State Codes and Statutes

Statutes > Kentucky > 205-00 > 8457

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Page 1 of 1 205.8457 Responsibility of managed care primary physician. Any provider agreeing to participate as a managed care primary physician of the state's <br>Medical Assistance Program shall be responsible for prior approval of all medical-related <br>services and goods, except transportation, of recipients assigned to the primary <br>physician's care as set forth under administrative regulation promulgated by the Cabinet <br>for Health and Family Services pursuant to KRS Chapter 13A. No primary physician may <br>delegate that primary physician's authority to anyone except a provider designated by the <br>managed care primary physician to temporarily be responsible for the primary physician's <br>managed care patients during the primary physician's absence. The temporarily designated <br>provider shall be approved by the Department for Medicaid Services. Procedures for <br>delegation of authority to a temporarily designated provider shall be approved by the <br>Department for Medicaid Services in accordance with any applicable federal laws or <br>regulations. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 278, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 225, effective July 15, 1998. -- Created 1994 Ky. Acts <br>ch. 96, sec. 4, effective July 15, 1994; and ch. 316, sec. 3, effective July 15, 1994.

State Codes and Statutes

Statutes > Kentucky > 205-00 > 8457

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Page 1 of 1 205.8457 Responsibility of managed care primary physician. Any provider agreeing to participate as a managed care primary physician of the state's <br>Medical Assistance Program shall be responsible for prior approval of all medical-related <br>services and goods, except transportation, of recipients assigned to the primary <br>physician's care as set forth under administrative regulation promulgated by the Cabinet <br>for Health and Family Services pursuant to KRS Chapter 13A. No primary physician may <br>delegate that primary physician's authority to anyone except a provider designated by the <br>managed care primary physician to temporarily be responsible for the primary physician's <br>managed care patients during the primary physician's absence. The temporarily designated <br>provider shall be approved by the Department for Medicaid Services. Procedures for <br>delegation of authority to a temporarily designated provider shall be approved by the <br>Department for Medicaid Services in accordance with any applicable federal laws or <br>regulations. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 278, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 225, effective July 15, 1998. -- Created 1994 Ky. Acts <br>ch. 96, sec. 4, effective July 15, 1994; and ch. 316, sec. 3, effective July 15, 1994.

State Codes and Statutes

State Codes and Statutes

Statutes > Kentucky > 205-00 > 8457

Download pdf
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Page 1 of 1 205.8457 Responsibility of managed care primary physician. Any provider agreeing to participate as a managed care primary physician of the state's <br>Medical Assistance Program shall be responsible for prior approval of all medical-related <br>services and goods, except transportation, of recipients assigned to the primary <br>physician's care as set forth under administrative regulation promulgated by the Cabinet <br>for Health and Family Services pursuant to KRS Chapter 13A. No primary physician may <br>delegate that primary physician's authority to anyone except a provider designated by the <br>managed care primary physician to temporarily be responsible for the primary physician's <br>managed care patients during the primary physician's absence. The temporarily designated <br>provider shall be approved by the Department for Medicaid Services. Procedures for <br>delegation of authority to a temporarily designated provider shall be approved by the <br>Department for Medicaid Services in accordance with any applicable federal laws or <br>regulations. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 278, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 225, effective July 15, 1998. -- Created 1994 Ky. Acts <br>ch. 96, sec. 4, effective July 15, 1994; and ch. 316, sec. 3, effective July 15, 1994.