205.8457 Responsibility of managed care primary physician. - Kentucky Statutes

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Page 1 of 1 205.8457 Responsibility of managed care primary physician. 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.