205.539 Coverage and reimbursement for at-home anticoagulation management --

148 words·~1 min read·/ky/205-539

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Administrative regulations.

(1)The Department for Medicaid Services and any managed care organization with

whom the department contracts for the delivery of Medicaid services shall provide

coverage and reimbursement for at-home prothrombin time or international

normalized ratio

(INR)testing for anticoagulation management, including but not

limited to education and training for patients and caregivers, INR monitors or

testing devices, and all necessary supplies if the beneficiary:

(a)Requires chronic oral anticoagulation management for a mechanical heart

valve, chronic atrial fibrillation, or venous thromboembolism;

(b)Has been anticoagulated for at least three

(3)months prior to the use of the at-

home testing device; and

(c)Has received face-to-face education and training on anticoagulation

management and use of the INR testing device prior to its use in the home.

(2)The Department for Medicaid Services may promulgate administrative regulations

in accordance with KRS Chapter 13A to implement this section.