2006 Kentucky Revised Statutes - CHAPTER 205 PUBLIC ASSISTANCE AND MEDICAL ASSISTANCE

Public Assistance Program

• .010   Definitions for chapter.
• .020   Repealed, 1950.
• .030   Repealed, 1950.
• .040   Repealed, 1950.
• .045   Renumbered as 45.235, effective 1948.
• .050   Repealed, 1950.
• .060   Repealed, 1942.
• .065   Repealed, 1950.
• .070   Repealed, 1950.
• .080   Repealed, 1950.
• .090   Repealed, 1966.
• .100   Repealed, 1966.
• .110   Repealed, 1966.
• .120   Repealed, 1966.
• .130   Repealed, 1966.
• .140   Repealed, 1966.
• .150   Repealed, 1966.
• .160   Repealed,1974.
• .170   Powers of secretary.
• .175   Confidential treatment of information and records -- Persons to whom furnished.
• .177   Information may be shared by state and local governmental agencies -- Conditions.
• .179   Annual review of sites where residents receive state supplemental benefits to determine registration status of boarding home.
• .180   Destruction of records.
• .190   Repealed, 1974.
• .200   Eligibility for public assistance.
• .2001   "Public assistance under Title IV-A of the Federal Social Security Act standard of need" defined.
• .2002   Repealed, 1998.
• .2003   Administrative regulations for work program for public assistance recipients.
• .2005   Food stamp eligibility for certain public assistance recipients convicted of drug offenses.
• .201   Duties of cabinet as to the aging and the minority elderly.
• .202   Acceptance and disposition of gifts and grants.
• .203   Authorization to provide in-home services to the aging -- Collection of fees.
• .204   Cabinet to administer Older Americans Act -- Regulatory authority.
• .210   Amount of assistance -- Proration in case of deficiency -- Resources defined.
• .211   Secretary to correct any underpayment or overpayment of public assistance benefits.
• .215   Repealed, 1998.
• .217   Long-term care case management demonstration.
• .220   Payments, to whom made -- Accounting -- Exemption from assignment, levy or execution.
• .222   Repealed, 1978.
• .223   Repealed, 1978.
• .225   Repealed, 1979.
• .227   Action by secretary against persons legally liable for support.
• .230   Repealed, 1964.
• .231   Appeals -- Hearing officers -- Appeal board -- Procedure.
• .234   Repealed, 1996.
• .237   Public assistance claimant may have counsel -- Fees.
• .240   Public assistance funds -- Availability to secretary.
• .245   Supplementary payments.
• .250   Repealed, 1972.
• .260   Repealed, 1956.
• .270   Repealed, 1956.
• .280   Repealed, 1956.
• .290   Revolving fund -- Disbursement -- Balance not to lapse.
• .300   Repealed, 1960.
• .310   Liability of stepparent for support furnished child.
• .320   Repealed, 1956.
• .325   Repealed, 1966.
• .330   Repealed, 1972.
• .335   Repealed, 1972.
• .340   Repealed, 1972.
• .350   Repealed, 1972.

Energy Assistance Program

• .400   Energy Cost Assistance Program established -- Eligibility requirements -- Allocation of funds -- Payments.
• .410   Repealed, 1976.
• .420   Repealed, 1976.
• .430   Repealed, 1976.
• .440   Repealed, 1976.
• .450   Repealed, 1976.

Services for Elderly Persons

• .455   Definitions for KRS 205.460 and 205.465.
• .460   Essential services -- Funding -- Collection of fees and contributions.
• .465   Report by cabinet.
• .470   Centralized resource and referral center for aging caregivers of individuals with mental retardation or other developmental disability.

Medical Assistance

• .510   Definitions for medical assistance law.
• .512   Repealed, 1972.
• .514   Repealed, 1972.
• .516   Repealed, 1972.
• .518   Repealed, 1972.
• .520   Title and purpose of KRS 205.510 to 205.630 -- Recovery from third parties for services rendered.
• .525   Application by cabinet for waiver, waiver amendment, or request for plan amendment -- Cabinet to provide interim joint committees with copy and updates.
• .530   Repealed, 1974.
• .531   Administrative hearings.
• .540   Advisory Council for Medical Assistance -- Membership -- Expenses -- Meetings -- Qualifications of members.
• .550   Subjects on which council advises.
• .558   Prescreening and admissions review system.
• .559   Requirements for Medicaid reimbursement to participating providers for telehealth consultations -- Report of impact on health care delivery system required -- Administrative regulations.
• .560   Scope of care to be designated by administrative regulations -- Reimbursements mandated or prohibited -- Assessment of health care provider credentials.

