TITLE 907
CABINET FOR HEALTH AND FAMILY SERVICES DEPARTMENT FOR MEDICAID SERVICES
This page was produced on 5/2/2013 at 9:26:26 AM [EST]
- 005 Nonduplication of payments
- 006 Coverage of and payment for services for persons eligible for benefits under both Title XIX and Title XVIII
- 008 Ambulatory surgical center services and reimbursement
- 011 Technical eligibility requirements
- 018 Reimbursement for drugs
- 019 Outpatient Pharmacy Program
- 022 Nursing facility services and intermediate care facility for individuals with mental retardation or a developmental disability services
- 023 Review and approval of selected therapies as ancillary services in nursing facilities
- 025 Payment for services provided by an intermediate care facility for individuals with mental retardation or a developmental disability, a dually-licensed pediatric facility, an institution for mental diseases, or a nursing facility with an all-inclusive rate unit
- 026 Dental services
- 028 Independent laboratory and radiological service coverage and reimbursement
- 030 Home health agency services
- 031 Payments for home health services
- 032 Dual licensed pediatric facility services
- 033 Payments for dual licensed pediatric facility services
- 037 Hospital furnished nursing facility services
- 038 Hearing and vision program services
- 039 Payments for hearing services
- 042 Amounts payable for hospital furnished skilled nursing and intermediate care facility services
- 044 Community mental health center services
- 045 Payments for community mental health center services
- 048 Family planning services
- 049 Payments for family planning services
- 054 Primary care center and federally-qualified health center services
- 055 Payments for primary care center, federally-qualified health center, and rural health clinic services
- 055E Payments for primary care center, federally-qualified health center, federally-qualified health center look- alike, and rural health clinic services 055reg Payments for primary care center, federally-qualified health center, federally-qualified health center look- alike, and rural health clinic services
- 056E Repeal of 907 KAR 1:418 and 907 KAR 1:427
- 060 Ambulance transportation
- 061 Payments for ambulance transportation
- 065 Payments for price-based nursing facility services
- 070 Homecare waiver services
- 072 Payments for homecare waiver services
- 075 Hearings and appeals for individuals with mental retardation
- 082 Rural health clinic services
- 084 Payment for medical assistance services furnished out of state
- 090 Personal care assistance waiver services
- 092 Payments for personal care assistance waiver services
- 102 Advanced practice registered nurse services
- 104 Reimbursement for advanced registered nurse practitioner services
- 120 Health insuring organization and prepaid health plan services
- 130 Payments for health insuring organizations and prepaid health plan services
- 145 Supports for community living services for an individual with an intellectual or developmental disability
- 155 Payments for supports for community living services for an individual with an intellectual or developmental disability
- 160 Home and community based waiver services
- 170 Reimbursement for home and community based waiver services
- 180 Alternative birth center services
- 190 Payments for alternative birth center services
- 260 Coordination of benefits between the Medicaid Program and the Crime Victims Compensation Board
- 270 Podiatry program services
- 280 Payments for Podiatry Program services
- 320 Kentucky Patient Access and Care System (KenPAC)
- 330 Hospice services
- 340 Reimbursement for hospice services
- 350 Coverage and payments for organ transplants
- 360 Preventive and remedial public health services
- 400 Incorporation by reference of the Renal Dialysis Center Services Manual
- 418 REPEALED: Incorporation by reference of the Rural Health Clinic Services Manual
- 427 REPEALED: Incorporation by reference of the Primary Care Services Manual
- 434 Incorporation by reference of the Family Planning Services Manual
- 436 Incorporation by reference of the Hospice Services Manual
- 440 Case management services
- 450 Nurse aide training criteria and registry
- 479 Durable medical equipment covered benefits and reimbursement
- 515 Targeted case management services for adults with chronic mental illness
- 520 Payments for targeted case management services for adults with chronic mental illness
- 525 Targeted case management services for children with a severe emotional disability
- 530 Payments for targeted case management services for children with a severe emotional disability
- 550 Incorporation by reference of the Targeted Case Management Services Adults Manual
- 555 Incorporation by reference of the Targeted Case Management Services Children Manual
- 560 Medicaid hearings and appeals regarding eligibility
- 563 Medicaid covered services hearings and appeals 563reg Medicaid covered services, hearings, and appeals
- 575 Compliance with laboratory certification requirements
- 585 Estate recovery
- 595 Model Waiver II services and payments
- 600 Medicaid adverse action and conditions for recipients
- 604 Recipient cost-sharing
- 605 Medicaid procedures for determining initial and continuing eligibility
- 610 Medicaid right to apply and reapply
- 615 Supplemental policy for the Medicaid Program
- 626 Reimbursement of dental services
- 631 Reimbursement of Vision Program services
- 640 Income standards for Medicaid
- 645 Resource standards for Medicaid
- 650 Trust and transferred resource requirements for Medicaid
