KRS 205.6314: Review of reimbursement rates for emergency transportation providers --

Promulgation of administrative regulations relating to emergency

transportation providers.

The Cabinet for Health and Family Services shall review the Medical Assistance Program

reimbursement rates for emergency transportation providers to determine if existing rates

are fair and reasonable. Notwithstanding this review, the cabinet shall by promulgation of

administrative regulation, pursuant to KRS Chapter 13A, do the following:

(1) Prescribe reimbursement rates for emergency transportation providers to ensure that

emergency rates are paid only for transporting medical assistance recipients to the

emergency room of a hospital in emergency situations;

(2) Establish, in nonemergency cases, lower medical assistance reimbursement rates for

emergency transportation providers for the transportation of stretcher patients from

nursing homes to physician offices or hospitals; and

(3) Establish a verification system that requires medical prov iders to confirm that

medical assistance recipients have appointments for medical services and that

medical services were medically necessary and were obtained prior to payment by

the cabinet to the emergency transportation provider.