KRS 205.557: Medicaid reimbursement for advocacy center's child medical

evaluation -- Waivers -- Administrative regulations.

(1) For the purposes of this section:

(a) "Advanced practice registered nurse" has the same meaning as in KRS

314.011;

(b) "Children's advocacy center" has the same meaning as in KRS 620.020;

(c) "Child medical evaluation" means an examination at a children's

advocacy center to evaluate for child physical abuse, sexual abuse, or

neglect and to exclude other etiologies and evaluate the health and

well-being of the child. A child medical evaluation shall include but not be

limited to one (1) or more of the following:

1. A medical history taken from the child and a nonimplicated parent,

guardian, or primary caretaker;

2. A comprehensive physical examination;

3. Laboratory services;

4. Photo documentation;

5. Follow-up evaluation; or

6. A mental health screening to determine the impact of the alleged

abuse on the mental health status of the child and the need for

mental health services;

(d) "Physician" has the same meaning as in KRS 311.550; and

(e) "Sexual assault nurse examiner" has the same meaning as in KRS

314.011.

(2) The Cabinet for Health and Family Services and any managed care

organization or other entity with whom the Department for Medicaid Services

contracts for the delivery of Medicaid services shall provide Medicaid

reimbursement for a child medical evaluation provided by a licensed physician,

advanced practice registered nurse, or sexual assault nurse examiner

employed or contracted by a children's advocacy center if the children's

advocacy center is in compliance with the appropriate and necessary federal

and state laws or regulations.

(3) Child medical evaluations provided by a licensed physician, advanced practice

registered nurse, or sexual assault nurse examiner in a children's advocacy

center shall be reimbursed by the Department for Medicaid Services at the true

and actual cost of the child medical evaluation.

(4) The Department for Medicaid Services shall apply for any waivers of federal

laws or regulations necessary to implement this section.

(5) The cabinet shall promulgate administrative regulations in accordance with

KRS Chapter 13A to implement this section.