Kan. Admin. Regs. § 30-2-17 - Administration of certain long-term care programs
(a)
(1) Subject to the federal grant requirements
for medicaid under the social security act, title XIX, the "nursing facility
services payment program," as that term is used in K.S.A. 1996 Supp.
75-5321a, shall include the
following functions:
(A) oversight of
certification and recertification of nursing facilities;
(B) provider enrollment;
(C) minimum data set collection and analysis;
(D) rate setting and payments;
(E) cost report reviews;
(F) audits;
(G) payment reconciliations;
(H) overpayment collections;
(I) penalty enforcement;
(J) compliance functions, including
collection of civil money penalties; and
(K) budget preparation and management.
(2) For purposes of
this regulation, the term "nursing facility" shall not include any nursing
facility for mental health or intermediate care facility for the mentally
retarded.
(b) The "home
and community-based nursing facility waiver program," as that term is used in
K.S.A. 1996 Supp.
75-5321a, means the medicaid home
and community-based service waiver program for the frail elderly and targeted
case management for the frail elderly.
(c) For the purposes of administering the
nursing facility services payment program, the home and community-based nursing
facility waiver program, and the income eligible home care program pursuant to
K.S.A. 1996 Supp.
75-5321a, the secretary of aging
may use, exercise, and enforce any power, duty, definition, or description
established in regulations of the secretary of social and rehabilitation
services as may be necessary. To the extent that federal grant requirements for
the medicaid program under the social security act, title XIX, require the
continued involvement by the secretary of social and rehabilitation services as
the designated medicaid single state agency, the state plan, regulatory, policy
making, and supervisory authority over the programs administered by the
secretary of aging under K.S.A. 1996 Supp.
75-5321a shall continue to be
exercised by the secretary of social and rehabilitation services.
Notes
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