Medicaid Legislation - Kentucky

Create new sections of Subchapter 14 of KRS Chapter 304 to establish the Kentucky Long-Term Care Partnership Program upon approval of a Medicaid waiver to disregard assets, resources, and estate recovery requirements of the Medicaid program in a $1 to $1 amount; permit Medicaid eligibility with disregards upon the exhaustion of the benefits of the partnership policy; require the Office of Insurance and the Department for Medicaid Services to jointly establish the program; define policy terms and services covered; require approval of a partnership policy; specify reporting requirements; require assurance that agents who sell partnership policies understand the policy in Section 2(4); require promulgation of administrative regulations; require insurers to disclose availability of the Kentucky Long-Term Care Partnership Insurance Program; create a new section of KRS Chapter 205 to require the Department for Medicaid Services to apply for a federal waiver to establish the partnership program;[...]

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Create a new section of KRS 304.17A-700 to 304.17A-730 to define the term carrier; require that a contract between a carrier and its pharmacy benefits administrator requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; require that a contract between a carrier and a participating pharmacy or its contracting agency requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; provide that an electronic claim is to be submitted in the form required by the carrier if the participating provider or designee agrees to accept claims details for the payments electronically and provides accurate electronic funds transfer information to the carrier; require that all electronic claims are to be in compliance with HIPAA regulations on privacy of electronic submissions; require that the provisions for [...]

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Create new sections of KRS Chapter 205 to define terms; establish that proof of a person's intent to commit an unlawful act shall not be required in a civil or administrative proceeding to show that the person acted knowingly in respect to Medicaid fraud; establish unlawful acts related to Medicaid; require the Cabinet for Health and Family Services to provide the Attorney General with access to all documentary materials for the investigation of Medicaid fraud; identify individuals to whom the Attorney General may disclose documentary material; provide immunity for individuals providing access to documentary material to employees of the Attorney General and other state and federal authorities involved in the investigation of Medicaid fraud; require the cabinet to establish by administrative regulation sanctions for a provider found liable for Medicaid fraud; subject licensed professions found liable for Medicaid fraud to disciplinary action by their respective licensure boards; provide [...]

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Create new sections of KRS 216B to establish the Direct Care Staffing Incentive Program; require minimum nurse aide staff-to-resident ratios in long term care facilities as condition of eligibility for the program; provide that intermediate care facilities for the mentally retarded and institutions for the treatment of mental illness are eligible to participate in the program; provide that personal care homes and family care homes are not eligible to participate in the program; require the Office of Inspector General in the Cabinet for Health and Family Services to determine eligibility to receive incentives through the program; create a new section of KRS 194A to require the Cabinet for Health and Family Services to establish a program to provide scholarships and salary supplements to nurse aides and nursing staff employed by long-term care facilities deemed eligible to participate in the program; require the Cabinet for Health and Family Services to promulgate administrative regulations [...]

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Create a new section of KRS 304.17A-700 to 304.17A-730 to define the term carrier; require that a contract between a carrier and its pharmacy benefits administrator requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; require that a contract between a carrier and a participating pharmacy or its contracting agency requiring electronic submission of claims also require electronic payments to the participating provider or designee for clean claims submitted electronically; provide that an electronic claim is to be submitted in the form required by the carrier if the participating provider or designee agrees to accept claims details for the payments electronically and provides accurate electronic funds transfer information to the carrier; require that all electronic claims are to be in compliance with HIPAA regulations on privacy of electronic submissions; require that the provisions for [...]

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