205.6317 Department for Medicaid Services to develop strategies for reimbursing

282 words·~1 min read·/ky/205-6317

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

and paying persons participating in the Supports for Community Living

Waiver Program -- Allocation of slots -- Administrative regulations -- Funding.

(1)As used in this section:

(a)"Supports for Community Living Waiver Program" means funding from the

Department for Medicaid Services to serve individuals with an intellectual

disability or other developmental disabilities who qualify for intermediate care

and choose to live in a community-based setting and includes funding for a

self-determination model that provides the ability for the individual receiving

services and supports to personally control, with appropriate assistance, a

targeted amount of dollars; and

(b)"Slots" means the dedication of provider or financial resources for services to

persons with an intellectual disability or other developmental disabilities.

(2)The Department for Medicaid Services shall develop and implement flexible

reimbursement and payment strategies that reflect the individually determined needs

for services and supports by persons with an intellectual disability and other

developmental disabilities participating in the Supports for Community Living

Waiver Program.

(3)The Department for Medicaid Services shall allocate slots to the fourteen

community mental health regions based on percentage of total population.

(4)The Department for Medicaid Services shall reallocate underutilized slots to address

statewide needs and shall reallocate slots in emergency situations to address unmet

needs for services and supports.

(5)The Department for Medicaid Services shall promulgate administrative regulations

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

(6)Funds for the Supports for Community Living Waiver Program shall be

appropriated only for direct services to qualified individuals and any unexpended

funds shall not lapse but shall be carried forward to the next fiscal year and shall be

used for the same purpose.