2015 Kentucky Revised Statutes CHAPTER 205 - PUBLIC ASSISTANCE AND MEDICAL ASSISTANCE 205.8477 Disclosure requirements for Medicaid providers, fiscal agents, and managed care entities -- Disclosure requirements for owners and investors of health facilities and health services -- When disclosure must be provided.
Download as PDF
205.8477
Disclosure requirements for Medicaid providers, fiscal agents, and
managed care entities -- Disclosure requirements for owners and investors of
health facilities and health services -- When disclosure must be provided.
(1)
(2)
(3)
(4)
Each Medicaid provider, other than an individual practitioner or group of
practitioners, fiscal agent that processes or pays vendor claims on behalf of the
Medicaid agency, and managed care entity shall file a disclosure with the Cabinet
for Health and Family Services in accordance with 42 C.F.R. sec. 455.104.
Each owner of or direct financial investor in any health facility or health service
which dispenses or supplies drugs, medicines, medical devices, or durable medical
equipment to a patient shall file a disclosure with the Cabinet for Health and Family
Services of the names and addresses of any immediate family member who is
authorized under state law to prescribe drugs or medicines or medical devices or
equipment.
Each provider shall, as a condition of participation in the Medical Assistance
Program, file a disclosure with the Cabinet for Health and Family Services in
accordance with 42 C.F.R. sec. 455.105 relating to business transactions and in
accordance with 42 C.F.R. sec. 455.106 relating to information on persons
convicted of crimes.
Disclosures required under this statute shall be provided at any of the following
times or as otherwise provided by law:
(a) Upon submitting a provider application;
(b) Upon executing a provider agreement;
(c) Upon request of the Cabinet for Health and Family Services during a
provider's revalidation of enrollment;
(d) Within thirty-five (35) days after any change in ownership of a health facility
or health service, fiscal agent, or managed care entity;
(e) Upon the submission of a proposal in accordance with the state's procurement
process by a fiscal agent or by a managed care entity;
(f) Upon execution, renewal, or extension of a contract by the state with a fiscal
agent or a managed care entity; or
(g) Upon written request within thirty-five (35) days by the Cabinet for Health
and Family Services.
Effective: June 24, 2015
History: Amended 2015 Ky. Acts ch. 80, sec. 1, effective June 24, 2015. -- Amended
2005 Ky. Acts ch. 99, sec. 285, effective June 20, 2005. -- Amended 1998 Ky. Acts
ch. 426, sec. 232, effective July 15, 1998. -- Created 1994 Ky. Acts ch. 96, sec. 14,
effective July 15, 1994; and ch. 316, sec. 14, effective July 15, 1994.
Disclaimer: These codes may not be the most recent version. Kentucky may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.