Kentucky Statutes 205.6313 – Medicaid reimbursement for primary care practitioners at community mental health centers
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(1) For the purposes of this section:
(a) “Advanced practice registered nurse” has the same meaning as in KRS
314.011;
(b) “Physician” has the same meaning as in KRS § 311.550; and
(c) “Physician assistant” has the same meaning as in KRS § 311.840.
(2) The Cabinet for Health and Family Services and any regional managed care partnership or other entity under contract with the cabinet for the administration or provision of the Medicaid program shall provide Medicaid reimbursement for primary care services provided by a licensed physician, advanced practice registered nurse, or physician assistant employed by a community mental health center established pursuant to KRS § 210.370 to KRS § 210.480, if the community mental health center is in compliance with the Centers for Medicare and Medicaid Services regulations on enhanced primary care reimbursements.
(3) Primary care services provided by a physician, advanced practice registered nurse, or physician assistant in a community mental health center shall be subject to the same reimbursement rates as established by the Department for Medicaid Services for primary care providers operating in Kentucky.
(4) The cabinet shall promulgate administrative regulations in accordance with KRS Chapter 13A to implement this section.
Effective: July 15, 2014
History: Created 2014 Ky. Acts ch. 124, sec. 2, effective July 15, 2014.
(a) “Advanced practice registered nurse” has the same meaning as in KRS
Terms Used In Kentucky Statutes 205.6313
- Cabinet: means the Cabinet for Health and Family Services. See Kentucky Statutes 205.010
- Contract: A legal written agreement that becomes binding when signed.
- Nurse: means a person authorized to practice professional nursing under the laws of the Commonwealth. See Kentucky Statutes 205.510
- Physician: means a person authorized to practice medicine or osteopathy under the laws of the Commonwealth. See Kentucky Statutes 205.510
314.011;
(b) “Physician” has the same meaning as in KRS § 311.550; and
(c) “Physician assistant” has the same meaning as in KRS § 311.840.
(2) The Cabinet for Health and Family Services and any regional managed care partnership or other entity under contract with the cabinet for the administration or provision of the Medicaid program shall provide Medicaid reimbursement for primary care services provided by a licensed physician, advanced practice registered nurse, or physician assistant employed by a community mental health center established pursuant to KRS § 210.370 to KRS § 210.480, if the community mental health center is in compliance with the Centers for Medicare and Medicaid Services regulations on enhanced primary care reimbursements.
(3) Primary care services provided by a physician, advanced practice registered nurse, or physician assistant in a community mental health center shall be subject to the same reimbursement rates as established by the Department for Medicaid Services for primary care providers operating in Kentucky.
(4) The cabinet shall promulgate administrative regulations in accordance with KRS Chapter 13A to implement this section.
Effective: July 15, 2014
History: Created 2014 Ky. Acts ch. 124, sec. 2, effective July 15, 2014.