Current through Register Vol. 50, No. 9, March 1, 2024
RELATES TO: KRS 49.020, 49.490, 216B.015, 216B.400,
403.707
NECESSITY, FUNCTION, AND CONFORMITY: KRS 49.020(5) authorizes
the commission to promulgate administrative regulations to carry out the
provisions and purposes of the commission. KRS 49.490 and 216B.400(8) require
the commission to administer the sexual assault victim assistance fund and pay
the cost of a sexual assault examination. This administrative regulation
establishes the reimbursement schedule for performing a sexual assault forensic
medical examination.
Section 1. Sexual
Assault Examination Program.
(1) Reimbursement
for performing a sexual assault forensic-medical examination pursuant to 502 KAR 12:010 shall be for the actual amount billed and shall not exceed:
(a) $200 for a physician, sexual assault
nurse examiner, or other qualified medical professional performing the
examination;
(b) $250 for an
examination facility for use of an emergency or examination room;
(c) $100 for an examination facility or
laboratory that performed diagnostic laboratory testing; and
(d) $100 for an examination facility where
administered medications and pharmaceuticals were prescribed as a result of the
examination and as part of basic treatment.
(2) Reimbursement for additional services
related to a sexual assault forensic-medical examination requiring HIV
post-exposure prophylaxis shall be for the actual amount billed and shall not
exceed the following limitations:
(a) $150 for
three (3) follow-up examinations, not to exceed a total of fifty (50) dollars
per examination;
(b) Laboratory
testing:
1. $150 for initial testing conducted
during the sexual assault examination in the examination facility;
and
2. $215 for follow-up testing
conducted during the three (3) follow-up examinations, not to exceed:
a. Fifty (50) dollars for testing conducted
during day five (5) to day seven (7) of prophylactic treatment;
b. Ninety (90) dollars for testing conducted
after day twelve (12) of prophylactic treatment; and
c. Seventy-five (75) dollars for testing
conducted near or at the end of prophylactic treatment; and
(c) Medications:
1. $800 for a twenty-eight (28) day supply of
HIV prophylaxis medication, not to exceed:
a.
$200 for the first seven (7) day supply; and
b. $600 for the remaining twenty-one (21) day
supply; and
2. Thirty
(30) dollars for a twenty-eight (28) day supply of anti-nausea
medication.
STATUTORY AUTHORITY: KRS 49.020, 49.300(1), 49.490,
216B.400(8)
