AN ACT relating to Medicaid coverage for evaluation and management services.

UNOFFICIAL COPY 26 RS BR 1695
Page 1 of 1
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AN ACT relating to Medicaid coverage for evaluation and management services. 1
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 2
SECTION 1. A NEW SECTION OF KRS CHAPTER 205 IS CREATED TO 3
READ AS FOLLOWS: 4
The Department for Medicaid Services and any managed care organization with whom 5
the department contracts for the delivery of Medicaid services shall prov ide coverage 6
for evaluation and management services. If the department or a managed care 7
organization establishes coverage limits for evaluation and management services, 8
coverage required under this section shall not be limited to fewer than two (2) 9
evaluation and management service units per Medicaid -participating provider, per 10
recipient, per date of service. 11
Section 2. If the Cabinet for Health and Family Services or the Department for 12
Medicaid Services determines that a state plan amendment, waiver, or any other form of 13
authorization or approval from any federal agency to implement Section 1 of this Act is 14
necessary to prevent the loss of federal funds or to comply with federal law, the cabinet 15
or department: 16
(1) Shall, within 90 days after the effective date of this section, request the 17
necessary federal authorization or approval to implement Section 1 of this Act; and 18
(2) May only delay implementation of the provisions of Section 1 of this Act for 19
which federal authori zation or approval was deemed necessary until the federal 20
authorization or approval is granted. 21
Section 3. Sections 1 and 2 of this Act shall constitute the specific authorization 22
required under KRS 205.5372(1). 23