205.6326 Review of Medicaid reimbursement systems -- Implementation of a
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/ky/205-6326A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
standardized patient assessment tool and consistent quality-of-care mandates. The Cabinet for Health and Family Services shall review all medical assistance reimbursement systems for appropriateness and cost-effectiveness. The review shall include:
(1)Review of cost-based reimbursement policies for hospitals and nursing homes to
determine the effectiveness and appropriateness of alternate systems. Consideration
shall be given to the use of modified diagnostic-related groups and resource
utilization groups systems, using capitated payment methods; and
(2)Review of reimbursement rates for physicians to determine whether savings or cost
containment would be better achieved through using a relative-based resource value
scale system, a capitated payment method, or other alternative methods of
reimbursement; and
(3)For all Medicaid-covered long-term-care services, implementation of a standardized
patient assessment tool and consistent quality-of-care mandates.