98RS HB512


Unofficial WWW Version

HB 512/FN (BR 1179) - D. Ford, W. Allen, H. Anderson, S. Baugh, L. Brandstetter, K. Bratcher, Dw. Butler, S. Cave, B. Colter, R. Cox, B. Crall, R. Crimm, B. DeWeese, W. Gee, B. Heleringer, K. Hogancamp, A. Maricle, R. Murgatroyd, L. Napier, B. Polston, M. Rader, C. Ratliff, J. Reinhardt, J. Stewart, K. Stine, M. Treesh, T. Turner, J. Vincent, C. Walton

     AN ACT relating to the Medicaid program and utilization review.
     Amend KRS 211.461 to include a definition for "independent physician review"; amend KRS 211.462 to give authority to the Cabinet for Human Resources to revoke the registration of a private review agent for noncompliance with provisions of contract; amend KRS 211.463 and 211.464 to include notification to family members, next-of-kin or guardians of a patient, and require the private review agent to cooperate with any cabinet-directed independent physician review; create a new section of KRS Chapter 205 to require continuation of benefits to any Medicaid-eligible beneficiary who receives an adverse determination about the beneficiary's appropriate level of care; require that all available appeal processes from a hearing or a court be exhausted before a final determination is made on continued eligibility under the medical assistance program.

     Feb 5-introduced in House
     Feb 6-to Health and Welfare (H)

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