04RS HB220


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HB 220 (BR 1060) - S. Nunn, J. Coleman, K. Stein

     AN ACT relating to Medicaid.
     Create a new section of KRS 205.510 to 205.630 to authorize the Department for Medicaid Services to designate providers for a recipient who abuses or overutilizes Medicaid services or who is convicted of unlawfully distributing a controlled substance; provide that the provider restriction will continue for a minimum of 12 months; exclude emergency services and referrals from the restrictions; require the department to annually determine if the restrictions for a recipient shall continue; authorize the secretary of the Cabinet for Health Services to promulgate an administrative regulation establishing guidelines to determine overutilization or inappropriate utilization of Medicaid services; amend KRS 218A.202 to permit the Department for Medicaid Services to use data from the electronic system for monitoring controlled substances to identify Medicaid recipients whose usage of controlled substances may be appropriately managed by a single outpatient pharmacy or primary care provider; permit the department to use the data from the system as evidence in an administrative hearing; amend KRS 218A.240 to authorize the Cabinet for Health Services to submit data from the electronic monitoring system as evidence in administrative hearings; and amend KRS 205.560 to require Medicaid coverage for inpatient and outpatient substance abuse treatment.

     Jan 7-introduced in House
     Jan 8-to Health and Welfare (H)

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