reglab/statecodes huggingface dataset:
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-107a - Reimbursement for non-emergency medical transportation services

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Non-commercial,
			 non-emergency medical transportation providers shall be paid 22 cents per mile.
(b) Each commercial, non-emergency
			 medical transportation provider shall be reimbursed at one of the following
			 rates:
(1) For level one general
			 transportation, $10.00 for each one-way trip to a medicaid-covered service for
			 a medicaid beneficiary, plus $1.00 per mile after 10 miles; or
(2) for level two transportation for a
			 non-ambulatory medicaid beneficiary, transportation of medical equipment with a
			 medicaid beneficiary, or transportation of a medicaid beneficiary following a
			 treatment that will result in a disabling physical condition, $20.00 for each
			 one-way trip to a medicaid-covered service for a medicaid beneficiary plus
			 $1.00 per mile after 10 miles.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-108a - Reimbursement for durable medical equipment, medical supplies, orthotics, and prosthetics

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Reimbursement
			 for covered services shall be made on the basis of rates established by the
			 secretary.
(b) Reimbursement for
			 used equipment or repairs of equipment shall not exceed 75% of the
			 reimbursement rate for new equipment.
(c) This regulation shall be effective on and
			 after December 31, 2002.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-109 - Scope of services in free-standing inpatient psychiatric facilities

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Services shall
			 be available to program recipients who are 65 and over if the services are
			 provided by a facility that meets the medicare requirements.
(b) Services shall be available to program
			 recipients who are under 21 years of age if the services are provided by a
			 facility accredited by the joint commission on accreditation of hospitals.
(c) Services for recipients under
			 age 21 shall be rendered before the recipient reaches age 21 or, if the
			 recipient was receiving the services immediately before reaching the age of 21,
			 before the earlier of the following:
(1) The
			 date the recipient no longer requires the services; or
(2) the date the recipient reaches the age of
			 22.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-109a - Reimbursement for free-standing psychiatric facilities

Current through Register Vol. 43, No. 28, July 11, 2024
Reimbursement for free-standing psychiatric facilities shall be
				pursuant to
				K.A.R.
				30-5-81b as a general hospital. The effective
				date of this regulation shall be October 1, 1993.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-110 - Scope of partial hospitalization programs

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Partial
			 hospitalization services shall be provided in a community mental health center
			 or a facility affiliated with a community mental health center. The only
			 exception to this is "Kan Be Healthy" program participants who may receive
			 services in either an affiliated or non-affiliated partial hospitalization
			 program.
(b) Supportive partial
			 hospitalization services shall be limited to a specified number of hours per
			 year.
(c) Partial hospitalization
			 services provided by state institutions shall be exempt from any limitations of
			 hours per recipient per calendar year.
(d) The effective date of this regulation
			 shall be December 29, 1995.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-110a - Reimbursement for partial hospitalization programs

Current through Register Vol. 43, No. 28, July 11, 2024
Reasonable fees as related to customary charges shall be paid
				for partial hospitalization program services, except no fee shall be paid in
				excess of the range maximum. The range of charges shall provide the base for
				computations.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-111 - This rule and regulation shall expire on January 2, 1991

Current through Register Vol. 43, No. 28, July 11, 2024
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-112 - Scope of local health department services

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Local health
			 department services shall be covered for medicaid/medikan recipients.
(b) Covered services shall include
			 the following:
(1) Kan Be Healthy program
			 services;
(2) family planning
			 services;
(3) maternal and child
			 health services;
(4) home health
			 nursing services when home health agency services are not available to the
			 recipient;
(5) immunizations;
(6) nursing assessments performed
			 by a registered nurse; and
(7)
			 services to detect, diagnose and treat specific diseases.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-112a - Reimbursement for local health department services

Current through Register Vol. 43, No. 28, July 11, 2024
Reasonable fees, as related to customary charges, shall be paid
				for local health department services, except that no fee shall be paid in
				excess of the range maximum. The range of charges shall provide the base for
				computations of the reimbursement.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-113 - Scope of advanced registered nurse practitioner and registered nurse anesthetist services

