KRS 205.8477: Disclosure requirements for Medicaid providers, fiscal agents, and
Where this section sits in the code
- KRS Chapter 205
managed care entities -- Disclosure requirements for owners and investors of
health facilities and health services -- When disclosure must be provided.
(1) Each Medicaid provider, other t han an individual practitioner or group of
practitioners, fiscal agent that processes or pays vendor claims on behalf of the
Medicaid agency, and managed care entity shall file a disclosure with the Cabinet
for Health and Family Services in accordance with 42 C.F.R. sec. 455.104.
(2) Each owner of or direct financial investor in any health facility or health service
which dispenses or supplies drugs, medicines, medical devices, or durable medical
equipment to a patient shall file a disclosure with the Cabin et for Health and Family
Services of the names and addresses of any immediate family member who is
authorized under state law to prescribe drugs or medicines or medical devices or
equipment.
(3) Each provider shall, as a condition of participation in the M edical Assistance
Program, file a disclosure with the Cabinet for Health and Family Services in
accordance with 42 C.F.R. sec. 455.105 relating to business transactions and in
accordance with 42 C.F.R. sec. 455.106 relating to information on persons
convicted of crimes.
(4) Disclosures required under this statute shall be provided at any of the following
times or as otherwise provided by law:
(a) Upon submitting a provider application;
(b) Upon executing a provider agreement;
(c) Upon request of the Cabinet for Health and Family Services during a
provider's revalidation of enrollment;
(d) Within thirty-five (35) days after any change in ownership of a health facility
or health service, fiscal agent, or managed care entity;
(e) Upon the submission of a propos al in accordance with the state's procurement
process by a fiscal agent or by a managed care entity;
(f) Upon execution, renewal, or extension of a contract by the state with a fiscal
agent or a managed care entity; or
(g) Upon written request within thirt y-five (35) days by the Cabinet for Health
and Family Services.
Collected 2026-09-05T20:52:05Z. Source file · JSON