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 30-5-59 - Provider participation requirements

Current through Register Vol. 43, No. 28, July 11, 2024
The following shall be prerequisites for participation in and
				payment from the medicaid/medikan program. Any provider of services to foster
				care consumers, adoption support consumers, Kan Be Healthy consumers, or other
				consumers who have special needs may be excluded from these prerequisites if
				the secretary determines that a medically necessary item of durable medical
				equipment or a medically necessary service can be cost-efficiently obtained
				only from a provider not otherwise eligible to be enrolled within the current
				program guidelines.
(a) Enrollment.
			 Each participating provider shall perform the following:
(1) Submit an application for participation
			 in the medicaid/medikan program on forms prescribed by the secretary of the
			 Kansas department of social and rehabilitation services;
(2) obtain and maintain professional or
			 department-specified credentials determined by the secretary in the
			 jurisdiction where the service is provided and for the time period when the
			 service is provided and, if applicable, be certified, licensed, or registered
			 by the appropriate professional credentialing authority;
(3) notify the Kansas department of social
			 and rehabilitation services if any of the original information provided on the
			 application changes during the term of participation in the medicaid/medikan
			 program;
(4) after completing the
			 necessary application forms and receiving notice of approval to participate
			 from the department, enter into and keep a provider agreement with the Kansas
			 department of social and rehabilitation services;
(5) notify the Kansas department of social
			 and rehabilitation services when a change of provider ownership occurs, submit
			 new ownership information on forms for application for participation in the
			 medicaid/medikan program, and receive approval from the department for
			 participation as a new provider before reimbursement for services rendered to
			 medicaid/medikan program consumers is made;
(6) locate a consumer service representative
			 who is available 24 hours per day and a business in Kansas or a border city
			 that is accessible, in accordance with the applicable Americans with
			 disabilities act guidelines, to the general public between the hours of 9:00
			 a.m. and 5:00 p.m. at a minimum, excluding weekends and state and federal
			 holidays, if applying to be a durable medical equipment or medical supply
			 provider. Any pharmacy located in Kansas or a border city that has a medical
			 provider number may enroll as a durable medical equipment provider even if no
			 storefront is present; and
(7) be
			 located in Kansas or a border city if applying to be a pharmacy, unless the
			 pharmacy is providing services to children in the custody of the secretary of
			 the Kansas department of social and rehabilitation services or to program
			 cunsumers in emergency situations. The only exceptions to this requirement
			 shall be the following:
(A) A pharmacy that
			 is an approved contractor with the Kansas department of health and environment
			 as a supplier of intravenous blood fraction products. This exception shall
			 apply only to reimbursement for the intravenous blood fraction products; and
(B) a mail order pharmacy that
			 serves medicaid consumers with a primary payor other than medicaid.