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Advanced
			 registered nurse practitioner services shall be covered for medicaid/medikan
			 recipients when provided by an advanced registered nurse practitioner who is
			 certified pursuant to K.A.R. 60-11-103 or who meets criteria in K.A.R.
			 60-11-103 if practicing out-of-state. Covered services shall be pursuant to
			 K.A.R. 30-5-88.
(b) Registered
			 nurse anesthetist services shall be covered for medicaid/medikan recipients
			 when provided by a registered nurse anesthetist who is authorized to practice
			 pursuant to K.S.A. 1989 Supp.
			 65-1151 and
			 65-1152. Anesthesia services shall
			 be covered. The effective date of this regulation shall be August 1, 1990.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-113a - Reimbursement for advanced registered nurse practitioner and registered nurse anesthetist services

Current through Register Vol. 43, No. 28, July 11, 2024
The maximum rate for a service provided by an advanced
				registered nurse practitioner or a registered nurse anesthetist shall be one of
				the following:
(a) When the services
			 may be provided by a physician, the rate shall be 75% of that allowed for the
			 physician, except for anesthesia services and Kan Be Healthy screenings; or
(b) other services shall be based
			 upon reasonable fees as related to customary charges, except no fee shall be
			 paid in excess of the range maximum. The range of charges shall provide the
			 base for computations. The effective date of this regulation shall be August 1,
			 1990.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-114 - Scope of targeted case management services

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Targeted case
			 management services shall be covered for medicaid/med-ikan recipients.
(b) Covered services shall include
			 the following:
(1) Referral for assessment;
(2) referral for treatment if
			 appropriate according to the assessment; and
(3) assistance with gaining access to
			 medically necessary services.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-114a - Reimbursement for targeted case management services

Current through Register Vol. 43, No. 28, July 11, 2024
Reasonable fees as related to customary charges shall be paid
				for targeted case management services, except no fee shall be paid in excess of
				the range maximum. The range of charges shall provide the base for
				computations.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-115 - Scope of hospice services

Current through Register Vol. 43, No. 28, July 11, 2024
Hospice services shall be covered for medicaid and medikan
				recipients who have been determined to be terminally ill by a physician and who
				have filed an election statement with a hospice enrolled to participate in the
				medicaid/medikan program. Hospice services shall be covered pursuant to Public
				Law 99-272, section 9505, effective April 7, 1986. Medicaid eligible
				individuals who reside in adult care facilities shall have room and board
				reimbursed. The effective date of this regulation shall be August 1, 1990.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-115a - Reimbursement for hospice services

Current through Register Vol. 43, No. 28, July 11, 2024
Reasonable fees as related to the medicare standards of hospice
				reimbursement as established pursuant to Public Law 99-272, section 9505,
				effective April 7, 1986, shall be paid for hospice services. The effective date
				of this regulation shall be July 1, 1989.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-116 - Scope of rehabilitation services

Current through Register Vol. 43, No. 28, July 11, 2024
Rehabilitation services shall be covered for medicaid
				recipients when provided by providers enrolled pursuant to
				K.A.R.
				30-5-59. These services may include the
				following:
(a) Substance abuse
			 treatment provided by an enrolled alcohol and drug addiction community service
			 provider;
(b) behavior management
			 services provided by an enrolled behavior management provider, including the
			 following:
(1) Family mental health treatment
			 services that have received prior authorization from a provider recommended by
			 either the juvenile justice authority or the department's division of children
			 and family policy;
(2) group
			 mental health treatment services that have received prior authorization from a
			 provider recommended by either the juvenile justice authority or the
			 department's division of children and family policy;
(3) in-home, family-based mental health
			 services that have received prior authorization from a provider recommended by
			 either the juvenile justice authority or the department's division of children
			 and family policy; and
(4)
			 comprehensive evaluation and transition services for children who have special
			 psychological or emotional, developmental, or health needs directed toward
			 placement of the recipient in the least restrictive environment;
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-116a - Reimbursement for rehabilitation services

