RELATES TO: KRS Chapter 194A, 202A.011(12), 205.245,
209.020(4), 216.530, 216.557(1), 216.765(2), Chapter 216B, Chapter 514,
20 C.F.R.
416.120,
416.212,
416.2030,
416.2095,
416.2096,
416.2099,
8
U.S.C. 1621,
1641,
42 U.S.C.
415(i), 1381-1383
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
194A.050(1) requires the
secretary to promulgate administrative regulations necessary under applicable
state laws to protect, develop, and maintain the health, personal dignity,
integrity, and sufficiency of the citizens of the Commonwealth and to operate
the programs and fulfill the responsibilities of the cabinet.
42 U.S.C.
1382 authorizes the cabinet to administer a
state funded program of supplementation to all former recipients of the Aid to
the Aged, Blind, and Disabled Program as of December 13, 1973, and who were
disadvantaged by the implementation of the Supplemental Security Income
Program.
KRS
205.245 establishes the mandatory
supplementation program and the supplementation to other needy persons who are
aged, blind, or have a disability. In addition, any state that makes
supplementary payments on or after June 30, 1977, and does not have a
pass-along agreement in effect with the Commissioner of the Social Security
Administration, formerly a part of the U.S. Department of Health, Education,
and Welfare, shall be determined by the commissioner to be ineligible for
payments under Title XIX of the Social Security Act in accordance with
20 C.F.R.
416.2099. This administrative regulation
establishes the provisions of the supplementation program.
Section 1. Definitions.
(1) "Activities of daily living" is defined
by
KRS
194A.700(1).
(2) "Adult" is defined by
KRS
209.020(4).
(3) "Aid to the Aged, Blind and Disabled
Program" means the former state-funded program for an individual who was aged,
blind, or had a disability.
(4)
"Care coordinator" means an individual designated by a community integration
supplementation applicant or recipient to fulfill responsibilities specified in
Section 6(2) of this administrative regulation.
(5) "Department" means the Department for
Community Based Services or its designee.
(6) "Full-time living arrangement" means a
residential living status that is seven (7) days a week, not part
time.
(7) "Instrumental activities
of daily living" is defined by
KRS
194A.700(9).
(8) "Private residence" means a dwelling that
meets requirements of Section 4(2)(d) of this administrative
regulation.
(9) "Qualified
immigrant " means an immigrant who, at the time the person applies for,
receives, or attempts to receive state supplementation, meets the U.S.
citizenship requirements of
907 KAR
20:001.
(10) "Qualified mental health professional"
is defined by
KRS
202A.011(12).
(11) "Serious mental illness" or "SMI" means
a mental illness or disorder in accordance with Section 6(1) of this
administrative regulation.
(12)
"Supplemental security income" or "SSI" means a monthly cash payment made
pursuant to
42 U.S.C.
1381 to
1383f to
the aged, blind, or disabled.
Section
2. Mandatory State Supplementation.
(1) A recipient for mandatory state
supplementation shall include a former Aid to the Aged, Blind and Disabled
Program recipient who became ineligible for SSI due to income but whose special
needs entitled the recipient to an Aid to the Aged, Blind and Disabled Program
payment as of December 1973.
(2) A
mandatory state supplementation recipient shall be subject to the same payment
requirements as specified in Section 4 of this administrative
regulation.
(3) A mandatory state
supplementation payment shall be equal to the difference between:
(a) The Aid to the Aged, Blind and Disabled
Program payment for the month of December 1973; and
(b)
1. The
total of the SSI payment; or
2. The
total of the SSI payment and other income for the current month.
(4) A mandatory payment
shall discontinue if:
(a) The needs of the
recipient as recognized in December 1973 have decreased; or
(b) Income has increased to the December 1973
level.
(5) The mandatory
payment shall not be increased unless:
(a)
Income as recognized in December 1973 decreases;
(b) The SSI payment is reduced, but the
recipient's circumstances are unchanged; or
(c) The standard of need as specified in
Section 9 of this administrative regulation for a class of recipients is
increased.
(6) If a
husband and wife are living together, an income change after September 1974
shall not result in an increased mandatory payment unless total income of the
couple is less than December 1973 total income.
Section 3. Optional State Supplementation
Program.
