Kentucky Statutes 205.6326 – Review of Medicaid reimbursement systems — Implementation of a standardized patient assessment tool and consistent quality-of-care mandates
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The Cabinet for Health and Family Services shall review all medical assistance reimbursement systems for appropriateness and cost-effectiveness. The review shall include:
(1) Review of cost-based reimbursement policies for hospitals and nursing homes to determine the effectiveness and appropriateness of alternate systems. Consideration shall be given to the use of modified diagnostic-related groups and resource utilization groups systems, using capitated payment methods; and
(2) Review of reimbursement rates for physicians to determine whether savings or cost containment would be better achieved through using a relative-based resource value scale system, a capitated payment method, or other alternative methods of reimbursement; and
(3) For all Medicaid-covered long-term-care services, implementation of a standardized patient assessment tool and consistent quality-of-care mandates.
Effective: June 20, 2005
History: Amended 2005 Ky. Acts ch. 99, sec. 255, effective June 20, 2005. — Amended
1998 Ky. Acts ch. 426, sec. 213, effective July 15, 1998. — Created 1994 Ky. Acts ch. 512, sec. 80, effective July 15, 1994.
(1) Review of cost-based reimbursement policies for hospitals and nursing homes to determine the effectiveness and appropriateness of alternate systems. Consideration shall be given to the use of modified diagnostic-related groups and resource utilization groups systems, using capitated payment methods; and
Terms Used In Kentucky Statutes 205.6326
- Cabinet: means the Cabinet for Health and Family Services. See Kentucky Statutes 205.010
(2) Review of reimbursement rates for physicians to determine whether savings or cost containment would be better achieved through using a relative-based resource value scale system, a capitated payment method, or other alternative methods of reimbursement; and
(3) For all Medicaid-covered long-term-care services, implementation of a standardized patient assessment tool and consistent quality-of-care mandates.
Effective: June 20, 2005
History: Amended 2005 Ky. Acts ch. 99, sec. 255, effective June 20, 2005. — Amended
1998 Ky. Acts ch. 426, sec. 213, effective July 15, 1998. — Created 1994 Ky. Acts ch. 512, sec. 80, effective July 15, 1994.