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Reimbursement
			 for substance abuse treatment and long-term head injury rehabilitation shall be
			 based upon a negotiated rate pursuant to a contract between the Kansas
			 department of social and rehabilitation services and a provider.
(b) Reimbursement for inpatient
			 rehabilitation services provided in a general hospital shall be based on the
			 diagnosis related group system.
(c) Reasonable fees as related to customary
			 charges shall be paid for other rehabilitation services, except no fee shall be
			 paid in excess of the range maximum. The range of charges shall provide the
			 base for computations. The effective date of this regulation shall be October
			 1, 1993.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-117 - Scope of maternity center services

Current through Register Vol. 43, No. 28, July 11, 2024
Maternity center services shall be covered when provided by a
				maternity center licensed by the Kansas department of health and environment or
				its equivalent when provided by a maternity center located out of state. Labor
				and delivery shall be covered. The effective date of this regulation shall be
				August 1, 1990.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-117a - Reimbursement for maternity center services

Current through Register Vol. 43, No. 28, July 11, 2024
Reasonable fees as related to customary charges shall be paid
				for maternity center services, except no fee shall be paid in excess of the
				range maximum. The range of charges shall provide the base for computations.
				The effective date of this regulation shall be August 1, 1990.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-150 - Co-pay requirements for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Medikan program
			 recipients shall be obligated to the provider for co-payment amounts identical
			 to the co-payment amounts for medicaid program recipients pursuant to K.A.R.
			 30-5-71.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-151 - Scope of hospital services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Hospital services for medikan program recipients shall be
				limited to services provided for the following conditions:
(a) Acute psychotic episodes;
(b) traumatic injury;
(c) burns; and
(d) substance abuse acute detoxification.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-152 - Scope of rural health clinic services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of rural health clinic services medikan program
				recipients shall be identical to the rural health clinic services pursuant to
				K.A.R.
				30-5-82 covered for adult medicaid program
				recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-153 - Scope of physical therapist services

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Physical
			 therapist services shall be covered for medicaid/medikan beneficiaries when
			 provided by a physical therapist who:
(1) is
			 certified by medicare; and
(2)
			 meets requirements listed in K.A.R. 100-35-1 through K.A.R. 100-35-7.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-153a - Reimbursement for physical therapist services