(1) Except as established in Sections
7, 8, and 9 of this administrative regulation, optional state supplementation
shall be available to a person who meets technical requirements and resource
limitations of the medically needy program for a person who is aged, blind, or
has a disability in accordance with:
(2) A person shall apply or reapply for the
state supplementation program in accordance with
921 KAR
2:035 and shall be required to:
(a) Furnish a Social Security number;
or
(b) Apply for a Social Security
number, if a Social Security number has not been issued.
(3) If potential eligibility exists for SSI,
an application for SSI shall be mandatory.
(4) The effective date for state
supplementation program approval shall be in accordance with
921 KAR
2:050.
Section 4. Optional State Supplementation
Payment.
(1) An optional supplementation
payment shall be issued in accordance with
921 KAR
2:050 for an eligible individual who:
(a) Requires a full-time living
arrangement;
(b) Has insufficient
income to meet the payment standards specified in Section 9 of this
administrative regulation; and
(c)
1. Resides in a personal care home and is
eighteen (18) years of age or older in accordance with
KRS
216.765(2);
2. Resides in a family care home and is at
least eighteen (18) years of age in accordance with
902 KAR
20:041, Section 3(14);
3. Receives caretaker services and is at
least eighteen (18) years of age; or
4.
a.
Resides in a private residence;
b.
Is at least eighteen (18) years of age; and
c. Has SMI.
(2) A full-time living arrangement
shall include:
(a) Residence in a personal
care home that:
1. Meets the requirements and
provides services established in
902 KAR
20:036; and
2. Is licensed under
KRS
216B.010 to
216B.131;
(b) Residence in a family care
home that:
1. Meets the requirements and
provides services established in
902 KAR
20:041; and
2. Is licensed under
KRS
216B.010 to
216B.131;
(c) A situation in which a
caretaker is required to be hired to provide care other than room and board;
or
(d) A private residence, which
shall:
1. Be permanent housing with:
a. Tenancy rights; and
b. Preference given to single occupancy;
and
2. Afford an
individual with SMI choice in activities of daily living, social interaction,
and access to the community.
(3) A guardian or other payee who receives a
state supplementation check for a state supplementation recipient shall:
(a) Return the check to the Kentucky State
Treasurer, the month after the month of:
1.
Discharge to a:
a. Nursing facility, unless
the admission is for temporary medical care as specified in Section 10 of this
administrative regulation; or
b.
Residence other than a private residence pursuant to subsection (2)(d) of this
section; or
2. Death of
the state supplementation recipient; and
(b) Notify a local county department within
five (5) working days of the death or discharge of the state supplementation
recipient.
(4) Failure
to comply with subsection (3)(a) of this section may result in prosecution in
accordance with KRS Chapter 514.
(5) If there is no guardian or other payee, a
personal care or family care home that receives a state supplementation check
for a state supplementation recipient shall:
(a) Return the check to the Kentucky State
Treasurer, the month after the month of:
1.
Discharge to a:
a. Nursing facility, unless
the admission is for temporary medical care as specified in Section 10 of this
administrative regulation;
b.
Another personal care or family care home; or
c. Residence other than a private residence
pursuant to subsection (2)(d) of this section; or
2. Death of the state supplementation
recipient; and
(b)
Notify a local county department within five (5) working days of the:
1. Death or discharge of the state
supplementation recipient; or
2.
Voluntary relinquishment of a license to the Office of the Inspector
General.
(6)
If a personal care or family care home receives a state supplementation check
after voluntary relinquishment of a license, as specified in subsection
(5)(b)2. of this section, the personal care or family care home shall return
the check to the Kentucky State Treasurer.
(7) Failure to comply with subsections (5)(a)
or (6) of this section may result in prosecution in accordance with KRS Chapter
514.
Section 5.
Eligibility for Caretaker Services.
(1)
Service by a caretaker shall be provided to enable an adult to:
(a) Remain safely and adequately:
1. At home;
2. In another family setting; or
3. In a room and board situation;
and
(b) Prevent
institutionalization.
(2)
Service by a caretaker shall be provided at regular intervals by:
(a) A live-in attendant; or
(b) One (1) or more persons hired to come to
the home.
(3)
Eligibility for caretaker supplementation shall be verified annually by the
cabinet with the caretaker to establish how:
(a) Often the service is provided;
(b) The service prevents
institutionalization; and
(c)
Payment is made for the service.