Kentucky Independence Plus Through Consumer-Directed Services Program

• .5605   Definitions for KRS 205.5605 to 205.5607.
• .5606   Kentucky Independence Plus Through Consumer-Directed Services Program -- Consumer participation -- Responsibilities of cabinet and fiscal intermediary -- Background screening -- Regulations.
• .5607   Applicability of KRS Chapter 342.
• .561   Report on the dispensing of prescription medications.

Kentucky Pharmaceutical Assistance Program

• .5621   Definitions for KRS 205.5621 to 205.5625.
• .5622   Kentucky Pharmaceutical Assistance Program -- Contingency for establishment -- Purpose -- Eligibility -- Enrollment priority.
• .5623   Department's powers in providing program benefits.
• .5624   Payment of benefits -- Limitations -- Qualification for coverage.
• .5625   Residency standards.
• .5631   Definitions for KRS 205.5631 to 205.5639.
• .5632   Prior authorization requirements -- Administrative regulations.
• .5634   Coordination of use of utilization data -- Identification of appropriate use of pharmaceuticals -- Determination of need for educational intervention.
• .5636   Drug Management Review Advisory Board -- Membership -- Officers -- Meetings.
• .5638   Duties and responsibilities of board.
• .5639   Effect of board recommendations -- Written exceptions -- Final decision -- Appeal.
• .564   Pharmacy and Therapeutics Advisory Committee --Membership -- Duties -- Information posted on Web site -- Recommendations -- Presentations by interested parties -- Appeals -- Administrative regulations.
• .565   Cabinet to recognize unique costs of pediatric teaching hospital.
• .566   Electronic medical record database.
• .570   Repealed, 1974.
• .575   Repealed, 1993.
• .576   Repealed, 1993.
• .577   Repealed, 1993.
• .578   Repealed, 1993.
• .580   Repealed, 1974.
• .590   Technical advisory committees.
• .592   Eligibility of pregnant women and children up to age 1 to participate in Kentucky Medical Assistance Program.
• .593   Prohibition against health insurer's considering individual's eligibility for or receipt of medical assistance in enrollment or payment of benefits -- Application of claims payment requirements to Medicaid services.
• .594   Health coverage for child under medical child support order -- Duties of health insurers.
• .595   Health coverage for child under medical child support order -- Duties of employers.
• .596   Prohibition against health insurer's imposing requirements on state agency assigned rights of individual eligible for medical assistance that are different from those applicable to agent or assignee of other covered individual.
• .597   Health coverage through insurer of noncustodial parent of child under medical child support order.
• .598   Withholding of income and state tax refund of person required by court to provide cost of child's health service -- Priority of claims for child support over costs of reimbursement of child medical support.
• .600   Repealed, 1982.
• .604   Repealed, 1972.
• .610   Repealed, 1972.
• .620   Repealed, 1966.
• .621   Increased reimbursement for Medicaid.
• .622   Billing of third party by vendor for medical services.
• .623   Information on claims paid for insurance policyholders and dependents -- Use of data -- Confidentiality of information.
• .624   Assignment to cabinet by recipient of rights to third-party payments -- Right of recovery by cabinet.
• .626   Time assignment becomes enforceable -- Payment to cabinet -- Attorney's fees.
• .627   Repealed, 1996.
• .628   Liability of recipient.
• .629   Notification of cabinet in actions seeking recovery for recipient.
• .630   Prohibited activity by cabinet -- Injunctive relief.
• .6310   Cabinet to establish system to reduce unnecessary hospital emergency room utilization and costs.
• .6312   Medical recipients to pay allowable nominal copayments -- Administrative regulations.
• .6314   Review of reimbursement rates for emergency transportation providers -- Promulgation of administrative regulations relating to emergency transportation providers.
• .6315   Requirements when private peer review organization is contracted with to conduct reviews of levels of care.
• .6316   Review of procedures for medical assistance reimbursement of pharmacists to reduce fraud and abuse -- Dispensing fee.
• .6317   Department for Medicaid Services to develop strategies for reimbursing and paying persons participating in the Supports for Community Living Waiver Program -- Allocation of slots -- Administrative regulations -- Funding.
• .63171   Short title for KRS 205.6317.
• .6318   Cabinet to establish integrated system to enhance program integrity of Medical Assistance Program.
• .6320   Cabinet to strengthen managed care component of KenPAC Program and to establish standards for access and quality for organizations serving Medicaid recipients.
• .6322   Cabinet to seek to prohibit sheltering of assets in long-term-care cases.
• .6324   Cabinet to enhance third-party resource collection capacity.
• .6326   Review of Medicaid reimbursement systems -- Implementation of a standardized patient assessment tool and consistent quality-of-care mandates.
• .6328   Quarterly reports to General Assembly regarding Medicaid program changes -- Expiration provision.
• .6330   Repealed, 1996.
• .6332   System for monitoring use of covered services using appropriate technology and identification card.
• .6334   Request for necessary waivers of federal law.
• .6336   Certification to Interim Joint Committee on Appropriations and Revenue of general fund savings realized from procedures adopted to control health-care costs -- Transfer of savings to trust fund.
• .6338   Implementation of pilot projects to provide health care to frail elderly Medicaid-eligible individuals.
• .634   Payments prohibited to out-of-state health facility providing services without required certificate of need -- Nonreimbursement of out-of-state providers of residential care for children -- Exception -- Administrative regulations.
• .635   Skilled nursing services provided to Medicaid recipients by adult day health care programs.
• .637   Enhanced Medicaid payments to county-owned or operated hospitals -- Payments to other hospitals.
• .639   Definitions for KRS 205.639 to 205.641.
• .640   "Medical Assistance Revolving Trust Fund" (MART) -- Distribution of disproportionate share funds -- Authority for administrative regulations -- Duties of hospitals receiving funds from MART.
• .641   Disproportionate share funds paid to acute care hospitals and private psychiatric hospitals.
• .642   Pervasive developmental disorders -- Definition for KRS 200.654, 200.660, 347.020, and 387.510 -- Waiver application -- Report.
• .645   Recognition of varying overhead costs.