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Reasonable fees
			 for customary charges shall be paid for physical therapist services except that
			 no fee shall be paid in excess of the range maximum.
(b) The range of charges shall provide the
			 base for the computation.
(c) The
			 effective date of this regulation shall be December 29, 1995.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-154 - Scope of services by community mental health centers for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of community mental health center services for
				medikan program recipients shall be identical to the community mental health
				center services pursuant to
				K.A.R.
				30-5-86 covered for adult medicaid program
				recipients with the following exceptions:
(a) Outpatient psychotherapy shall be limited
			 to 24 hours per calendar year per medikan recipient when provided by a
			 community mental health center, physician, psychologist, or any combination of
			 these providers;
(b) psychological
			 testing shall be prior authorized and limited to six hours in any three
			 consecutive calendar years for medikan recipients; and
(c) targeted case management services and
			 partial hospitalization services shall be limited to amounts specified by the
			 secretary for medikan recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-155 - Scope of Kan Be Healthy program services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Kan Be Healthy program services shall not be covered for
				medikan program recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-156 - Scope of physician services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of physician services for medikan program recipients
				shall be identical to the physician services pursuant to
				K.A.R.
				30-5-88 covered for medicaid program
				recipients with the exception that outpatient psychotherapy for medikan
				recipients shall be limited to 24 hours per calendar year per recipient when
				provided by a physician, psychologist, community mental health center, or any
				combination of these providers.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-157 - Scope of home health services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of home health services for medikan program
				recipients shall be identical to the home health services pursuant to
				K.A.R.
				30-5-89 covered for adult medicaid program
				recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-158 - Scope of pharmacy services for adult medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Coverage shall be limited to prescription-only and
				over-the-counter drugs, supplies and devices that have been accepted for
				inclusion on any formulary listing for adult medikan program recipients which
				has been adopted and distributed, by the agency, to eligible providers of
				service.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-159 - Scope of dental services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Dental services for medikan program recipients shall not be
				covered. The effective date of this regulation shall be December 31, 1992.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-160 - Scope of chiropractic services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Chiropractic services for medikan program recipients shall not
				be covered. The effective date of this regulation shall be December 31, 1992.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-161 - Scope of podiatric services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Podiatric services for medikan program recipients shall not be
				covered. The effective date of this regulation shall be December 31, 1992.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-162 - Scope of psychological services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of psychological services for adult medikan program
				recipients shall be identical to the psychological services pursuant to
				K.A.R.
				30-5-104 covered for adult medicaid program
				recipients with the following exceptions:
(a) Outpatient psychotherapy shall be limited
			 to 24 hours per calendar year per medikan recipient when provided by a
			 psychologist, physician, community mental health center, or any combination of
			 these providers;
(b) psychological
			 testing and evaluation shall be limited to four hours in any three consecutive
			 calendar years for medikan recipients; and
(c) targeted case management and partial
			 hospitalization services shall be limited to amounts specified by the secretary
			 of the department for medikan recipients. The effective date of this regulation
			 shall be January 2, 1991.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-163 - Scope of hearing services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of hearing services for medikan program recipients
				shall be identical to the hearing services pursuant to
				K.A.R.
				30-5-105 covered for adult medicaid program
				recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-164 - Scope of ambulance services for adult medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Coverage shall be limited to emergency transportation to a
				facility where medical services are rendered.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-165 - Scope of non-ambulance medical transportation services for adult medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Non-ambulance medical transportation services shall not be
				covered for adult medikan program recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-166 - Scope of durable medical equipment, medical supplies, orthotic and prosthetic services for adult medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Coverage for durable medical equipment and medical supplies
				shall be limited to services necessary to support life.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-167 - Scope of services in free-standing inpatient psychiatric facilities for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of services in free-standing inpatient psychiatric
				facilities for medikan program recipients shall be identical to the
				free-standing inpatient psychiatric facility services pursuant to
				K.A.R.
				30-5-109 for adult medicaid program
				recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-168 - Family planning services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of family planning services for medikan program
				recipients shall be identical to the family planning services pursuant to
				K.A.R.
				30-5-88(b)(5) covered for
				adult medicaid program recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-169 - Scope of partial hospitalization services for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Partial
			 hospitalization services shall be provided in a community mental health center
			 or a facility affiliated with a community mental health center.
(b) Supportive partial hospitalization
			 services shall be limited to a maximum of 720 hours per medikan recipient per
			 calendar year.
(c) Crisis
			 stabilization partial hospitalization services shall be limited to a maximum of
			 960 hours per medikan recipient per calendar year. The effective date of this
			 regulation shall be December 31, 1992.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-170 - Scope of services for ambulatory surgical centers for medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of ambulatory surgical center services for medikan
				program recipients shall be identical to the ambulatory surgical center
				services pursuant to
				K.A.R.
				30-5-83 covered for adult medicaid program
				recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-171 - This rule and regulation shall expire on December 31, 1992

Current through Register Vol. 43, No. 28, July 11, 2024
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-172 - Scope of optometric services for adult medikan program recipients

Current through Register Vol. 43, No. 28, July 11, 2024
Optometric services shall not be covered for adult medikan
				program recipients.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-173 - This rule and regulation shall be revoked on and after March 1, 1995

Current through Register Vol. 43, No. 28, July 11, 2024
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-173a - This rule and regulation shall be revoked on and after March 1, 1995

Current through Register Vol. 43, No. 28, July 11, 2024
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-174 - Delivery of managed care

