests -- Monthly and annual reports -- Penalties -- Administrative regulations
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person meeting -- Reprocessing claims -- Internal appeals -- Provider audits -- Timely decisions on authorization and preauthorization requests -- Monthly and annual reports -- Penalties -- Administrative regulations. (1) A Medicaid managed care organization with whom the departm…
KRS § 205.535 Medicaid enrollee not automatically assigned to managed care organization
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organization. The department shall not automatically assign a Medicaid enrollee to a managed care organization.