Kan. Admin. Regs. § 30-10-212 - ICF-MR extra care
(a) Additional
reimbursement for direct services shall be available to ICF's-MR for
medicaid/medikan clients in need of extra care. Failure to obtain prior
authorization shall negate reimbursement for this service.
(b) Extra care shall be considered a covered
service within the scope of the program unless the request for prior
authorization is denied. Reimbursement for this service shall be contingent on
approval by the agency.
(c) The
additional reimbursement for extra care shall be shown as a provider adjustment
on the individual line item of benefit on the ICF-MR financial and statistical
report. Extra care costs shall not be included as a component when calculating
the final rate for the facility. The effective date of this regulation shall be
April 1, 1992.
Notes
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