(4) A supplemental payment shall not be made
to or on behalf of an otherwise eligible individual if the:
(a) Client is taken daily or periodically to
the home of the caretaker; or
(b)
Caretaker service is provided by the following persons living with the
applicant:
1. The spouse;
2. Parent of an adult or minor child who has
a disability; or
3. Adult child of
a parent who is aged, blind, or has a disability.
Section 6. Eligibility
for Community Integration Supplementation.
(1)
Eligibility for the community integration supplementation shall be based upon a
diagnosis of SMI by a qualified mental health professional. SMI shall:
(a) Not include a primary diagnosis of
Alzheimer's disease or dementia;
(b) Be described in the current edition of
the Diagnostic and Statistical Manual of Mental Disorders (DSM);
(c) Impair or impede the individual's
functioning in at least one (1) major area of living such as inability to care
for or support self, communicate, or make and maintain interpersonal
relationships; and
(d) Be unlikely
to improve without treatment, services, or supports.
(2) Eligibility for the community integration
supplementation shall be verified annually by the cabinet with the applicant,
recipient, or care coordinator to establish how:
(a) Often services, including those that
address subsection (1)(c) of this section, are provided;
(b) The services prevent institutionalization
and support private residence in accordance with Section 4(2)(d) of this
administrative regulation; and
(c)
Payment is made for the services.
(3) Unless criteria in Section 10 of this
administrative regulation are met by the applicant or recipient, SMI
supplementation shall not be available to a resident of a home, facility,
institution, lodging, or other establishment:
(a) Licensed or registered in accordance with
KRS Chapter 216B; or
(b) Certified
in accordance with KRS Chapter 194A.
Section 7. Resource Consideration.
(1) Except as provided in subsection (2) of
this section, countable resources shall be determined according to policies for
the medically needy in accordance with:
(2) An individual or couple shall not be
eligible if countable resources exceed the limit of:
(a) $2,000 for an individual; or
(b) $3,000 for a couple.
Section 8. Income Considerations.
(1) Except as provided in subsections (2)
through (8) of this section, income and earned income deductions shall be
considered according to the policy for the medically needy in accordance with:
(2) The optional supplementation payment
shall be determined by:
(a) Adding:
1. Total countable income of the applicant or
recipient, or applicant or recipient and spouse; and
2. A payment made to a third party on behalf
of an applicant or recipient; and
(b) Subtracting the total of paragraph (a)1.
and 2. of this subsection from the standard of need in Section 9 of this
administrative regulation.
(3) Income of an ineligible spouse shall be:
(a) Adjusted by deducting sixty-five (65)
dollars and one-half (1/2) of the remainder from the monthly earnings;
and
(b) Conserved in the amount of
one-half (1/2) of the SSI standard for an individual for:
1. The applicant or recipient; and
2. Each minor dependent child.
(4) Income of an
eligible individual shall not be conserved for the needs of the ineligible
spouse or minor dependent child.
(5) Income of a child shall be considered if
conserving for the needs of the minor dependent child so the amount conserved
does not exceed the allowable amount.
(6) The earnings of the eligible individual
and ineligible spouse shall be combined prior to the application of the
earnings disregard of sixty-five (65) dollars and one-half (1/2) of the
remainder.
(7) If treating a
husband and wife who reside in the same personal care or family care home as
living apart prevents them from receiving state supplementation, the husband
and wife may be considered to be living with each other.
(8) The SSI twenty (20) dollar general
exclusion shall not be an allowable deduction from income.
Section 9. Standard of Need.
(1) To the extent funds are available, the
standard of need shall be the amount listed in this subsection in addition to
all cost of living adjustments determined by the Social Security Administration
that have taken place since 2021 pursuant to
42 U.S.C.
415(i) and published at
https://www.ssa.gov/cola.:
(a) For a resident of a personal care home,
$1,409;
(b) For a resident of a
family care home, $965;
(c) For an
individual who receives caretaker services:
1.
A single individual, or an eligible individual with an ineligible spouse who is
not aged, blind, or has a disability, $855;
2. An eligible couple, both aged, blind, or
having a disability and one (1) requiring care, $1,251; or
3. An eligible couple, both aged, blind, or
having a disability and both requiring care, $1,305; or
(d) For an individual who resides in a
private residence and has SMI, $1,313.
(2)
(a) In a
couple case, if both are eligible, the couple's income shall be combined prior
to comparison with the standard of need.
(b) One-half (1/2) of the deficit shall be
payable to each.
