Regulations

​​​​​​​​​​​​​​​These Medicaid administrative regulations currently are filed and under review pending final approval and are subject to further changes. The Legislative Research Commission publishes official versions of Kentucky administrative regulations.

Senate Bill 2, KRS 13A.220 Compliance Statements

• Administrative regulations filed Jan. 13, 2023​
  
• Administrative regulations filed Dec. 29, 2022
  
• Administrative regulations filed Oct. 12, 2022
  
• Administrative regulations filed Sept. 30, 2022​
  
• Administrative regulations filed Sept. 12, 2022
  
• Administrative regulations filed July 19, 2022
  
• Administrative regulations filed July 1, 2022​​
  
• ​Administrative regulations filed June 15, 2022​​
  
• Administrative regulations filed May 15, 2022
  
• Administrative regulations filed Feb. 15, 2022
• Administrative regulations filed Jan. 15, 2022
  
• Administrative regulations filed Nov. 15, 2021
• Administrative regulations filed Oct. 15, 2021
• Administrative regulations filed Sept. 8 and Sept. 15, 2021
• Administrative regulations filed Aug. 6, 2021
• Administrative regulations filed July 28, 2021
• Administrative regulations filed June 29, 2021
• Administrative regulations filed June 13, 2021
• Administrative regulations filed April 13, 2021
• Administrative regulations filed Feb. 12, 2021

Current Emergency Regulations

Chapter 1 - Medicaid Services

• 907 KAR 1:026E​ -Dental services' coverage provisions and requirements.
• 907 KAR 1:038E - Hearing Program coverage provisions and requirements.​
• 907 KAR 1:065E - Payments for price-based nursing facility services
  
• 907 KAR 1:632E - Vision program coverage provisions and requirements 
  

Chapter 4 - Kentucky Children's Health Insurance Program

• ​907 KAR 4:020E - Kentucky Children's Health Insurance Program Expansion Title XXI of the Social Security Act 
  
• 907 KAR 4:030E - Kentucky Children's Health Insurance Program Phase III Title XXI of the Social Security Act
  

Chapter 20 - Medicaid Eligibility

• ​907 KAR 20:020E - Income standards for Medicaid other than Modified Adjusted Gross Income standards or for former foster care individuals 
  
• 907 KAR 20:100E - Modified Adjusted Gross Income Medicaid eligibility standards 
  

Chapter 23 - Outpatient Pharmacy Program

• 907 KAR 23:020E - Reimbursement for outpatient drugs
• ​Review the updated version (newly filed June 1, 2022)
  
• Review the amended after comments (AAC) regulation (withdrawn June 1, 2022) ​
  
• Review the originally filed regulation (withdrawn June 1, 2022)
  

Ordinary Regulations

Chapter 1 - Medicaid Services 

• ​907 KAR 1​:008 - Ambulatory surgical center services and reimbursement
  
• Review the AAC regulation
  
• Review the originally filed regulation​​
  
• 907 KAR 1:026​ - Dental services' coverage provisions and requirements.
  
• 907 KAR 1:038 - Hearing Program coverage provisions and requirements
  
• 907 KAR 1:044 - Coverage provisions and requirements regarding community mental health center behavioral health services (withdrawn Oct. 14, 2022) 
  
• Behavioral Health Manual for Community Mental Health Centers 
• 907 KAR 1:065 - Payments for price-based nursing facility services
• ​Review the AAC regulation
  
• Review the originally filed regulation​​
• 907 KAR 1:082 - Coverage provisions and requirements regarding rural health clinic services
  
• ​Review the AAC regulation
  
• Review the originally filed regulation​
  
• 907 KAR 1:632​ - Vision program coverage provisions and requirements​​
• 907 KAR 1:680 - Vaccines for Children Program
•  This regulation was not amended after comments were received. Review the statement of consideration for 907 KAR 1:680.​
  

​Chapter 23 - Outpatient Pharmacy Program

• 907 KAR 23:020 - Reimbursement for outpatient drugs
  
• ​Review the updated version​ (newly filed June 1, 2022) 
  
• Review the AAC regulation (withdrawn June 1, 2022) 
  
• Review the originally filed regulation (withdrawn June 1, 2022) 
  

Regulations Recently Effective

Chapter 1 - Medicaid Services

• 907 KAR 1:038 - Hearing program provisions and requirements
• 907 KAR 1:030 - Home health agency services
• 907 KAR 1:604 - Cost-sharing prohibited within the Medicaid program
• 907 KAR 1:005 - Nonduplication of payments
• ​This regulation was not amended after comments were received. Review the statement of consideration for 907 KAR 1:005.
  
• 907 KAR 1:104 - Reimbursement for advanced practice registered nurse services
• ​This regulation was not amended after comments were received. Review the statement of consideration for 907 KAR 1:104​.  

​Chapter 3 - Payment and Services

• 907 KAR 3:005 - Coverage of physician services
• This regulation was not amended after comments were received. Review the statement of consideration for 907 KAR 3:005.
• 907 KAR 3:010 - Reimbursement for physician service
• 907 KAR 3:060 - Ambulance provider assessment program
  
• 907 KAR 3:170 - Telehealth service coverage and reimbursement
  
• ​Review the AAC regulation
  
• Review the originally filed regulation​ 
  

Chapter 7 - Certified Provider Requirements

• 907 KAR 7:020 - 1915(c) Home- and community-based services waiting list and waiting list placement appeal processes

Chapter 10 - Hospital Service Coverage and Reimbursement

• 907 KAR 10:815 - Per diem inpatient hospital reimbursement
• Review the AAC regulation
• Review the originally filed regulation
• 907 KAR 10:830 - Acute care inpatient hospital reimbursement

Chapter 15 - Behavioral Health

• 907 KAR 15:070 - Residential crisis stabilization unit services coverage provisions and requirements
• 907 KAR 15:080 - Chemical dependency treatment center services coverage provisions and requirements

Chapter 17 - Managed Care Section

• 907 KAR 17:005 - Definitions for 907 KAR Chapter 17
• 907 KAR 17:010 - Managed care organization requirements and policies relating to enrollees.

Chapter 20 - Medicaid Eligibility

• 907 KAR 20:001 - Definitions for 907 KAR Chapter 20
• 907 KAR 20:020 - Income standards for Medicaid