Current through Register Vol. 43, No. 28, July 11, 2024
Counties shall be selected by the secretary pursuant to K.S.A.
				1994 Supp.
				39-7,112, as amended, to
				participate in managed care service delivery options. Subject to provider
				availability, any beneficiary may be required to choose a managed care option
				in order to access covered program services.
(a) Managed care contractors shall be
			 selected by the secretary from willing providers based upon the best
			 professional judgment of the secretary or designees in the best interest of the
			 agency.
(b) Before signing a
			 contract to provide services, each provider of capitated managed care shall
			 have the ability to meet contract requirements, including but not limited to:
(1) financial solvency;
(2) a panel of service providers who shall
			 be:
(A) appropriately credentialed;
(B) in active practice;
(C) available to provide services to program
			 enrollees; and
(D) culturally
			 competent, which means a demonstrated ability to provide services which are
			 sensitive to the needs of a diverse population including individuals of any
			 income level, racial or ethnic background, language, handicapped condition or
			 sexual preference;
(3)
			 an approved quality management process; and
(4) other requirements determined by the
			 secretary. In order to participate as a managed care provider, each contractor
			 shall abide by every provision of the contract. Penalties for failure to abide
			 by contract provisions shall be imposed by the secretary or other appropriate
			 actions, as enumerated in the contract provisions may be taken.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-301 - Provider participation

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Each provider
			 shall meet the provider participation requirements specified in K.A.R. 30-5-59,
			 including record keeping requirements, and the following additional
			 requirements:
(1) All assessment records;
(2) All plan of care records; and
(3) All case file documentation
			 records.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-302 - Limitations for independent living counselors

Current through Register Vol. 43, No. 28, July 11, 2024
(a) An independent
			 living center shall not use any consumer as an independent living counselor
			 when that consumer receives services from the same independent living
			 counseling agency.
(b) This
			 regulation shall take effect on and after January 1, 1997.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-303 - Cost effectiveness

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Except for
			 "cost cap" approvals, each HCBS plan of care shall be cost-effective.
(b) This regulation shall take
			 effect on and after January 1, 1997.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-304 - Cost efficient plans of care

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Each HCBS plan
			 of care shall be cost efficient and shall be provided in accordance with K.A.R.
			 30-5-70.
(b) This regulation shall
			 take effect on and after January 1, 1997.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-305 - Assessment requirements

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Qualified staff
			 and assessment providers shall conduct an assessment prior to the
			 implementation of any HCBS service.
(b) This regulation shall take effect on and
			 after January 1, 1997.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-306 - Effective date for HCBS eligibility

Current through Register Vol. 43, No. 28, July 11, 2024
(a) The effective
			 date of eligibility for HCBS services shall not be before the effective date of
			 medicaid eligibility.
(b) This
			 regulation shall take effect on and after January 1, 1997.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-307 - Family reimbursement restriction

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Neither an
			 adult consumer's spouse nor a minor consumer's parents shall be paid to provide
			 HCBS services to that consumer, unless all other possible options are exhausted
			 and one of the following extraordinary criteria is met.
(1) Three HCBS provider agencies furnish
			 written documentation that the consumer's residence is so remote or rural that
			 HCBS services are otherwise completely unavailable.
(2) Two health care professionals, including
			 the attending physician, furnish written documentation that the consumer's
			 health, safety, or social well-being, would be jeopardized.
(3) The attending physician furnishes written
			 documentation that, due to the advancement of chronic disease, the consumer's
			 means of communication can be understood only by the spouse or by the parent of
			 a minor child.
(4) Three HCBS
			 providers furnish written documentation that delivery of HCBS services to the
			 consumer poses serious health or safety issues for the provider, thereby
			 rendering HCBS services otherwise unavailable.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-308 - Nonsupplementation of HCBS services

Current through Register Vol. 43, No. 28, July 11, 2024
(a) An
			 organization, agency, family, consumer, or other individual shall not be
			 allowed to pay for services that are on the plan of care.
(b) A consumer may accept the following:
(1) Any available service that is provided
			 free and voluntarily by one or more organizations, agencies, families, or other
			 individuals, at no cost to the medicaid program; and
(2) any available, desired services in
			 addition to those services on the plan of care that are purchased by the
			 consumer or one or more organizations, agencies, families, or other
			 individuals, at no cost to the medicaid program.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-309 - Scope of and reimbursement for medicaid home-and community-based services (HCBS)

