Chapter 422 - Health Care Financing and Policy
- ADMINISTRATION AND PROCEDURE
- 422.240 - Legislative appropriations; disbursements.
- 422.245 - Deposit of money received for certain programs in appropriate accounts of Division in State General Fund.
- 422.260 - Acceptance of Social Security Act and federal money.
- 422.265 - Acceptance of increased benefits of future congressional legislation; regulations.
- 422.267 - Contract or agreement with Federal Government by Director.
- 422.270 - Duties of Department regarding welfare activities and services.
- 422.2703 - Department required to establish and maintain system for electronic submission of applications for Medicaid or Children’s Health Insurance Program.
- 422.2705 - Contracts for provision of certain transportation services for recipients of Medicaid and recipients of services pursuant to Children’s Health Insurance Program.
- 422.2708 - Amendment of home and community-based services waiver to include as medical assistance under Medicaid funding of assisted living supportive services for senior citizens who reside in certai
- 422.271 - State plans for certain programs: Development, adoption and revision by Director; Division required to comply.
- 422.2713 - State plans for certain programs: Priority access to treatment and services for certain parents.
- 422.2715 - Program to provide medical assistance to certain persons who are employed and have disabilities.
- 422.2716 - Provision of public assistance to qualified aliens.
- 422.2717 - State Plan for Medicaid: Inclusion of requirement that independent foster care adolescents are eligible for Medicaid.
- 422.2718 - State Plan for Medicaid: Inclusion of requirement for payment of certain expenses related to administration of human papillomavirus vaccine.
- 422.272 - State Plan for Medicaid: Inclusion of requirement for payment of certain costs.
- 422.2726 - Medicaid waiver pursuant to Health Insurance Flexibility and Accountability demonstration initiative: Application by Director; consideration of recommendations from certain entities.
- 422.2727 - Medicaid waiver pursuant to Health Insurance Flexibility and Accountability demonstration initiative: Requirements of application.
- 422.2728 - Medicaid waiver pursuant to Health Insurance Flexibility and Accountability demonstration initiative: Establishment of program to implement waiver; regulations; quarterly report.
- 422.2729 - Medicaid waiver pursuant to Health Insurance Flexibility and Accountability demonstration initiative: Funding of program.
- 422.273 - Establishment, development and implementation of Medicaid managed care program.
- 422.2748 - Cooperation with Medicaid Fraud Control Unit.
- 422.275 - Legal advisers for Division.
- 422.276 - Appeal to Department by applicant for or recipient of public assistance or services; notice of initial decision; hearing.
- 422.277 - Hearing: Rights of parties; informal disposition; record; transcribing of oral proceedings; findings of fact; limitation on participation of employee or representative of Department in decis
- 422.2775 - Hearing: Evidence.
- 422.278 - Hearing: Person with communications disability entitled to services of interpreter.
- 422.2785 - Contents and delivery of decision or order of hearing officer; petition for judicial review; filing of decision and record with court.
- 422.279 - Judicial review: Taking of additional evidence; limitations on review; grounds for reversal; appeal to Supreme Court.
- 422.280 - Forms of reports and records to be kept by persons subject to supervision or investigation by Division.
- 422.284 - Family planning service; birth control.
- 422.287 - Provision of prenatal care to pregnant women who are indigent; provision of information concerning availability of prenatal care; regulations.
- 422.288 - Enrollment of eligible Indian children in Children’s Health Insurance Program: Duty of Department to seek assistance of and cooperate with Indian tribes; immediate action required; certain c
- 422.290 - Custody, use, preservation and confidentiality of records, files and communications concerning applicants for and recipients of public assistance or assistance pursuant to Children’s Health
- 422.291 - Assistance not assignable or subject to process or bankruptcy law.
- 422.292 - Assistance subject to future amending and repealing acts.
- 422.293 - Subrogation: Department subrogated to rights of recipient of Medicaid or of insurance provided pursuant to Children’s Health Insurance Program; lien on proceeds of recovery.
- 422.293001 - Subrogation: Notice to Department of recipient’s claim; statute of limitations tolled until notice received.
- 422.293003 - Subrogation: Department required to provide notice of amount of lien; enforceability of lien.
- 422.293005 - Subrogation: Liability for failure to comply with provisions.
- 422.29301 - Administration of provisions concerning recovery of assistance paid to recipient of public assistance.
- 422.29302 - Recovery of benefits paid for Medicaid: Powers and duties of Department; claim against estate of recipient; regulations; distribution of money recovered; payment in cash.
- 422.29304 - Recovery of benefits paid for public assistance under certain circumstances; powers and duties of Department; duty to reimburse Department; waiver of repayment.
- 422.29306 - Imposition and release of lien on property of recipient of Medicaid.
- 422.29308 - Application for Medicaid: Statements regarding action for recovery and civil liability of recipient.
- 422.301 - Administrative duties of Administrator and Division.
- 422.302 - Gifts and grants of money to Division: Deposit in Gift and Cooperative Account of the Division of Health Care Financing and Policy; use; approval of claims by Administrator.
- 422.303 - Reimbursement of registered nurse for certain services provided to person eligible for Medicaid.
- 422.304 - Reimbursement for services for hospice care provided to person eligible for Medicaid.
- 422.3045 - Denial of application for Children’s Health Insurance Program: Notice; review of case and hearing; regulations; review by court.
- 422.305 - Confidentiality of information obtained in investigation of provider of services under State Plan for Medicaid.
