205.6313 Medicaid reimbursement for primary care practitioners at community
194 words·~1 min read·
/ky/205-6313A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
mental health centers.
(1)For the purposes of this section:
(a)"Advanced practice registered nurse" has the same meaning as in KRS
314.011;
(b)"Physician" has the same meaning as in KRS 311.550; and
(c)"Physician assistant" has the same meaning as in KRS 311.840.
(2)The Cabinet for Health and Family Services and any regional managed care
partnership or other entity under contract with the cabinet for the administration or
provision of the Medicaid program shall provide Medicaid reimbursement for
primary care services provided by a licensed physician, advanced practice registered
nurse, or physician assistant employed by a community mental health center
established pursuant to KRS 210.370 to 210.480, if the community mental health
center is in compliance with the Centers for Medicare and Medicaid Services
regulations on enhanced primary care reimbursements.
(3)Primary care services provided by a physician, advanced practice registered nurse,
or physician assistant in a community mental health center shall be subject to the
same reimbursement rates as established by the Department for Medicaid Services
for primary care providers operating in Kentucky.
(4)The cabinet shall promulgate administrative regulations in accordance with KRS
Chapter 13A to implement this section.