Kentucky Children's Health Insurance Program

• .6481   Legislative findings.
• .6483   Kentucky Children's Health Insurance Program -- Purposes.
• .6485   State child health plan -- Eligibility criteria -- Schedule of benefits -- Premium contributions -- Access.
• .6487   Establishment of trust fund -- Maintenance.
• .6489   Administration -- Outreach -- Data collection.
• .6491   Advisory council.
• .6495   Short title for KRS 205.6481 to 205.6495 and KRS 304.17A-340.
• .6497   Required provisions in plans.

Community Work Experience Programs

• .650   Repealed, 1998.
• .660   Repealed, 1998.
• .670   Repealed, 1998.
• .680   Repealed, 1998.
• .690   Reports to General Assembly.
• .700   Repealed, 1998.

Educational and Vocational Programs for Parents

• .702   Educational and vocational programs for parents receiving public assistance -- Reports by cabinet.
• .703   Educational and vocational programs eligible for supportive services -- Prohibition against discontinuance of service to low income parents except under certain circumstances.
• .704   Preparation and submission of strategic plan to further education of low income parents -- Parties included in planning process.
• .705   Legislative intent regarding child support statutes.

Child Support Recovery

• .710   Definitions for KRS 205.712 to 205.800.
• .712   Division of Child Support -- Duties -- Cabinet to process child support payments -- State disbursement unit -- Cabinet's cooperation with courts and officials -- Reporting of obligors -- Denial, suspension, and revocation of licenses -- Data match system -- Subpoenas -- Distribution of child support program information.
• .713   Standardized forms for entry of state case registry information.
• .715   Debt due and owing to state by parents.
• .720   Assignment -- Subrogation -- Distribution of child support payments -- Effect of termination of Title IV-D services.
• .721   Title IV-A services available to individuals not receiving public assistance benefits -- Continuation of IV-D services -- Fee for services -- Exemption.
• .725   Action when application received by cabinet -- Definition.
• .730   Cabinet's duty to locate custodial and noncustodial parents -- Enforcement of child support obligations -- Registry of information relating to parents -- Assistance from governmental agencies -- Limits on availability of information.
• .732   Employment assistance program for low-income noncustodial parents.
• .735   Information to be supplied by employer.
• .740   Repealed, 1988.
• .741   Repealed, 1990.
• .743   Repealed, 1990.
• .744   Repealed, 1990.
• .745   Child support lien or levy in favor of cabinet -- Filing of notice -- Foreclosure actions -- Immobilization of vehicles of child support obligors.
• .750   Payments to be made through the state agency or the agency's designee.
• .752   Penalty imposed upon payor for tender of dishonored check.
• .755   Manner for receipt and distribution of payments.
• .760   Repealed, 1988.
• .765   Judicial proceeding to secure support.
• .766   Concurrent jurisdiction of Circuit and District Courts in certain child support cases.
• .767   Surety to guarantee payment of overdue support.
• .768   Release of information to consumer reporting agencies -- Notice -- Charge for information.
• .7685   Credit report from consumer reporting agency.
• .769   Federal and state income tax refund offsets.
• .7695   Sharing of state tax information for child support collection.
• .770   Child custody and visitation rights.
• .772   Data match agreements between cabinet and financial institutions -- Surrender of assets when parent is subject to lien -- Fee -- Financial institutions not liable.
