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Material Incorporated by Reference

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907 KAR Chapters

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907 KAR Chapter 1

907 KAR 1:008: Ambulatory surgical centers material incorporated by reference:

907 KAR 1:018: Reimbursement for drugs material incorporated by reference:

907 KAR 1:019: Outpatient pharmacy program material incorporated by reference:

907 KAR 1:022: Nursing facility services and intermediate care facility for individuals with mental retardation or a developmental disability services material incorporated by reference:

907 KAR 1:023: Review and approval of selected therapies as ancillary services in nursing facilities material incorporated by reference:

907 KAR 1:025: Payments for ICF/MR and Cost-Based Facilities Material Incorporated by Reference:

907 KAR 1:026: Dental Services Material Incorporated by Reference:

  • MAP-9 - Prior Authorization for Health Services, December 1995 edition
  • MAP-9A - Kentucky Medicaid Program Orthodontic Services Agreement, December 1995 edition
  • Map-306 - Temporomandibular Joint (TMJ) Assessment Form, December 1995 edition
  • MAP-396 - Kentucky Medicaid Program Orthodontic Evaluation Form, March 2001 edition
  • MAP-559 - Six (6) Month Orthodontic Progress Report, December 1995 edition
  • MAP-700 - Kentucky Medicaid Program Orthodontic Final Case Submission, December 1995 edition

907 KAR 1:030: Home Health Agency Services Material Incorporated by Reference:

907 KAR 1:031: Payments for Home Health Services Material Incorporated by Reference:

907 KAR 1:039: Hearing Program reimbursement provisions and requirements

907 KAR 1:044: Community Mental Health Center Services Material Incorporated by Reference:

907 KAR 1:055: Payment for Primary Care Center and Federally Qualified Health Center Services Material Incorporated by Reference:

907 KAR 1:065: Payments for Price-Based Nursing Facility Services Material Incorporated by Reference:

907 KAR 1:145: Supports for Community Living Services Material Incorporated by Reference:

907 KAR 1:155: Payments for Supports for Community Living Services Material Incorporated by Reference:

907 KAR 1:160: Home and Community Based (HCB) Waiver Program Material Incorporated by Reference:

907 KAR 1:170: Reimbursement for home and community based waiver services Material Incorporated by Reference:

907 KAR 1:270: Podiatry Program Services Material Incorporated by Reference:

907 KAR 1:340: Reimbursement for Hospice Services Material Incorporated by Reference:

  • MAP-374 - Election of Medicaid Hospice Benefit Form, September 2002 edition
  • MAP-384 - Hospice Drug Form, September 1992 edition

907 KAR 1:400: Renal Dialysis Center Services Material Incorporated by Reference:


907 KAR 1:434: Family Planning Services Material Incorporated by Reference:

907 KAR 1:436: Hospice Services Manual Material Incorporated by Reference:

907 KAR 1:450: Nurse Aide Training Criteria and Registry Material Incorporated by Reference:

907 KAR 1:479: Durable Medical Equipment Covered Benefits and Reimbursement Material Incorporated by Reference:

  • MAP-9 - Prior Authorization Form, July 2010 edition
  • MAP-1000 - Certificate of Medical Necessity, July 2010 edition
  • MAP-1000B - Certificate of Medical Necessity, Metabolic Formulas and Foods, July 2010 edition
  • Medicaid DME Program Fee Schedule, January 2010 edition
  • MAP-1001 - Advance Member Notice, September 2006 edition

907 KAR 1:550: Targeted Case Management Services for Adults Material Incorporated by Reference:

907 KAR 1:555: Targeted Case Management Services for Children Material Incorporated by Reference:

907 KAR 1:560: Medicaid Hearings and Appeals Regarding Eligibility Material Incorporated by Reference:

  • Form PAFS-78, May 1996 edition, Department of Medicaid Services

907 KAR 1:595: Model Waiver II services and payments Material Incorporated by Reference:

  • MAP-9 - Prior Authorization for Health Services, December 1995 edition

907 KAR 1:672: Provider Enrollment, Disclosure, and Documentation for Medicaid Participation Material Incorporated by Reference:

907 KAR 1:675: Program Integrity Material Incorporated by Reference:

  • MAP-800 - Notice of Fraud and/or Abuse Committed Against The Medicaid Program, Department for Medicaid Services, 8/99 edition

907 KAR 1:677: Medicaid Recipient Lock-in Program Material Incorporated by Reference:

907 KAR 1:755: Preadmission Screening and Resident Review Program (PASARR) Manual Material Incorporated by Reference:

  • The Manual, Long Term Care Resident Assessment Instrument User's Manual Version 2.0 for use with version 2.0 of the Health Care Financing Administration's Minimum Data Set, Resident - Part A - Part B - Part C - Part D - Part E

907 KAR 1:805: Breast and Cervical Cancer Eligibility for Medicaid Material Incorporated by Reference:

  • MAP-813B - BCCTP Eligibility Screening Form, September 9, 2002 edition
  • MAP-813 - Breast and Cervical Cancer Treatment Program Application, January 15, 2003 edition
  • MAP-813D - Breast and Cervical Cancer Treatment Program Request for Extension of Eligibility, January 15, 2003 edition

907 KAR 1:835: Michelle P. Waiver (MPW) Services Material Incorporated by Reference:

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907 KAR Chapter 3

907 KAR 3:020: Targeted Case Management and Rehab through Title V Agency Material Incorporated by Reference:

907 KAR 3:090: Acquired Brain Injury Services Material Incorporated by Reference:

907 KAR 3:210: Acquired Brain Injury Services Long Term Care Waiver and Reimbursement Material Incorporated by Reference:

907 KAR 3:215 - Tobacco Cessation Coverage and Reimbursement Material Incorporated by reference:

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907 KAR Chapter 5

907 KAR 5:005 - Health insurance premium payment (HIPP) program Material Incorporated by reference:

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907 KAR Chapter 10

907 KAR 10:012: Inpatient Hospital Service Coverage Material Incorporated by Reference:

907 KAR 10:015: Payments for Outpatient Hospital Services Material Incorporated by Reference:

907 KAR 10:815: Non-Diagnostic Related Group Inpatient Hospital Reimbursement Material Incorporated by Reference:

907 KAR 10:820: Disproportionate Share Hospital Distributions Material Incorporated by Reference:

907 KAR 10:825: Diagnosis-related group (DRG) Inpatient Hospital Reimbursement Manual Material Incorporated by Reference:

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907 KAR Chapter 11

907 KAR 11:034: Early Periodic Screening and Diagnostic Testing (EPSDT) Screening Services and EPSDT Special Services Material Incorporated by Reference:

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Chapter 12
Chapter 13

907 KAR 13:015: Private duty nursing service or supply reimbursement provisions and requirements

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Chapter 15

907 KAR 15:015: Reimbursement provisions and requirements for behavioral health services provided by independent providers

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Chapter 17

907 KAR 17:020: Managed care organization service and service coverage requirements and policies

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Chapter 20

907 KAR 20:010: Medicaid Procedures for Determining Initial and Continuing Eligibility Material Incorporated by Reference:

 

Last Updated 7/21/2014
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