Kentucky Statutes 199.680 – Nonreimbursement of out-of-state providers of residential care for children — Exception — Administrative regulations
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(1) The Department for Community Based Services and the Department for Medicaid Services shall not reimburse an out-of-state provider of residential care for children whose care is paid by state general funds or state administered federal funds unless the Department for Medicaid Services or the Department for Community Based Services or a designated agent thereof has determined that there is no provider within the Commonwealth that is capable and willing to provide comparable services at a comparable cost per child to those that would be delivered by the out- of-state provider. An exception may be made if:
(a) The identified in-state resource is farther away from the child’s parent or guardian than a similar out-of-state resource; or
(b) The services offered by the out-of-state resource is deemed by either department or a designated agent thereof to be more appropriate for the individual child than the services offered by the in-state provider.
(2) Prior to promulgating administrative regulations governing the determination of the availability of providers of residential care within the Commonwealth, the Department for Medicaid Services and the Department for Community Based Services shall establish uniform conditions, requirements, and exceptions for the determination of the availability of providers of residential care within the Commonwealth.
(3) Each department shall promulgate an administrative regulation in accordance with KRS Chapter 13A that contains the uniform conditions, requirements, and exceptions for the determination of the availability of providers of residential care within the Commonwealth established under subsection (2) of this section.
Effective: July 14, 2000
History: Amended 2000 Ky. Acts ch. 14, sec. 22, effective July 14, 2000. — Created
1998 Ky. Acts ch. 527, sec. 4, effective July 15, 1998.
(a) The identified in-state resource is farther away from the child’s parent or guardian than a similar out-of-state resource; or
Terms Used In Kentucky Statutes 199.680
- Child: means any person who has not reached his eighteenth birthday. See Kentucky Statutes 199.011
- Department: means the Department for Community Based Services. See Kentucky Statutes 199.011
- Federal: refers to the United States. See Kentucky Statutes 446.010
- Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
- State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
(b) The services offered by the out-of-state resource is deemed by either department or a designated agent thereof to be more appropriate for the individual child than the services offered by the in-state provider.
(2) Prior to promulgating administrative regulations governing the determination of the availability of providers of residential care within the Commonwealth, the Department for Medicaid Services and the Department for Community Based Services shall establish uniform conditions, requirements, and exceptions for the determination of the availability of providers of residential care within the Commonwealth.
(3) Each department shall promulgate an administrative regulation in accordance with KRS Chapter 13A that contains the uniform conditions, requirements, and exceptions for the determination of the availability of providers of residential care within the Commonwealth established under subsection (2) of this section.
Effective: July 14, 2000
History: Amended 2000 Ky. Acts ch. 14, sec. 22, effective July 14, 2000. — Created
1998 Ky. Acts ch. 527, sec. 4, effective July 15, 1998.