Current through Register Vol. 43, No. 28, July 11, 2024
The scope of medicaid home-and community-based services shall
				consist of those services provided under the authority of the applicable
				federally approved waiver to the Kansas medicaid state plan.
(a) Medicaid home-and community-based
			 services shall be provided to medicaid-eligible consumers who are determined by
			 individualized assessment to be qualified for the appropriate institutional
			 level of care, and who elect to receive the services specified in
			 individualized written plans of care designed to prevent living in an
			 institution.
(b) Medicaid home-and
			 community-based services shall consist of one or more of the services defined
			 and federally approved in the medicaid home-and community-based waiver provided
			 under a written plan of care.
(c)
			 Medicaid home-and community-based services shall be provided in accordance with
			 an individualized written plan of care approved in writing by the Kansas
			 department of social and rehabilitation services for all waiver program
			 services other than the frail elderly waiver program services, which shall be
			 provided in accordance with an individualized written plan of care approved in
			 writing by the Kansas department on aging. Each annual review and amendment of
			 this plan shall be approved in the same fashion. This plan shall meet these
			 requirements:
(1) Be based on needs
			 identified during the screening assessment;
(2) specify each service to be provided and
			 why each service was selected, or how each service will address any specific
			 need identified by the assessment;
(3) specify the frequency and limits of each
			 provided service;
(4) specify any
			 other required support services and the plan for obtaining them;
(5) be prepared in consultation with the
			 consumer or the consumer's guardian, if one has been appointed;
(6) be approved in writing by the consumer or
			 the consumer's guardian, as appropriate; and
(7) be reviewed at least annually and updated
			 as necessary.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 5 - PROVIDER PARTICIPATION, SCOPE OF SERVICES, AND REIMBURSEMENTS FOR THE MEDICAID (MEDICAL ASSISTANCE) PROGRAM › Section 30-5-310 - Scope and reimbursement for home-and community-based services for persons with a severe emotional disturbance

Current through Register Vol. 43, No. 28, July 11, 2024
(a) The scope of
			 home-and community-based services for persons with a severe emotional
			 disturbance shall consist of those services provided under the authority of the
			 applicable federally approved model waiver to the Kansas medicaid state plan.
(b) Home-and community-based
			 services shall be provided in accordance with an individualized, written plan
			 of care approved by the Kansas department of social and rehabilitation
			 services.
(c) Before the
			 development of any plan to provide services, the need for services shall be
			 determined through an individualized assessment of the prospective recipient
			 made by a qualified assessor. A qualified assessor means a qualified mental
			 health professional as defined in
			 K.S.A.
			 59-2946, and amendments thereto.
(d) Services may include one or more of the
			 following:
(1) Respite care;
(2) wraparound facilitation or community
			 support;
(3) independent living or
			 skill building; and
(4) parent
			 support and training.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 7 - APPEALS, FAIR HEARINGS AND TAF/GA DISQUALIFICATION HEARINGS › Section 30-7-64 - Definitions

Current through Register Vol. 43, No. 28, July 11, 2024
(a) "Appellant"
			 means an individual or entity that has requested a fair hearing from an agency
			 decision affecting the individual or entity.
(b) "Applicant" means an individual who has
			 applied for or requested assistance or benefits from a program administered by
			 the agency.
(c) "Recipient" means
			 an individual who is receiving assistance or benefits from a program
			 administered by the agency. The effective date of this regulation shall be July
			 1, 1989.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 7 - APPEALS, FAIR HEARINGS AND TAF/GA DISQUALIFICATION HEARINGS › Section 30-7-65 - Notice to recipients of intended action

