{"data":{"id":"us-ky/krs-199.5954","jurisdiction":"us-ky","citation":"KRS 199.5954","heading":"State medical assistance for special-needs adoptee.","body":"(1) A child with special needs residing in this state, who is the subject of an adoption\nassistance agreement with another state, shall be entitled to receive medical\nassistance from this state upon the filing in the Department for Community Based\nServices, Cabinet for Health and Family Services, a certified copy of the adoption\nassistance agreement obtained from the adoption assistance state. In accordance\nwith regulations of the Department for Medicaid Services, Cabinet for Health and\nFamily Services, the adoptive parents shall be required at least annually to show that\nthe agreement is still in force or has been renewed.\n(2) The Department for Medicaid Services, Cabinet for Health and Family Services\nshall consider recipients of medical assistance pursuant to  this section as any other\nrecipient of medical assistance under the laws of this state and shall process and\nmake payment on claims on account of the recipient in the same manner and\npursuant to the same conditions and procedures as for other recipients o f medical\nassistance.\n(3) The Department for Medicaid Services, Cabinet for Health and Family Services\nshall provide coverage and benefits for a child who is in another state and who is\ncovered by an adoption assistance agreement made by the Department for\nCommunity Based Services, Cabinet for Health and Family Services, for the\ncoverage or benefits, if any, not provided by the residence state. To this end, the\nadoptive parents acting for the child may submit evidence of payment for services\nor benefit amou nts not payable in the residence state and shall be reimbursed\ntherefor. However, there shall be no reimbursement for services or benefit amounts\ncovered under any insurance or other third -party medical contract or arrangement\nheld by the child or the adop tive parents. The Cabinet for Health and Family\nServices shall make regulations implementing this subsection. The additional\ncoverages and benefit amounts provided pursuant to this subsection shall be for\nservices to the cost of which there is no federal c ontribution, or which, if federally\naided, are not provided by the residence state. Among other things, the regulations\nshall include procedures to be followed in obtaining prior approvals for services in\nthose instances where required for the assistance.\n(4) The submission of any claim for payment or reimbursement for services or benefits\npursuant to this section or the making of any statement in connection therewith,\nwhich claim or statement the maker knows or should know to be false, misleading,\nor fraudulent shall be punishable as perjury and shall also be subject to a fine not to\nexceed ten thousand dollars ($10,000) or imprisonment for not more than two (2)\nyears, or both such fine and imprisonment.\n(5) The provisions of this section shall apply only t o medical assistance for children\nunder adoption assistance agreements from states that have entered into a compact\nwith this state under which the other state provides medical assistance agreements\nmade by this state. All other children entitled to medica l assistance pursuant to\nadoption assistance agreements entered into by this state shall be eligible to receive\nit in accordance with the laws and procedures applicable thereto.","path":["KRS Chapter 199"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=7202","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:51:54Z","sha256":"f5c01dab1fd896c2312b1bb1ac7960b7ce365f2ce3c406dd7777022a6e4e5486","source_id":"us-ky","stale":false,"prev":"us-ky/krs-199.5953","next":"us-ky/krs-199.5955"},"notice":"GroundRules: Original legal text. Not legal advice."}