- 655 Spousal impoverishment and nursing facility requirements for Medicaid
- 660 Relative responsibility requirements for Medicaid
- 665 Special income requirements for hospice and home and community based services (HCBS)
- 671 Conditions of Medicaid provider participation; withholding overpayments, administrative appeal process, and sanctions
- 672 Provider enrollment, disclosure, and documentation for Medicaid participation
- 673 Claims processing
- 675 Program integrity
- 677 Medicaid recipient lock-in program
- 680 Vaccines for Children Program
- 705 REPEALED: Demonstration project: services provided through regional managed care partnerships (1115 Waiver)
- 710 REPEALED: Managed behavioral health care initiative (1915b Waiver)
- 711E Repeal of 907 KAR 1:705 and 907 KAR 1:710
- 715 School-based health services
- 720 Coverage and payments for the Kentucky Early Intervention Program services provided through an agreement with the state Title V agency
- 755 Preadmission Screening and Resident Review Program
- 780 Converted dual-licensed hospital-based nursing facility beds
- 790 Medicaid service category expenditure information
- 805 Breast and cervical cancer eligibility for Medicaid
- 810 Presumptive eligibility for pregnant women
- 835 Michelle P. waiver services and reimbursement
- 900 KyHealth Choices benefit plans
Chapter 3 Payment and Services
- 005 Physicians' services
- 010 Reimbursement for physicians' services
- 015E Supplemental payments for certain primary care and vaccines 015reg Supplemental payments for certain primary care and vaccines
- 020 Coverage and payments for targeted case management and rehabilitative services provided through an agreement with the state Title V agency
- 030 Coverage and payments for IMPACT Plus services
- 035 Criteria for certification for out-of-state residential services for Medicaid-eligible children under twenty-one (21)
- 066 Nonemergency medical transportation waiver services and payments
- 090 Acquired brain injury waiver services
- 100 Reimbursement for acquired brain injury waiver services
- 110 Community mental health center substance abuse services
- 125 Chiropractic services and reimbursement
- 130 Medical necessity and clinically appropriate determination basis
- 140 Coverage and payments for the Health Access Nurturing Development Services (HANDS) Program
- 160 Specialized children's services clinics
- 170 Telehealth consultation coverage and reimbursement 170reg Telehealth consultation coverage and reimbursement
- 205 Hemophilia treatment reimbursement and coverage via the 340B drug pricing program
- 210 Acquired brain injury long term care waiver services and reimbursement
- 215 Tobacco cessation coverage and reimbursement
Chapter 4 Kentucky Children's Health Insurance Program
- 020 Kentucky Children's Health Insurance Program Medicaid Expansion Title XXI of the Social Security Act
- 030 Kentucky Children's Health Insurance Program Phase III Title XXI of the Social Security Act
Chapter 5 Program Integrity, Division of
Chapter 6 Electronic Health Record Incentive Payments
Chapter 9 Psychiatric Residential Treatment Facility Services and Reimbursement
- 005 Level I and II psychiatric residential treatment facility service and coverage policies
- 010 Reimbursement for Level I and II psychiatric residential treatment facility services
Chapter 10 Hospital Service Coverage and Reimbursement
- 012 Inpatient hospital service coverage
- 014 Outpatient hospital service coverage
- 015 Payments for hospital outpatient services
- 016 Psychiatric hospital services
- 017 Hospital Indigent Care Assurance Program (HICAP)
- 183 Supplemental payments to participating DRG hospitals
- 372 Incorporation by reference of the Mental Hospital Services Manual
- 376 Incorporation by reference of the Hospital Services Manual
- 815 Per Diem Inpatient Hospital Reimbursement
- 820 Disproportionate Share Hospital Distributions
- 825 Diagnosis-related group (DRG) inpatient hospital reimbursement
Chapter 11 Early and Periodic Screening
- 034 Early and periodic screening, diagnosis, and treatment services and early and periodic screening, diagnosis, and treatment special services
- 035 Payments for early and periodic screening, diagnosis, and treatment services and early and periodic screening, diagnosis, and treatment special services
Chapter 12 Supports for Community Living Waiver
- 010 New supports for community living waiver service and coverage policies
- 020 Reimbursement for new supports for community living waiver services
Chapter 14 Health care-acquired conditions and provider preventable conditions
- 005 Managed care organization requirements and policies
- 005E Definitions for 907 KAR Chapter 17 005reg Definitions for 907 KAR Chapter 17
- 010E Managed care organization requirements and policies relating to enrollees 010reg Managed care organization requirements and policies relating to enrollees
- 015E Managed care organization requirements and policies relating to providers 015reg Managed care organization requirements and policies relating to providers
- 020E Managed care organization service and service coverage requirements and policies 020reg Managed care organization service and service coverage requirements and policies
- 025E Managed care organization requirements and policies related to utilization management and quality 025reg Managed care organization requirements and policies related to utilization management and quality
- 030E Managed care organization operational and related requirements and policies 030reg Managed care organization operational and related requirements and policies