Kentucky Statutes 205.8457 – Responsibility of managed care primary physician
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Any provider agreeing to participate as a managed care primary physician of the state‘s Medical Assistance Program shall be responsible for prior approval of all medical-related services and goods, except transportation, of recipients assigned to the primary physician’s care as set forth under administrative regulation promulgated by the Cabinet for Health and Family Services pursuant to KRS Chapter 13A. No primary physician may delegate that primary physician’s authority to anyone except a provider designated by the managed care primary physician to temporarily be responsible for the primary physician’s managed care patients during the primary physician’s absence. The temporarily designated provider shall be approved by the Department for Medicaid Services. Procedures for delegation of authority to a temporarily designated provider shall be approved by the Department for Medicaid Services in accordance with any applicable federal laws or regulations.
Effective: June 20, 2005
History: Amended 2005 Ky. Acts ch. 99, sec. 278, effective June 20, 2005. — Amended
1998 Ky. Acts ch. 426, sec. 225, effective July 15, 1998. — Created 1994 Ky. Acts ch. 96, sec. 4, effective July 15, 1994; and ch. 316, sec. 3, effective July 15, 1994.
Effective: June 20, 2005
Terms Used In Kentucky Statutes 205.8457
- Cabinet: means the Cabinet for Health and Family Services. See Kentucky Statutes 205.010
- Federal: refers to the United States. See Kentucky Statutes 446.010
- Physician: means a person authorized to practice medicine or osteopathy under the laws of the Commonwealth. See Kentucky Statutes 205.510
- State: when applied to a part of the United States, includes territories, outlying possessions, and the District of Columbia. See Kentucky Statutes 446.010
History: Amended 2005 Ky. Acts ch. 99, sec. 278, effective June 20, 2005. — Amended
1998 Ky. Acts ch. 426, sec. 225, effective July 15, 1998. — Created 1994 Ky. Acts ch. 96, sec. 4, effective July 15, 1994; and ch. 316, sec. 3, effective July 15, 1994.