- 422.306 - Hearing to review action taken against provider of services under State Plan for Medicaid; regulations; appeal of final decision.
- ADMINISTRATOR OF DIVISION OF HEALTH CARE FINANCING ANDPOLICY
- 422.2354 - Qualifications.
- 422.2356 - Executive Officer of Division; administration and management of Division.
- 422.2358 - Reports.
- 422.2362 - Fiscal duties.
- 422.2364 - Organization of Division; appointment of heads of sections; employees; standards of service.
- 422.2366 - Administration of oaths; testimony of witnesses; subpoenas.
- 422.2368 - Adoption of regulations.
- 422.2369 - Procedure for adopting, amending or repealing regulations.
- 422.2372 - General and miscellaneous powers and duties.
- 422.2374 - Cooperation with Medicaid Fraud Control Unit; suspension or exclusion of provider of goods or services under State Plan for Medicaid.
- ASSESSMENT OF FEES ON NURSING FACILITIES TO INCREASEQUALITY OF NURSING CARE
- 422.3755 - Definitions.
- 422.376 - “Facility for intermediate care” defined.
- 422.3765 - “Facility for skilled nursing” defined.
- 422.3771 - “Nursing facility” defined.
- 422.3775 - Payment of fee; amount of fee; allowable cost for Medicaid reimbursement purposes.
- 422.378 - Report by nursing facility to Division.
- 422.3785 - Creation of Fund to Increase the Quality of Nursing Care; deposit of money for credit to Fund; expenditures from Fund; consequence of federal law prohibiting certain expenditures from Fund.
- 422.379 - Administrative penalties for late payment of fee; recoupment of fees and administrative penalties.
- GENERAL PROVISIONS
- 422.001 - Definitions.
- 422.003 - “Administrator” defined.
- 422.021 - “Children’s Health Insurance Program” defined.
- 422.030 - “Department” defined.
- 422.040 - “Director” defined.
- 422.041 - “Division” defined.
- 422.042 - “Food Stamp Assistance” defined.
- 422.045 - “Low-Income Home Energy Assistance” defined.
- 422.046 - “Medicaid” defined.
- 422.048 - “Program for Child Care and Development” defined.
- 422.050 - “Public assistance” defined.
- 422.0525 - “State Supplementary Assistance” defined.
- 422.053 - “Supplemental Security Income Program” defined.
- 422.0535 - “Temporary Assistance for Needy Families” defined.
- 422.054 - “Undivided estate” defined.
- 422.061 - Purposes of Division.
- 422.065 - Eligibility of aliens for state or local public benefits.
- MEDICAID CARDS
- 422.361 - Definitions.
- 422.362 - “Cardholder” defined.
- 422.363 - “Medicaid card” defined.
- 422.364 - “Plan” defined.
- 422.365 - “Receives” defined.
- 422.366 - Unlawful acts: Obtaining or possessing card without consent of holder of card; presumption from possession of card; penalty.
- 422.367 - Unlawful acts: Sale or purchase of card; authorization by holder of card for use by person not entitled to use card; penalty.
- 422.368 - Unlawful acts: Use of forged, expired or revoked card to obtain benefits; receipt of benefits by misrepresentation; penalty.
- MEDICAL CARE ADVISORY GROUP
- PAYMENTS TO CERTAIN HOSPITALS FOR TREATMENT OF INDIGENTPATIENTS
- 422.380 - Definitions. [Effective through June 30, 2010.]
- 422.3805 - Federal waivers: Duties of Administrator.
- 422.3807 - Division to determine certain information concerning uncompensated care percentages of hospitals in larger counties; hospitals to provide information to Division; reports. [Effective throug
- 422.382 - Transfer to Division of percentage of amount of payment to hospital. [Effective through June 30, 2010.]
- 422.385 - Allocations and payments from Medicaid Budget Account; transfer of money from Intergovernmental Transfer Account. [Effective through June 30, 2010.]
- 422.387 - Allocation for administrative costs; payments to hospitals. [Effective through June 30, 2010.]
- 422.390 - Regulations; quarterly report. [Effective through June 30, 2010.]
- PRESCRIPTION DRUGS
- 422.401 - Definitions.
- 422.4015 - “Committee” defined.
- 422.402 - “Drug Use Review Board” defined.
- 422.4025 - List of preferred prescription drugs used for Medicaid program; list of drugs excluded from restrictions; role of Pharmacy and Therapeutics Committee; availability of new pharmaceutical pro
- 422.403 - Establishment and management of use by Medicaid program of step therapy and prior authorization; duties of Drug Use Review Board; acceptance of recommendations from Board.
- 422.4035 - Pharmacy and Therapeutics Committee: Creation; membership.
- 422.404 - Pharmacy and Therapeutics Committee: Chair; terms; vacancies; meetings; quorum.
- 422.4045 - Pharmacy and Therapeutics Committee: Members serve without compensation; members entitled to per diem; members holding public office or employed by governmental entity.
- 422.405 - Pharmacy and Therapeutics Committee: Duties and powers.
- 422.4055 - Advisory Committee to the Pharmacy and Therapeutics Committee and the Drug Use Review Board: Creation; membership; Chair; terms; vacancies; members serve without compensation; members entit
- 422.406 - Regulations; contracts for services.
- PROGRAM TO PROVIDE COMMUNITY-BASED SERVICES TO PERSONS WITHPHYSICAL DISABILITIES
- UNLAWFUL ACTS; PENALTIES