205.6314 Review of reimbursement rates for emergency transportation providers -- Promulgation of administrative regulations relating to emergency transportation providers. - Kentucky Statutes

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Page 1 of 1 205.6314 Review of reimbursement rates for emergency transportation providers -- Promulgation of administrative regulations relating to emergency
transportation providers. The Cabinet for Health and Family Services shall review the Medical Assistance Program
reimbursement rates for emergency transportation providers to determine if existing rates
are fair and reasonable. Notwithstanding this review, the cabinet shall by promulgation of
administrative regulation, pursuant to KRS Chapter 13A, do the following:
(1) Prescribe reimbursement rates for emergency transportation providers to ensure that emergency rates are paid only for transporting medical assistance recipients to the
emergency room of a hospital in emergency situations; (2) Establish, in nonemergency cases, lower medical assistance reimbursement rates for emergency transportation providers for the transportation of stretcher patients from
nursing homes to physician offices or hospitals; and (3) Establish a verification system that requires medical providers to confirm that medical assistance recipients have appointments for medical services and that
medical services were medically necessary and were obtained prior to payment by
the cabinet to the emergency transportation provider. Effective: June 20, 2005
History: Amended 2005 Ky. Acts ch. 99, sec. 249, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 207, effective July 15, 1998. -- Created 1994 Ky. Acts
ch. 512, sec. 74, effective July 15, 1994.