(3) A
personal care home shall accept as full payment for cost of care the amount of
the standard, based on the living arrangement, minus a sixty (60) dollar
personal needs allowance that shall be retained by the client.
(4) A family care home shall accept as full
payment for cost of care the amount of the standard, based on the living
arrangement, minus a forty (40) dollar personal needs allowance that shall be
retained by the client.
Section
10. Temporary Stay in a Medical Facility.
(1) An SSI recipient who receives optional or
mandatory state supplementation shall have continuation of state
supplementation benefits without interruption for the first three (3) full
months of medical care in a health care facility if the:
(a) SSI recipient meets eligibility for
medical confinement established by
20
C.F.R.
416.212;
(b) Social Security Administration notifies
the department that the admission shall be temporary; and
(c) Purpose shall be to maintain the
recipient's home or other living arrangement during a temporary admission to a
health care facility.
(2) A non-SSI recipient who receives
mandatory or optional state supplementation shall have continuation of state
supplementation benefits without interruption for the first three (3) full
months of medical care in a health care facility if:
(a) The non-SSI recipient meets the
requirements of subsection (1)(c) of this section;
(b) A physician certifies, in writing, that
the non-SSI recipient is not likely to be confined for longer than ninety (90)
full consecutive days; and
(c) A
guardian or other payee, personal care home, or family care home, receiving a
state supplementation check for the state supplementation recipient, provides a
local county department office with:
1.
Notification of the temporary admission; and
2. The physician statement specified in
paragraph (b) of this subsection.
(3) A temporary admission shall be limited to
the following health care facilities:
(a)
Hospital;
(b) Psychiatric hospital;
or
(c) Nursing facility.
(4) If a state supplementation
recipient is discharged in the month following the last month of continued
benefits, the temporary absence shall continue through the date of
discharge.
Section 11.
Citizenship requirements. An applicant or recipient shall be a:
(1) Citizen of the United States;
or
(2) Qualified
immigrant.
Section 12.
Requirement for Residency. An applicant or recipient shall reside in
Kentucky.
Section 13. Mental
Illness or Intellectual Disability (MI/ID) Supplement Program.
(1) A personal care home:
(a) May qualify, to the extent funds are
available, for a quarterly supplement payment of fifty (50) cents per diem for
a state supplementation recipient in the personal care home's care as of the
first calendar day of a qualifying month;
(b) Shall not be eligible for a payment for a
Type A Citation that is not abated; and
(c) Shall meet the following certification
criteria for eligibility to participate in the MI/ID Supplement Program:
1. Be licensed in accordance with
KRS
216B.010 to
216B.131;
2. Care for a population that is at least
thirty-five (35) percent mental illness or intellectual disability clients in
all of its occupied licensed personal care home beds and who have a:
a. Primary or secondary diagnosis of
intellectual disability including mild or moderate, or other ranges of
intellectual disability whose needs can be met in a personal care
home;
b. Primary or secondary
diagnosis of mental illness excluding organic brain syndrome, senility, chronic
brain syndrome, Alzheimer's, and similar diagnoses; or
c. Medical history that includes a previous
hospitalization in a psychiatric facility, regardless of present
diagnosis;
3. Have a
licensed nurse or an individual who has received and successfully completed
certified medication technician or Kentucky medication aide training on duty
for at least four (4) hours during the first or second shift each
day;
4. Not decrease staffing hours
of the licensed nurse or individual who has successfully completed certified
medication technician training in effect prior to July 1990, as a result of
this minimum requirement;
5. Be
verified by the Office of the Inspector General in accordance with Section
15(2) through (4) of this administrative regulation; and
6. File an STS-1, Mental Illness or
Intellectual Disability (MI/ID) Supplement Program Application for Benefits,
with the department by the tenth working day of the first month of the calendar
quarter to be eligible for payment in that quarter.
a. Quarters shall begin in January, April,
July, and October.
b. Unless mental
illness or intellectual disability supplement eligibility is discontinued, a
new application for the purpose of program certification shall not be
required.
(2) A personal care home shall provide the
department with its tax identification number and address as part of the
application process.
(3) The
department shall provide an STS-2, Mental Illness or Intellectual Disability
(MI/ID) Supplement Program Notice of Decision to Personal Care Home, to a
personal care home following:
(a) Receipt of
verification from the Office of the Inspector General as specified in Section
15(6) of this administrative regulation; and
(b) Approval or denial of an
application.