Current through Register Vol. 43, No. 28, July 11, 2024
(a)
(1) "Adequate notice" means a written notice
			 that includes a statement of what action the agency intends to take, the
			 reasons for the intended agency action, the specific policies supporting the
			 action, an explanation of the individual's right to request a fair hearing, and
			 the circumstances under which assistance is continued if a hearing is
			 requested.
(2) "Timely" means that
			 the notice is mailed at least 10 days before the date upon which the action
			 would become effective. Saturdays, Sundays, and legal holidays shall be counted
			 as part of the 10-day period.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 7 - APPEALS, FAIR HEARINGS AND TAF/GA DISQUALIFICATION HEARINGS › Section 30-7-66 - Continuation of assistance

Current through Register Vol. 43, No. 28, July 11, 2024
(a) If the
			 recipient requests a hearing within the timely notice period as required by
			 K.A.R. 30-7-65, assistance shall not be suspended, reduced, discontinued, or
			 terminated, (but is subject to recovery by the agency if its action is
			 sustained), until an initial decision of the hearing officer is rendered in the
			 matter, unless:
(1) The request for fair
			 hearing concerns the suspension of program payments to a provider or the
			 termination of a provider from program participation;
(2) the request for a fair hearing concerns a
			 discontinued program or service;
(3) a determination is made by the hearing
			 officer that the sole issue is one of federal or state law, regulation or
			 policy, or change in federal or state law, regulation or policy and not one of
			 incorrect grant computation; or
(4) a change affecting the recipient's
			 assistance occurs while the hearing decision is pending and the recipient fails
			 to request a hearing after notice of the change.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 7 - APPEALS, FAIR HEARINGS AND TAF/GA DISQUALIFICATION HEARINGS › Section 30-7-67 - Administrative hearings section, hearing officer

Current through Register Vol. 43, No. 28, July 11, 2024
The administrative hearings section shall administer the
				agency's fair hearing program. The effective date of this regulation shall be
				July 1, 1989.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 7 - APPEALS, FAIR HEARINGS AND TAF/GA DISQUALIFICATION HEARINGS › Section 30-7-68 - Request for fair hearing

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Unless
			 preempted by federal law, a request for fair hearing shall be in writing and
			 received by the agency within 30 days from the date of the order or notice of
			 action. Pursuant to
			 K.S.A.
			 77-531, an additional three days shall be
			 allowed if the notice or order is mailed.
(b) A request for fair hearing involving food
			 stamps shall be received by the agency within 90 days from the date of the
			 notice of action. Pursuant to
			 K.S.A.
			 77-531, an additional three days shall be
			 allowed if the notice or order is mailed.
(c) The freedom to request a fair hearing
			 shall not be limited or interfered with by the agency. The effective date of
			 this regulation shall be January 2, 1991.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 7 - APPEALS, FAIR HEARINGS AND TAF/GA DISQUALIFICATION HEARINGS › Section 30-7-69 - Pre-appeal administrative remedies

Current through Register Vol. 43, No. 28, July 11, 2024
(a) A pre-appeal
			 administrative remedy is any procedure or process, the purpose of which is to
			 encourage settlement or otherwise resolve the dispute before appeal to the
			 administrative hearings section.
(b) Pre-appeal administrative remedies are to
			 be encouraged to promote the resolution of disputes between the parties
			 involved. Pre-appeal administrative remedies may also be used by the parties to
			 narrow and define the issues to be appealed to the administrative hearings
			 section. The effective date of this regulation shall be July 1, 1989.
Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 7 - APPEALS, FAIR HEARINGS AND TAF/GA DISQUALIFICATION HEARINGS › Section 30-7-70 - Agency's review of decision

Current through Register Vol. 43, No. 28, July 11, 2024
(a) Upon receipt of
			 notice that a request for fair hearing has been made, the agency shall review
			 its action or decision. Upon reconsideration, the agency may amend or change
			 its action or decision before or during the hearing.
(b) If a satisfactory adjustment is reached
			 prior to the hearing, the agency shall submit a report to the hearing officer,
			 in writing, but the appeal shall remain pending until the appellant submits a
			 signed, written statement withdrawing the appellant's request for fair hearing.
			 If the appellant fails to timely submit a signed, written statement withdrawing
			 the request for fair hearing, the hearing officer may dismiss the request for
			 fair hearing. The effective date of this regulation shall be July 1, 1989.