RELATES TO:
KRS
205.520
NECESSITY, FUNCTION, AND CONFORMITY: The Cabinet for Human
Resources has responsibility to administer the program of Medical Assistance.
KRS
205.520 empowers the cabinet, by
administrative regulation, to comply with any requirement that may be imposed,
or opportunity presented, by federal law for the provision of medical
assistance to Kentucky's indigent citizenry. This administrative regulation
sets forth the method for determining amounts payable by the cabinet for family
planning services.
Section 1. Family
Planning Clinics. The cabinet shall reimburse family planning clinics or
agencies for covered services on the basis of a flat fee schedule.
Section 2. Amount of Payment. Reimbursement
in accordance with the flat fee schedule shall be at the following rates:
(1) For services provided by a physician:
initial clinic visit, fifty (50) dollars; annual clinic visit, sixty (60)
dollars; follow-up visit with pelvic examination, twenty-five (25) dollars; and
follow-up visit without pelvic examination, twenty (20) dollars.
(2) For services provided by an advanced
registered nurse practitioner with appropriate training as specified by the
cabinet: initial clinic visit, thirty-seven (37) dollars and seventy-five (75)
cents; annual clinic visit, forty-five (45) dollars; follow-up visit with
pelvic examination, eighteen (18) dollars and seventy-five (75) cents; and
follow-up visit without pelvic examination, fifteen (15) dollars.
(3) The fee for the counseling visit shall be
thirteen (13) dollars; for a counseling visit with three (3) months
contraceptive supply the fee shall be seventeen (17) dollars; for a counseling
visit with six (6) months contraceptive supply the fee shall be twenty (20)
dollars; for a supply only visit, the fee shall be the actual acquisition cost
of contraceptive supplies dispensed. The supply only visit fee shall not be
paid as an addition to a fee for another type of visit, since the fee for other
types of visits includes an amount for contraceptives.