(4) A
personal care home shall:
(a) Provide the
department with an STS-3, Mental Illness or Intellectual Disability (MI/ID)
Supplement Program Monthly Report Form, that:
1. Lists every resident of the personal care
home who was a resident on the first day of the month;
2. Lists the last four (4) digits only of the
resident's Social Security Number;
3. Lists the resident's date of birth;
and
4. Is marked appropriately for
each resident to indicate the resident:
a. Has
a mental illness diagnosis;
b. Has
an intellectual disability diagnosis; or
c. Receives state supplementation;
and
(b)
Submit the STS-3 to the department on or postmarked by the fifth working day of
the month by:
1. Mail;
2. Fax; or
3. Electronically.
(5) The monthly report shall be
used by the department for:
(a) Verification
as specified in subsection (4)(a) of this section;
(b) Payment; and
(c) Audit purposes.
(6)
(a) A
personal care home shall notify the department within ten (10) working days if
its mental illness or intellectual disability percentage goes below thirty-five
(35) percent for all personal care residents.
(b) A personal care home may be randomly
audited by the department to verify percentages and payment accuracy.
Section 14. Mental
Illness or Intellectual Disability (MI/ID) Training.
(1)
(a) A
personal care home's licensed nurse or individual who has successfully
completed certified medication technician or Kentucky medication aide training
shall complete the personal care home mental illness or intellectual disability
training workshop provided through the Department for Behavioral Health,
Developmental and Intellectual Disabilities, once every two (2)
years.
(b) Other staff may complete
the training workshop in order to assure the personal care home always has at
least one (1) certified staff employed for certification purposes.
(2) The personal care home mental
illness or intellectual disability training shall be provided through a one (1)
day workshop. The following topics shall be covered:
(a) Importance of proper medication
administration;
(b) Side effects
and adverse medication reactions with special attention to
psychotropics;
(c) Signs and
symptoms of an acute onset of a psychiatric episode;
(d) SMI;
(e) SMI recovery;
(f) Characteristics of each major diagnosis,
for example, paranoia, schizophrenia, bipolar disorder, or intellectual
disability;
(g) Guidance in the
area of supervision versus patient rights for the population with a diagnosis
of mental illness or intellectual disability;
(h) Instruction in providing a necessary
activity to meet the needs of a resident who has a diagnosis of mental illness
or intellectual disability;
(i)
Activities of daily living and instrumental activities of daily
living;
(j) Adult learning
principles; and
(k) Information
about
908
KAR 2:065 and the process for community transition for
individuals with SMI.
(3) Initial training shall:
(a) Include the licensed nurse or the
individual who has successfully completed certified medication technician or
Kentucky medication aide training and may include the owner or operator;
and
(b) Be in the quarter during
which the STS-1 is filed with the department.
(4)
(a) A
personal care home shall have at least one (1) direct care staff member who has
received training.
(b) A personal
care home shall have on staff a licensed nurse or individual who:
1. Has successfully completed certified
medication technician or Kentucky medication aide training; and
2.
a. Has
received mental illness or intellectual disability training; or
b. Is enrolled in the next scheduled mental
illness or intellectual disability training workshop.
(5) The Department for
Behavioral Health, Developmental and Intellectual Disabilities shall provide
within five (5) working days a:
(a)
Certificate to direct care staff who complete the training workshop;
and
(b) Listing to the department
of staff who completed the training workshop.
(6) The department shall pay twenty-five (25)
dollars, to the extent funds are available, to a personal care home:
(a) That has applied for the MI/ID Supplement
Program; and
(b) For each staff
member receiving training up to a maximum of five (5) staff per year.
Section 15. MI/ID
Supplement Program Certification.
(1) The
Office of the Inspector General shall visit a personal care home to certify
eligibility to participate in the MI/ID Supplement Program.
(a) The personal care home's initial MI/ID
Supplement Program Certification Survey:
1.
May be separate from an inspection conducted in accordance with
KRS
216.530; and
2. Shall be in effect until the next
licensure survey.
(b)
After a personal care home's initial MI/ID Supplement Program Certification
Survey is completed, the personal care home may complete any subsequent
certification survey during the licensure survey as specified in paragraph
(a)2. of this subsection.
(c) The
department shall notify the Office of the Inspector General that the personal
care home is ready for an inspection for eligibility.
