Kentucky Administrative Regulations › Title 907 - CABINET FOR HEALTH AND FAMILY SERVICES - DEPARTMENT FOR MEDICAID SERVICES › Chapter 1 - Medicaid Services › Section 907 KAR 1:715 - School-based health services

Current through Register Vol. 51, No. 1, July 1, 2024
RELATES TO:
				KRS
				156.070,
				205.520,
				605.115,
				314.470, 20 U.S.C. 33,
				34 C.F.R.
				300.320,
				300.321,
				300.324,
				42
				C.F.R. 440.110
NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet for Health
				and Family Services, Department for Medicaid Services has responsibility to
				administer the Medicaid Program.
				KRS
				205.520(3) authorizes the
				cabinet, by administrative regulation, to comply with any requirement that may
				be imposed or opportunity presented by federal law for the provision of
				Medicaid services to Kentucky's indigent citizenry. This administrative
				regulation establishes the provisions relating to school-based health services
				(SBHS) for which payment shall be made by the Medicaid Program on behalf of
				Medicaid recipients who are eligible for school-based health services under 20
				U.S.C. Chapter 33.
Section 1.
			 Definitions.
(1) "Advanced practice
			 registered nurse" is defined by
			 KRS
			 314.011(7).
(2) "ARC" means an admissions and release
			 committee which meets the:
(a) ARC
			 requirements established in
			 707 KAR
			 1:320; and
(b) IEP team requirements established in
			 34
			 C.F.R. 300.321.
(3) "Assistive technology device" means an
			 item, piece of equipment, or product system that is:
(a) Used to increase, maintain, or improve
			 the functional capabilities of a child with a disability; and
(b) Medically necessary to implement the
			 health services in the child's individualized education program.
(4) "Board Certified Assistant
			 Behavior Analyst" or "BCABA" means an individual who:
(a) Has met all of the BCABA requirements
			 established by the Behavior Analyst Certification Board®, Inc.;
			 and
(b) Is currently recognized by
			 the Behavior Analyst Certification Board®, Inc. as a BCABA.
(5) "Board Certified Behavior
			 Analyst" or "BCBA" means an individual who:
(a) Has met all of the BCABA requirements
			 established by the Behavior Analyst Certification Board®, Inc.;
			 and
(b) Is currently recognized by
			 the Behavior Analyst Certification Board, Inc. as a BCBA.
(6) "Certified psychologist" means an
			 individual who holds the title of certified psychologist pursuant to
			 KRS
			 319.056.
(7) "Certified psychologist with autonomous
			 functioning" means an individual who holds the title of certified psychologist
			 with autonomous functioning pursuant to
			 KRS
			 319.056.
(8) "Certified social worker" means an
			 individual with a certified social worker license pursuant to
			 KRS
			 335.080.
(9) "Department of Education" means the
			 Commonwealth of Kentucky, Department of Education.
(10) "Federal financial participation" is
			 defined in
			 42 C.F.R.
			 400.203.
(11) "IEP team" is defined by
			 34
			 C.F.R. 300.321.
(12) "Incidental interpreter services" means
			 the interpreter services that are necessary to allow the child to benefit from
			 other covered school-based health services.
(13) "Individualized Education Program" or
			 "IEP" is defined by
			 34 C.F.R.
			 300.320.
(14) "Licensed clinical social worker" means
			 an individual possessing a current licensed clinical social worker license
			 pursuant to
			 KRS
			 335.100.
(15) "Licensed practical nurse" is defined by
			 KRS
			 314.011(9).
(16) "Licensed professional clinical
			 counselor" is defined by
			 KRS
			 335.500(3).
(17) "Licensed professional counselor
			 associate" is defined by
			 KRS
			 335.500(4).
(18) "Licensed psychological associate" means
			 an individual holding the title of licensed psychological associate pursuant to
			 KRS
			 319.064.
(19) "Licensed psychological practitioner"
			 means an individual who meets the licensed psychological practitioner
			 requirements established in
			 KRS
			 319.053.
(20) "Licensed psychologist" means a
			 psychologist who holds a licensed psychologist license pursuant to
			 KRS
			 319.010(6).
(21) "Licensed social worker" means an
			 individual possessing a current licensed social worker license pursuant to
			 KRS
			 335.090.
(22) "Occupational therapist" is defined by
			 KRS
			 319A.010(3).
(23) "Occupational therapy assistant" is
			 defined by
			 KRS
			 319A.010(4).
(24) "Physical therapist" is defined by
			 KRS
			 327.010(2).
(25) "Physical therapist assistant" means an
			 individual:
(a) With a current credential from
			 the Kentucky Board of Physical Therapy; and
(b) Working under the supervision of a
			 physical therapist.
(26)
			 "Psychologist" is defined by
			 KRS
			 319.010(9).
(27) "Recipient" is defined by
			 KRS
			 205.8451(9).
(28) "Registered nurse" is defined by
			 KRS
			 314.011(5).
(29) "Respiratory care practitioner" is
			 defined by
			 KRS
			 314A.010(3).
(30) "SBHS" or "School-based health services"
			 means medically-necessary health services:
(a)
			 Provided for in
			 907
			 KAR 11:034; and
(b) Specified in an individualized education
			 program for a child determined to be eligible under the provisions of the
			 Individuals with Disabilities Education Act, 20 U.S.C. Chapter 33, and 707 KAR
			 Chapter 1.
(31) "SBHS
			 recipient" means a recipient who:
(a) Is
			 under the age of twenty-one (21) years; and
(b) Receives school-based health
			 services.
(32) "Special
			 transportation" means a special arrangement, special equipment, or a special
			 vehicle:
(a) Which is appropriate for the
			 child's disability; and
(b) The
			 need for which is described in the child's individualized education
			 plan.