• .774   Wage reporting and financial institution match systems -- Agreements.
• .775   Repealed, 1988.
• .776   Disclosure of information about data match system to depositors -- Penalty -- Liability of financial institution -- Fee.
• .778   Lien against account of noncustodial parent owing child support -- Notice -- Account activity fees -- Priority of lien.
• .7785   Interstate lien to enforce Kentucky child support obligation -- Lien to enforce obligation credited in another state -- Priority of out-of-state lien -- Certification of authority.  (Effective until January 1, 2007)
• .780   Legal action for reimbursement.
• .782   Service of process by constable in county containing city of the first class.
• .785   Identity of parent -- Information concealment.
• .790   Procedures -- Actions -- Remedies.
• .792   Use of administrative process to determine and enforce support obligations.
• .793   Administrative subpoena for information relating to child support -- Financial institution may deduct funds from account -- Action to enforce subpoena.
• .795   Regulations.
• .796   Divulging of information by employees or agents of the Commonwealth -- Penalties for unauthorized disclosure.
• .7965   Release of data to government agencies.
• .798   Cabinet may coordinate with other agencies.
• .800   Referral to local officials -- Cooperative arrangements for administering.
• .802   Standardized forms for entry into state case registry.

Crisis Assistance

• .810   Repealed, 1998.
• .830   Legislative intent.
• .835   Disclosure of financial data pertinent to applicants for or recipients of benefits -- Fee -- Written consent.
• .845   Repealed, 1994.

Control of Fraud and Abuse

• .8451   Definitions for KRS 205.8451 to 205.8483.
• .8453   Responsibility for control of fraud and abuse.
• .8455   Recipient Utilization Review Committee -- Authority.
• .8457   Responsibility of managed care primary physician.
• .8459   Emergency service.
• .8461   Unlawful referral practices of provider -- Penalties.
• .8463   Fraudulent acts -- Penalties.
• .8465   Mandatory reporting of violations -- Confidentiality -- Prohibition against employer discrimination or retaliation.
• .8467   Liability of violators -- Payment of penalties to Medicaid trust fund.
• .8469   Enforcement proceedings by Attorney General.
• .8471   Lien on property of provider or recipient defrauding Medicaid program.
• .8473   Reliance on written governmental advice as defense.
• .8475   Forfeiture of provider's license.
• .8477   Ownership reporting requirements for health facilities and health services.
• .8479   Report of license or certificate suspension, revocation, or limitation.
• .8481   Prohibition against representation of provider by staff of Attorney General in private practice.
• .8483   Toll-free hotline for receiving reports of fraud and abuse -- Annual report.
• .850   Repealed, 1994.
• .855   Repealed, 1994.

Personal Care Assistance

• .900   Definitions for KRS 205.905 to 205.920.
• .905   Subsidy for personal care assistance.
• .910   Eligibility standard -- Subsidy not income for federal law purposes -- Supplements other programs.
• .915   Appeal of decision by aggrieved party.
• .920   Regulations.
• .925   Implementation of KRS 205.900 to 205.920 by cabinet.

Representative Payee Services

• .935   Definitions for KRS 205.940.
• .940   Representative payee fund.
• .950   Certification of adult day care centers.
• .955   Unannounced inspection of adult day care centers.

Penalties

• .990   Penalties.
• .991   Repealed, 1979.
• .992   Penalties for child support recovery offenses.