Kentucky Revised Statutes Title XVII. Economic Security and Public Welfare § 205.648.Plan amendment, waiver, or alternative payment model for services of certified community health workers; reimbursement; services provided; not to be considered duplicative; administrative regulations and approvals

(2)(a) By January 1, 2023, the Department for Medicaid Services shall seek approval from the federal Centers for Medicare and Medicaid Services for a state plan amendment, waiver, or alternative payment model, including public-private partnerships, for services delivered by certified community health workers.

(b) Any state plan amendment, waiver, or alternative payment sought by the Department for Medicaid Services pursuant to paragraph (a) of this subsection shall provide reimbursement for services described in subsection (3) of this section when provided by a certified community health worker who is employed and supervised by a Medicaid participating provider who is employed by:

(a) Direct preventative services or services designed to slow the progression of chronic diseases, including screenings for basic human needs and referrals to appropriate services and agencies to meet those needs;

(b) Health promotion education to prevent illness or disease, including the promotion of healthy behaviors to increase awareness and prevent the development of illness or disease;

(c) Facilitation between a beneficiary and a provider when cultural factors, such as language, socioeconomic status, or health literacy, become a barrier to properly understanding treatment options or treatment plans;

(d) Diagnosis-related patient education regarding self-management of physical, dental, or mental health; and

(e) Any other service approved by the Department for Medicaid Services.