205.593 Prohibition against health insurer's considering individual's eligibility for
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/ky/205-593A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
or receipt of medical assistance in enrollment or payment of benefits --
Application of claims payment requirements to Medicaid services.
(1)In enrolling an individual or making any payments for benefits to the individual or
on the individual's behalf, health insurers are prohibited from taking into account
that the individual is eligible for or is provided medical assistance.
(2)KRS 304.17A-700 to 304.17A-730 and KRS 205.593, 304.14-135, and 304.99-123
apply to any provider partnership, health maintenance organization, or other
managed care organization under contract with the Department for Medicaid
Services to manage care and process health care claims for services delivered to
Medicaid recipients covered under Medicaid managed care.