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Code · Kentucky · Chapter 211 — State health programs

211.474 Operating parameters -- Duties.

553 words·~3 min read·/ky/chapter-211/211-474

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The board shall:
(1)Promulgate administrative regulations necessary to carry out the provisions of KRS
211.470 to 211.478;
(2)Formulate policies and procedures for determining individual eligibility for
assistance from the trust fund in accordance with the following guidelines:
(a)The trust fund shall serve as a funding source of last resort for residents of the
Commonwealth of Kentucky. To be eligible for assistance from the trust fund,
an individual must have exhausted all other funding sources that cover the
type of services sought through the trust fund. Individuals who have
continuing health insurance benefits, including Medicaid, may access the trust
fund for services that are needed but not covered by insurance or any other
funding source. Individuals who qualify for institutional care through
Medicaid shall not qualify for services through the trust fund;
(b)All individuals receiving assistance from the fund shall receive case
management services;
(c)Expenditures on behalf of any one
(1)brain-injured individual may not exceed
fifteen thousand dollars ($15,000) for any twelve
(12)month period, and may
not exceed a lifetime maximum of sixty thousand dollars ($60,000). At its
discretion and subject to fund availability, the board may waive the
expenditure or time limitations or both in special circumstances;
(d)Services covered by the trust fund shall include:
1. Case management;
2. Community residential services;
3. Structured day program services;
4. Psychological and mental health services;
5. Prevocational services;
6. Supported employment;
7. Companion services;
8. Respite care;
9. Occupational therapy; and
10. Speech and language therapy;
(e)Covered services shall not include institutionalization, hospitalization, or
medications;
(3)Establish a confidential medical registry for traumatic brain and spinal cord injuries
occurring in the Commonwealth of Kentucky, or to residents of the Commonwealth
of Kentucky.
(a)The board may promulgate administrative regulations requiring licensed or
certified professionals or health services providers to report the occurrence of
brain and spinal cord injuries, relevant medical and epidemiological
information about the injuries, and other information describing the
circumstances of the injury to the board or its designated agent. The reporting
of data by licensed hospitals under this section shall be limited to that which is
reported to the cabinet pursuant to KRS 216.2920 to 216.2929 and the board
shall obtain this data from the cabinet. Each licensed hospital shall grant the
board, upon presentation of proper identification, access to the medical
records of patients with reportable brain and spinal cord injuries for the sole
purpose of collecting additional information that is not available in the data
obtained from the cabinet. All costs associated with copying medical records
shall be borne by the board. No liability of any kind shall arise or be enforced
against any licensed hospital or hospital employee for providing the board
access to a patient's medical record.
(b)The board and its designated agent, if one is appointed, shall observe the same
confidentiality requirements established for the Kentucky birth surveillance
registry in KRS 211.670;
(4)Investigate the needs of brain-injured individuals and identify gaps in current
services;
(5)Assist the cabinet in developing programs for brain-injured individuals;
(6)Monitor and evaluate services provided by the trust fund; and
(7)Provide the Governor, the General Assembly, and the Legislative Research
Commission an annual report by January 1 of each year summarizing the activities
of the board and the trust fund.
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