Kan. Admin. Regs. § 30-10-216 - ICF-MR payment of claims
(a) Payment to
participating provider. Each participating provider shall be paid, at least
monthly, a per diem rate for ICF-MR services, excluding client liability,
rendered to eligible clients provided that:
(1) The agency is billed on the turn-around
document or electronic claims submission furnished by the contractor serving as
the fiscal agent for the medicaid/medikan program;
(2) the turn-around document or electronic
claims submission is verified by the administrator of the facility or a
designated key staff member; and
(3) the claim is filed no more than six
months after the time the services were rendered pursuant to
K.S.A.
39-708a, and any amendments thereto.
(b) Client's liability.
The client's liability for services shall be the amount determined by the local
agency office in which a medicaid/medikan client or the client's agent applies
for care. The client's liability begins on the first day of each month and
shall be applied in full prior to any liability incurred by the
medicaid/medikan program. The unexpended portion of the client's liability
payment shall be refunded to the client or client's agent if the client dies or
otherwise permanently leaves the facility.
(c) The payment of claims may be suspended if
there has been an identified overpayment and the provider is financially
insolvent.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.