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
Current as of January 01, 2021 | Updated by FindLaw Staff
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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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