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Provider Participation, Scope of Services, and Reimbursements for the Medicaid (Medical Assistance) Program | Midpage
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Kansas Administrative Regulations
30
Article 5
Provider Participation, Scope of Services, and Reimbursements for the Medicaid (Medical Assistance) Program
Kansas Department for Children and Families
30-5-58
Definitions.
30-5-59
Provider participation requirements.
30-5-60
Provider termination/suspension.
30-5-61a
Withholding of payments to medical providers.
30-5-61b
Suspension of payment liability to medical providers.
30-5-62
Reinstatement of a provider previously terminated from the medicaid/ medikan program.
30-5-63
Medical necessity.
30-5-66
Effective date of administrative regulations in relationship to provider cost reporting periods.
30-5-67
Disallowance of claims for services generated by providers ineligible for participation in the medicaid/medikan program.
30-5-68
Consultants to the medicaid/ medikan program.
30-5-69
Volume purchase and negotiated contracts for medical services.
30-5-70
Payment of medical expenses for eligible recipients.
30-5-71
Copayment requirements.
30-5-72
Medical contracts; funding.
30-5-73
Requirements for facilities to participate.
30-5-75
Scope of services for eligible aliens.
30-5-76
Scope of coverage and reimbursement for services for qualified medicare beneficiaries.
30-5-77
Scope of home- and community-based services for technology-assisted children.
30-5-79
Scope of and reimbursement for homeand community-based services for persons with mental retardation or other developmental disabilities.
30-5-81
Scope of hospital services.
30-5-81a
Participation in the diagnosis related group reimbursement system.
30-5-81b
The basis of reimbursement for hospital services.
30-5-81t
Hospital change of ownership.
30-5-81u
General hospital groups under the diagnosis-related group (DRG) reimbursement system.
30-5-81v
Reimbursement for general hospital inpatient services under the diagnosis related group (DRG) reimbursement system.
30-5-82
Scope of rural health clinic services.
30-5-82a
Reimbursement for rural health clinic services.
30-5-83
Scope of services for ambulatory surgical centers.
30-5-83a
Reimbursement for ambulatory surgical centers.
30-5-85
Scope of independent laboratory services.
30-5-85a
Reimbursement for independent laboratory services.
30-5-86
Scope of services by community mental health centers.
30-5-86a
Reimbursement for community mental health centers.
30-5-86c
New provider rates for community mental health centers.
30-5-86d
Financial recordkeeping for community mental health centers.
30-5-86e
Modification of prospective rates for communty mental health centers.
30-5-87
Scope of the Kan Be Healthy program.
30-5-87a
Reimbursement for Kan Be Healthy program services.
30-5-88a
Reimbursement for physician services.
30-5-89
Scope of home health services.
30-5-89a
Reimbursement for home health services.
30-5-92
Scope of pharmacy services.
30-5-94
Reimbursement for pharmacy services.
30-5-95
Cost report requirement for pharmacy services.
30-5-96
Cost report data and record keeping requirements for pharmacy services.
30-5-97
Cost report data limitations and allowances for pharmacy services.
30-5-100
Scope of dental services.
30-5-100a
Reimbursement for dental services.
30-5-102
Scope of optometric and optical services.
30-5-102a
Reimbursement for optometric and optical services.
30-5-103
Scope of podiatric services.
30-5-103a
Reimbursement for podiatric services.
30-5-104
Scope of psychological services.
30-5-104a
Reimbursement for psychologists services.
30-5-105
Scope of hearing services.
30-5-105a
Reimbursement for hearing services.
30-5-106
Scope of ambulance services.
30-5-106a
Reimbursement for ambulance services.
30-5-107
Scope of non-emergency medical transportation services.
30-5-107a
Reimbursement for non-emergency medical transportation services.
30-5-108a
Reimbursement for durable medical equipment, medical supplies, orthotics, and prosthetics.
30-5-109
Scope of services in freestanding inpatient psychiatric facilities.
30-5-109a
Reimbursement for freestanding psychiatric facilities.
30-5-110
Scope of partial hospitalization programs.
30-5-110a
Reimbursement for partial hospitalization programs.
30-5-112
Scope of local health department services.
30-5-112a
Reimbursement for local health department services.
30-5-113
Scope of advanced registered nurse practitioner and registered nurse anesthetist services.
30-5-113a
Reimbursement for advanced registered nurse practitioner and registered nurse anesthetist services.
30-5-114
Scope of targeted case management services.
30-5-114a
Reimbursement for targeted case management services.
30-5-115
Scope of hospice services.
30-5-115a
Reimbursement for hospice services.
30-5-116
Scope of rehabilitation services.
30-5-116a
Reimbursement for rehabilitation services.
30-5-117
Scope of maternity center services.
30-5-117a
Reimbursement for maternity center services.
30-5-150
Co-payment requirements for medikan program recipients.
30-5-151
Scope of hospital services for medikan program recipients.
30-5-152
Scope of rural health clinic services for medikan program recipients.
30-5-153
Scope of physical therapist services.
30-5-153a
Reimbursement for physical therapist services.
30-5-154
Scope of services by community mental health centers for medikan program recipients.
30-5-155
Scope of Kan Be Healthy program services for medikan program recipients.
30-5-156
Scope of physician services for medikan program recipients.
30-5-157
Scope of home health services for medikan program recipients.
30-5-158
Scope of pharmacy services for adult medikan program recipients.
30-5-159
Scope of dental services for medikan program recipients.
30-5-160
Scope of chiropractic services for medikan program recipients.
30-5-161
Scope of podiatric services for medikan program recipients.
30-5-162
Scope of psychological services for medikan program recipients.
30-5-163
Scope of hearing services for medikan program recipients.
30-5-164
Scope of ambulance services for adult medikan program recipients.
30-5-165
Scope of non-ambulance medical transportation services for adult medikan program recipients.
30-5-166
Scope of durable medical equipment, medical supplies, orthotic and prosthetic services for adult medikan program recipients.
30-5-167
Scope of services in freestanding inpatient psychiatric facilities for medikan program recipients.
30-5-168
Family planning services for medikan program recipients.
30-5-169
Scope of partial hospitalization services for medikan program recipients.
30-5-170
Scope of services for ambulatory surgical centers for medikan program recipients.
30-5-172
Scope of optometric services for adult medikan program recipients.
30-5-174
Delivery of managed care.
30-5-300
Definitions.
30-5-301
Provider participation.
30-5-302
Limitations for independent living counselors.
30-5-303
Cost effectiveness.
30-5-304
Cost efficient plans of care.
30-5-305
Assessment requirements.
30-5-306
Effective date for HCBS eligibility.
30-5-307
Family reimbursement restriction.
30-5-308
Nonsupplementation of HCBS services.
30-5-309
Scope of and reimbursement for medicaid home- and community-based services (HCBS).
30-5-310
Scope and reimbursement for home- and community-based services for persons with a severe emotional disturbance.