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Medicaid/CHIP Data Requirements in Kentucky

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Medicaid/CHIP Data Requirements in Kentucky

Subtopic Statute/Regulation Description
Access to Medicaid data (by patients, providers, and government agencies) Ambulance Transportation, 907 Ky. Admin. Regs. 1:060 Ambulance Transportation
Prohibition of Contract to Limit Disclosure to Enrollee, Ky. Rev. Stat. Ann. § 304.17C-070 Prohibition of Contract to Limit Disclosure to Enrollee
Brief description of each state’s Medicaid program (Name and unique characteristics) Coverage of and Payment for Services for Eligible Persons, 907 Ky. Admin. Regs. 1:006 Coverage of and Payment for Services for Eligible Persons
Criteria for Certification for Out of State Residential Services, 907 Ky. Admin. Regs. 3:035 Criteria for Certification for Out of State Residential Services
Eligibility for Coverage Under Kentucky Access, Ky. Rev. Stat. Ann. § 304.17B-015 Eligibility for Coverage Under Kentucky Access
Hospital Furnished Nursing Facility Services, 907 Ky. Admin. Regs. 1:037 Hospital Furnished Nursing Facility Services
Inpatient Hospital Service Coverage, 907 Ky. Admin Regs. 10:012 Inpatient hospital service coverage.   
Medicaid Adverse Action and Condition for Recipients, 907 Ky. Admin. Regs. 20:060 Medicaid Adverse Action and Condition for Recipients
Medicaid Family Planning Services, 907 Ky. Admin. Regs. 1:048 Medicaid Family Planning Services
Outpatient Hospital Service Coverage Provisions and Requirements, 907 Ky. Admin. Regs. 10:014 Outpatient Hospital Service Coverage Provisions and Requirements
Payment for Family Planning Services, 907 Ky. Admin. Regs. 1:049 Payment for Family Planning Services
Payment for Medical Assistance Services Furnished Out of State, 907 Ky. Admin. Regs. 1:084 Payment for Medical Assistance Services Furnished Out of State
Payments for Ambulance Transportation, 907 Ky. Admin. Regs. 1:061 Payments for Ambulance Transportation
Payments for Outpatient Hospital Services, 907 Ky. Admin. Regs. 10:015 Payments for Outpatient Hospital Services
Preventative and Remedial Public Health Services, 907 Ky. Admin. Regs. 1:360 Preventative and Remedial Public Health Services
Reimbursement for Drugs, 907 Ky. Admin. Regs. 1:018 Reimbursement for Drugs.   
Types of Health Benefits Plans to be Issued Under Kentucky Access, Ky. Rev. Stat. Ann. § 304.17B-019 Types of Health Benefits Plans to be Issued Under Kentucky Access
Quality reporting by Medicaid providers (cross post to care coordination/care management (chronic disease management; sharing information across providers; enrollee participation) EPSDT, 907 Ky. Admin. Regs. 11:034 Early and Periodic Screening, Diagnosis, and Treatment Services
Health Care Reporting Requirements, 900 Ky. Admin. Regs. 1:090 Health Care Reporting Requirements
Nursing Facility Services and Intermediate Care Facilities, 907 Ky. Admin. Regs. 1:022 Nursing Facility Services and Intermediate Care Facilities
Supplemental Payments to Participating DRG Hospitals, 907 Ky. Admin. Regs. 10:183 Supplemental Payments to Participating DRG Hospitals
Mandatory reporting by Medicaid providers (cost/utilization information) Health Insuring Organization and Prepaid Health Plan Services, 907 Ky. Admin. Regs. 1:120 Health Insuring Organization and Prepaid Health Plan Services
Medicaid Program Integrity, 907 Ky. Admin. Regs. 1:675 Medicaid Program Integrity
Patients Can Request Itemized Statement of Charges, Ky. Rev. Stat. Ann. § 216B.250 Patients Can Request Itemized Statement of Charges
Payment for Home Health Services, 907 Ky. Admin. Regs. 1:031 Payment for Home Health Services
Payments for Health Insuring Organizations and Prepaid Health Plan Services, 907 Ky. Admin. Regs. 1:130 Payments for Health Insuring Organizations and Prepaid Health Plan Services
Reimbursement Provisions and Requirements, 907 Ky. Admin. Regs. 1:045 Reimbursement Provisions and Requirements for Community Mental Health Center Services
Confidentiality of Medicaid data (including penalties for violating confidentiality) Medicaid Freestanding Birth Center Services, 907 Ky. Admin. Regs. 1:180 Medicaid Freestanding Birth Center Services
Click on the individual state law in the table above to see our summary of the individual law.


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