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State Plan Under Title XIX of the Social Security Act - Attachments

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Attachment 1
Attachment 2

2.1-A - REMOVED - Definition of an HMO that is Not Federally Qualified

2.2-A Groups Covered and Agencies Responsible for Eligibility Determination (10/31/2005)

  • 2.2-A - Supplement 1 - Reasonable Classifications of Individuals under the age of 21, 20, 19 and 18 (01/01/1992)
  • 2.2-A - Supplement 2 - REMOVED - Definitions of Blindness and Disability (Territories only)
  • 2.2-A - Supplement 3 - Method of Determining Cost Effectiveness of Caring for Certain Disabled Children at Home (01/01/1992)

2.6-A Eligibility Conditions and Requirements (09/01/2003)

  • 2.6-A - Supplement 1 - Income Eligibility Levels - Mandatory Categorically Needy (10/01/1998)
  • 2.6-A - Supplement 2 - Resource Levels - Categorically Needy Groups with Incomes Related to Federal Poverty Level (01/01/1992)
  • 2.6-A - Supplement 3 - Reasonable Limits on Amounts for Necessary Medical or Remedial Care Not Covered Under Medicaid (07/01/1985)
  • 2.6-A - Supplement 4 - Methods for Treatment of Income that Differ from those of the SSI Program (01/01/1992)
  • 2.6-A - Supplement 5 - More Restrictive Methods of Treating Resources than those of the SSI Program - Section 1902(f) States Only (01/01/1992)
  • 2.6-A - Supplement 5a - Methods for Treatment of Resources for Individuals with Incomes Related to Federal Poverty Levels (01/01/1992)
  • 2.6-A - Supplement 6 - Standards for Optional State Supplementary Payments (07/01/1984)
  • 2.6-A - Supplement 7 - Income Levels for 1902(f) States - Categorically Needy Who are Covered Under Requirements More Restrictive than SSI (01/01/1992)
  • 2.6-A - Supplement 8 - Resource Standards for 1920(f) States - Categorically Needy (01/01/1992)
  • 2.6-A - Supplement 8a - More Liberal Methods of Treating Income Under Section 1902(r)(2) of the Act (01/01/1992)
  • 2.6-A Supplement 8b - More Liberal Methods of Treating Resources Under Section 1902(r)(2) of the Act Non-Section 1902(f) (01/01/1992)
  • 2.6-A - Supplement 9 - REMOVED
  • 2.6-A - Supplement 9a - Transfer of Assets (04/01/1995)
  • 2.6-A -Supplement 10 - No title (04/01/1995)
  • 2.6-A - Supplement 11 - Cost Effectiveness Methodology for Cobra Continuation Beneficiaries (01/01/1992)
  • 2.6-A - Supplement 12 - Eligibility Under Section 1931 of the Act (02/01/2000)
  • 2.6-A - Supplement 12a - Variations from the Basic Personal Needs Allowance (01/01/1998)
  • 2.6 - Supplement 13 - Section 1924 Provisions (10/01/1989)
  • 2.6-A Supplement 14 - Personal Needs Allowance - Individuals with Greater Needs (01/01/1992)

2.6-A - REMOVED - Eligibility Conditions and Requirements (Territories only)

  • 2.6-A - Supplement 1 - REMOVED - Income Eligibility Levels - Categorically Needy, Medically Needy, and Qualified Medicare Beneficiaries
  • 2.6-A - Supplement 2 - REMOVED - Reasonable Limits on Amounts for Necessary Medical or Remedial Care Not Covered Under Medicaid
  • 2.6-A - Supplement 3 - REMOVED - Resource Levels for Optional Groups with Incomes up to a Percentage of the Federal Poverty Level and Medically Needy
  • 2.6-A - Supplement 4 - REMOVED - Consideration of Medicaid Qualifying trusts - Undue Hardships
  • 2.6-A - Supplement 5 - REMOVED - More Liberal Methods of Treating Income Under Section 1902(r)(2) of the Act
  • 2.6-A - Supplement 6 - REMOVED - More Liberal Methods of Treating Resources Under Section 1902(r)(2) of the Act
Attachment 3

3.1-A - Amount, Duration, and Scope of Medical and Remedial Care and Services provided to the Categorically Needy (12/01/2005)

  • 3.1-A - Supplement 1 - Case Management Services (10/01/1988)
  • 3.1-A - Supplement 2 - REMOVED - Alternative Health Care Plans for Families Covered Under Section 1925 of the Act
  • 3.1-A - Supplement 3 - Amount, Duration and Scope of Medical and Remedial Care Services Provided to the Categorically Needy 01/01/1999

3.1-B - Amount, Duration and Scope of Services Provided Medically Needy Groups (12/01/2005)

