Title 907 | Chapter 016 | Regulation 025REG
PROPOSED
This document is not yet current.
PREVIOUS VERSION
The previous document that this document is based upon is available.
CABINET FOR HEALTH AND FAMILY SERVICES
Department for Medicaid Services
(Amended at ARRS Committee)
907 KAR 16:025.Recovery, Independence, Support & Engagement (RISE) Initiative (RISE) Program reimbursement provisions and requirements.
Section 1.
General Reimbursement Requirements.(1)
For the department to reimburse for a service or item, the requirements of 907 KAR Chapter 16 shall be met.(2)
The department shall reimburse a participating provider for a covered service as established pursuant to the 1915(i) Fee Schedule as available at: https://www.chfs.ky.gov/agencies/dms/Pages/feesrates.aspx.Section 2.
Federal Approval and Federal Financial Participation. The department's reimbursement for services pursuant to this administrative regulation shall be contingent upon:(1)
Receipt of federal financial participation for the reimbursement; and(2)
Centers for Medicare and Medicaid Services' approval for the reimbursement.Section 3.
Appeals. A provider may appeal a department decision made pursuant toFILED WITH LRC: June 10, 2025
CONTACT PERSON: Krista Quarles, Policy Analyst, Office of Legislative and Regulatory Affairs, 275 East Main Street 5 W-A, Frankfort, Kentucky 40621; phone 502-564-7476; fax 502-564-7091; email CHFSregs@ky.gov.
CABINET FOR HEALTH AND FAMILY SERVICES
Department for Medicaid Services
(Amended at ARRS Committee)
907 KAR 16:025.Recovery, Independence, Support & Engagement (RISE) Initiative reimbursement provisions and requirements.
Section 1.
General Reimbursement Requirements.(1)
For the department to reimburse for a service or item, the requirements of 907 KAR Chapter 16 shall be met.(2)
The department shall reimburse a participating provider for a covered service as established pursuant to the 1915(i) Fee Schedule as available at: https://www.chfs.ky.gov/agencies/dms/Pages/feesrates.aspx.Section 2.
Federal Approval and Federal Financial Participation. The department's reimbursement for services pursuant to this administrative regulation shall be contingent upon:(1)
Receipt of federal financial participation for the reimbursement; and(2)
Centers for Medicare and Medicaid Services' approval for the reimbursement.Section 3.
Appeals. A provider may appeal a department decision made pursuant to this administrative regulation in accordance with 907 KAR 1:671.FILED WITH LRC: June 10, 2025
CONTACT PERSON: Krista Quarles, Policy Analyst, Office of Legislative and Regulatory Affairs, 275 East Main Street 5 W-A, Frankfort, Kentucky 40621; phone 502-564-7476; fax 502-564-7091; email CHFSregs@ky.gov.