806 KAR 17:590 - Annual report on providers prescribing medication for addiction treatment

RELATES TO: KRS 304.1-050(1) 304.9-020, 304.9-055, 304.17A-005(29), 304.17A-732

NECESSITY, FUNCTION, AND CONFORMITY: KRS 304.2-110 authorizes the Commissioner of the Department of Insurance to promulgate administrative regulations necessary for or as an aid to the effectuation of any provision of the Kentucky Insurance Code, as defined in KRS 304.1-010. KRS 304.17A-732 requires insurers to annually report to the commissioner the number and type of providers that have prescribed medication for addiction treatment to its insureds in conjunction with behavioral therapy and not in conjunction with behavioral therapy. This administrative regulation sets forth the format and submission time frame for the data reporting requirements in KRS 304.17A-732.

Section 1. Definitions.

(1) "Commissioner" is defined by KRS 304.1-050(1).

(2) "Department" is defined by KRS 304.1-050(2).

(3) "Insurer" is defined by KRS 304.17A-005(29).

(4) "Medication for addiction treatment" means a prescription drug that:

(a)

1. Is prescribed for use in the treatment of alcohol or opioid addiction; and

2. Contains methadone, buprenorphine, or naltrexone; or

(b) Was approved before January 1, 2022, by the United States Food and Drug Administration for the mitigation of opioid withdrawal symptoms.

Section 2. Data Reporting Requirements.

(1) An insurer authorized to write health insurance in this state shall submit the data required by the Annual Report on Providers Prescribing Medication for Addiction Treatment form to the commissioner by March 31st of each year.

(2) The data required by the Annual Report on Providers Prescribing Medication for Addiction Treatment form shall be submitted via electronic mail to DOI.Healthreporting@ky.gov.

Section 3. Material Incorporated by Reference.

(1) "Annual Report on Providers Prescribing Medication for Addiction Treatment" form, 9/2023, is incorporated by reference.

(2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Department of Insurance, Mayo-Underwood Building, 500 Mero Street, Frankfort, Kentucky 40601, Monday through Friday, 8 a.m. to 4:30 pm. This material is also available on the department's Web site at https://insurance.ky.gov/ppc/CHAPTER.aspx.

Notes

806 KAR 17:590

48 ky.R. 1684, 2413; eff. 5-31-2022; 50 Ky.R. 950, 1501; eff. 4/2/2024.

STATUTORY AUTHORITY: KRS 304.2-110