205.6314 Review of reimbursement rates for emergency transportation providers -- Promulgation of administrative regulations relating to emergency transportation providers.
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<![CDATA[ Page 1 of 1 205.6314 Review of reimbursement rates for emergency transportation providers -- Promulgation of administrative regulations relating to emergency <br>transportation providers. The Cabinet for Health and Family Services shall review the Medical Assistance Program <br>reimbursement rates for emergency transportation providers to determine if existing rates <br>are fair and reasonable. Notwithstanding this review, the cabinet shall by promulgation of <br>administrative regulation, pursuant to KRS Chapter 13A, do the following: <br>(1) Prescribe reimbursement rates for emergency transportation providers to ensure that emergency rates are paid only for transporting medical assistance recipients to the <br>emergency room of a hospital in emergency situations; (2) Establish, in nonemergency cases, lower medical assistance reimbursement rates for emergency transportation providers for the transportation of stretcher patients from <br>nursing homes to physician offices or hospitals; and (3) Establish a verification system that requires medical providers to confirm that medical assistance recipients have appointments for medical services and that <br>medical services were medically necessary and were obtained prior to payment by <br>the cabinet to the emergency transportation provider. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 249, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 207, effective July 15, 1998. -- Created 1994 Ky. Acts <br>ch. 512, sec. 74, effective July 15, 1994. ]]>