205.5605 Definitions for KRS 205.5605 to 205.5607.

281 words·~1 min read·/ky/chapter-205/205-5605

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

As used in KRS 205.5605 to 205.5607, unless the context otherwise requires:

(1)"Budget allowance" means the amount of money made available each month to a

consumer to purchase covered services and supports. The amount of money shall

not exceed the amount that would have been allocated in the traditional Medicaid

program for nonresidential and nonmedical services for the consumer;

(2)"Consumer" means a person who has chosen to participate in the program, has met

the enrollment requirements, has a person-centered plan, and has received an

approved budget allowance;

(3)"Covered services and supports" means those services and supports that are eligible

for reimbursement under the program and that are approved for the consumer

following a functional needs assessment and pursuant to a person-centered plan;

(4)"Fiscal intermediary" means an entity that is approved by the cabinet to provide

service that helps the consumer manage his or her budget allowance, retains the

funds, processes any employment and tax information, reviews records to ensure

correctness, writes paychecks to providers, and delivers paychecks or electronically

transfers funds to the consumer for distribution to providers or caregivers;

(5)"Provider" means:

(a)A person or agency licensed or otherwise permitted to render services eligible

for reimbursement under this program for whom the consumer is not the

employer of record; or

(b)A consumer-employed caregiver that renders services eligible for

reimbursement under this program for whom the consumer is the employer of

record;

(6)"Representative" means an uncompensated individual designated by the consumer

to assist in managing the consumer's budget allowance and needed services; and

(7)"Service advisor" means the person who provides technical assistance to a

consumer in meeting responsibilities under KRS 205.5605 to 205.5607.