(2) During the eligibility inspection, the
Office of the Inspector General shall:
(a)
Observe and interview residents and staff; and
(b) Review records to assure the following
criteria are met:
1. Certification is on file
at the personal care home to verify staff's completion of training, as
specified in Section 14(1) through (4) of this administrative
regulation;
2. The personal care
home:
a. Has certified staff training all
other direct care staff through inservice training or orientation regarding the
information obtained at the mental illness or intellectual disability training
workshop; and
b. Maintains
documentation of completion at the in-service training for all direct care
staff;
3. Medication
administration meets licensure requirements and a licensed nurse or individual
who has successfully completed certified medication technician or Kentucky
medication aide training:
a. Demonstrates a
knowledge of psychotropic drug side effects; and
b. Is on duty as specified in Section
13(1)(c)3. of this administrative regulation; and
4. An activity is being regularly provided
that meets the needs of a resident.
a. If a
resident does not attend a group activity, an activity shall be designed to
meet the needs of the individual resident, for example, reading or other
activity that may be provided on an individual basis.
b. An individualized care plan shall not be
required for the criteria in clause a. of this subparagraph.
(3) The
Office of the Inspector General shall review the personal care home copy of the
training certification prior to performing a record review during the MI/ID
Supplement Program Certification Survey process.
(4) If at least thirty-five (35) percent of
the population is mental illness or intellectual disability clients, as
specified in Section 13(1)(c)2. of this administrative regulation, on the day
of the visit, a personal care home shall be deemed to have an ongoing
qualifying percentage effective with the month of request for certification as
specified in subsection (1)(c) of this section.
(5) If the mental illness or intellectual
disability population goes below thirty-five (35) percent of all occupied
personal care beds in the facility, the personal care home shall notify the
department as specified in Section 13(6)(a) of this administrative
regulation.
(6) The Office of the
Inspector General shall provide the department with a completed STS-4, Mental
Illness or Intellectual Disability (MI/ID) Supplement Certification Survey,
within fifteen (15) working days of an:
(a)
Initial survey; or
(b) Inspection
in accordance with
KRS
216.530.
(7) The Office of the Inspector General shall
provide a copy of a Type A Citation issued to a personal care home to the
department by the fifth working day of each month for the prior
month.
(8) The personal care home
shall receive a reduced payment for the number of days the Type A Citation
occurred on the first administratively feasible quarter following notification
by the Office of the Inspector General, in accordance with
921 KAR
2:050.
(9)
If a criterion for certification is not met, the department shall issue an
STS-2 to a personal care home following receipt of the survey by the Office of
the Inspector General as specified in subsection (6) of this section.
(10) The personal care home shall provide the
department with the information requested on the STS-2:
(a) Relevant to unmet certification criteria
specified on the STS-4; and
(b)
Within ten (10) working days after the STS-2 is issued.
(11) If a personal care home fails to provide
the department with the requested information specified in subsection (10) of
this section, assistance shall be discontinued or decreased, pursuant to
921 KAR
2:046.
(12) If a personal care home is discontinued
from the MI/ID Supplement Program, the personal care home may reapply for
certification, by filing an STS-1 in accordance with Section 13(1)(c)6. of this
administrative regulation, for the next following quarter.
Section 16. Hearings and Appeals. An
applicant or recipient of benefits under a program described in this
administrative regulation who is dissatisfied with an action or inaction on the
part of the cabinet shall have the right to a hearing under
921 KAR
2:055.
Section
17. Incorporation by Reference.
(1) The following material is incorporated by
reference:
(a) "STS-1, Mental Illness or
Intellectual Disability (MI/ID) Supplement Program Application for Benefits",
01/15;
(b) "STS-2, Mental Illness
or Intellectual Disability (MI/ID) Supplement Program Notice of Decision to
Personal Care Home", 01/15;
(c)
"STS-3, Mental Illness or Intellectual Disability (MI/ID) Supplement Program
Monthly Report Form", 01/19; and
(d) "STS-4, Mental Illness or Intellectual
Disability (MI/ID) Supplement Certification Survey", 01/19.
(2) This material may be
inspected, copied, or obtained, subject to applicable copyright law, at the
Cabinet for Health and Family Services, 275 East Main Street, Frankfort,
Kentucky 40621, Monday through Friday, 8 a.m. to 4:30 p.m. This material may
also be viewed on the department's Web site at:
https://chfs.ky.gov/agencies/dcbs/Pages/default.aspx.