Title 907 | Chapter 001 | Regulation 049


907 KAR 1:049.Payments 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.

HISTORY: (2 Ky.R. 112; eff. 9-10-1975; 8 Ky.R. 329; eff. 12-2-1981; Recodified from 904 KAR 1:054, 5-2-1986; 13 Ky.R. 993; eff. 12-2-1986; 18 Ky.R. 1627; eff. 1-10-1992; Crt eff. 12-6-2019.)

7-Year Expiration: 12/6/2026

Last Updated: 12/15/2021


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