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Kentucky Revised Statutes Title XVII. Economic Security and Public Welfare § 205.6326. Review of Medicaid reimbursement systems;  implementation of a standardized patient assessment tool and consistent quality-of-care mandates

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The Cabinet for Health and Family Services shall review all medical assistance reimbursement systems for appropriateness and cost-effectiveness.  The review shall include:

(1)  Review of cost-based reimbursement policies for hospitals and nursing homes to determine the effectiveness and appropriateness of alternate systems.  Consideration shall be given to the use of modified diagnostic-related groups and resource utilization groups systems, using capitated payment methods;  and

(2)  Review of reimbursement rates for physicians to determine whether savings or cost containment would be better achieved through using a relative-based resource value scale system, a capitated payment method, or other alternative methods of reimbursement;  and

(3)  For all Medicaid-covered long-term-care services, implementation of a standardized patient assessment tool and consistent quality-of-care mandates.

Cite this article: FindLaw.com - Kentucky Revised Statutes Title XVII. Economic Security and Public Welfare § 205.6326. Review of Medicaid reimbursement systems;  implementation of a standardized patient assessment tool and consistent quality-of-care mandates - last updated January 01, 2021 | https://codes.findlaw.com/ky/title-xvii-economic-security-and-public-welfare/ky-rev-st-sect-205-6326.html


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