3.1-C - Standards and Methods of Assuring High Quality Care (10/01/1973)

3.1-D - Transportation (for Categorically Needy and Medically Needy) (12/01/2005)

3.1-E - Standards for the Coverage of Organ Transplant Services (04/01/1989)

3.2-A - Coordination of Title XIX with Part A and Part B of Title XVIII (01/01/1989)

Attachment 4

4.11-A - Standards for Institutions (1/1974)

4.14-A - REMOVED - Single Utilization Review Methods for Intermediate Care Facilities

4.14-B - REMOVED - Multiple Utilization Review Methods for Intermediate Care Facilities

4.16-A -Cooperative Arrangements with State Health and State Vocational Rehabilitation Agencies (04/01/1992)

4.16-A.1 - Agreement (01/1974)

4.17-A - REMOVED - Determining that an Institutionalized Individual Cannot Be Discharged and Returned Home

4.18-A - Charges Imposed on Categorically Needy (12/15/2005)

4.18-B - REMOVED - Medically Needy - Premium

4.18-C - Charges Imposed on Medically Needy and Other Optional Groups (12/15/2005)

4.18-D - Premiums Imposed on Low Income Pregnant Women and Infants (01/01/1992)

4.18-E - Optional Sliding Scale Premiums Imposed on Qualified Disabled and Working Individuals (01/01/1992)

4.18-F - Premiums Imposed on Families Receiving Extended Benefits During a Second Six-Month Period (11/01/2003)

4.19-A - Methods and Standards for Establishing Payment Rates - Inpatient Hospital Care (06/01/2009)

4.19-A - Exhibit A - Medicaid Reimbursement Manual for Hospital Impatient Services (07/01/2002)

4.19-B - Methods and Standards for Establishing Payment Rates - Other Types of Care (12/15/2005)

4.19-B - Supplement 1 Payment of Medicare Part A and Part B Deductible/Coinsurance (01/01/1992)

4.19-C - Payments for Reserved Beds (12/01/1984)

4.19-D - Facilities Reimbursement - Methods and Procedures for January 1, 2000 and Thereafter (07/01/2002)

4.19-D - Exhibit A - Kentucky Case Mix Assessment and Reimbursement Systems (07/01/2002)

4.19-D - Exhibit B (part 1) - Price-Based Reimbursement System (07/01/2002)

4.20-A - REMOVED - Conditions for Direct Payment for Physicians' and Dentists' Services

4.22-A - Requirements for Third Party Liability - Identifying Liable Resources (01/01/1996)

4.22-B - Requirements for Third Party Liability - Payment of Claims (06/20/1990)

4.22-C - State Method on Cost-effective Methods for Employer-Based Group Health Plans (02/01/1993)

4.30 - Sanctions for Psychiatric Hospitals (08/01/1992)

4.32-A - REMOVED - Income and Eligibility Verification System Procedures: Requests to Other State Agencies

4.33-A - Method for Issuance of Medicaid Eligibility Cards to Homeless Individuals (10/01/1987)

4.34-A - The Health Care Surrogate Act of Kentucky

4.35-A - Enforcement of Compliance for Nursing Facilities (07/01/1995)

4.35-B - Termination of Provider Agreement (07/01/1995)

4.35-C - Temporary Management (07/01/1995)

4.35-D - Denial of Payment for New Admissions (07/01/1995)

4.35-E - Civil Money Penalty (07/01/1995)

4.35-F - State Monitoring (07/01/1995)

4.35-G - Transfer of Residents; Transfer of Residents with Closure of Facility (07/01/1995)

4.34-H - Additional Remedies (07/01/1995)

4.36 - Removed

4.37 - Removed

4.38 - Disclosure of Additional Registry Information (02/01/1992)

4.38-A - Collection of Additional Registry Information (02/01/1992)

4.39 - Definition of Specialized Services (01/01/1994)

4.39-A - Categorical Determinations (01/01/1994)

4.40-A - Survey and Certification Education Programs (01/01/1993)

4.40-B - Process for the Investigation of Allegations of Resident Neglect and Abuse Misappropriation of Resident Property (01/01/1993)

4.40-C - Procedures for Scheduling and Conduct of Standard Surveys (01/01/1993)

4.40-D - Programs to Measure and Reduce Inconsistency (01/01/1993)

4.40-E - Process for Investigations of Compliance and Monitoring (01/01/1993)

Attachment 5
Attachment 6

REMOVED

Attachment 7

 

Contact Information
 

For question and/or to request copies of these materials in alternate formats, contact:
Department for Medicaid Services
275 E. Main Street
6 W-A
Frankfort, KY 40621

(502) 564-4321

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CHFS DMS Webmaster

 

Last Updated 4/1/2010