Kentucky Administrative Regulations
Title 907 - CABINET FOR HEALTH AND FAMILY SERVICES - DEPARTMENT FOR MEDICAID SERVICES
Chapter 14 - Health Care-acquired Conditions and Provider Preventable Conditions
Section 907 KAR 14:005 - Health care-acquired conditions and other provider preventable conditions
Current through Register Vol. 50, No. 9, March 1, 2024
RELATES TO: KRS 205.560, 42 C.F.R. 447.26
NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet for Health and Family Services, Department for Medicaid Services, has responsibility to administer the Medicaid Program. KRS 205.520(3) authorizes the cabinet, by administrative regulation, to comply with any requirement that may be imposed, or opportunity presented, by federal law to qualify for federal Medicaid funds. This administrative regulation establishes the Medicaid program policies, including managed care and non-managed care, regarding health care-acquired conditions and provider preventable conditions.
Section 1. Definitions.
Section 2. Health Care-Acquired Conditions.
Section 3. Other Provider Preventable Conditions.
Section 4. Compliance with 42 C.F.R. 447.26. The department's or managed care organization's reimbursement shall comply with 42 C.F.R. 447.26(c)(2) and (3).
Section 5. Supersede. If any policy stated in another administrative regulation within Title 907 of the Kentucky Administrative Regulations contradicts a policy stated in this administrative regulation, the policy stated in this administrative regulation shall supersede the policy stated elsewhere within Title 907.
STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1), 205.520(3), 205.560, 42 C.F.R. 447.26, 42 U.S.C. 1396a