{"data":{"id":"us-ky/krs-222.425","jurisdiction":"us-ky","citation":"KRS 222.425","heading":"Substance use disorder program and recovery residences not to enroll out -","body":"of-state residents in Medicaid -- Penalties -- Reimbursement -- Enforcement.\n(1) To the extent allowed by federal law, any substance use disorder program that is\nauthorized or regulated under this chapter or holds a chemical dependency\ntreatment services license under KRS 222.231 that was issued in accordance with\nKRS 216B.042, or a recovery residence as defined in KRS 222.500, shall:\n(a) Not knowingly recruit into their facility any out-of-state resident:\n1. If the out-of-state resident is enrolled in Medicaid; or\n2. With the purpose of enrolling the out -of-state resident in Medicaid in\nthis state; and\n(b) Submit to the Department for Medicaid Services a recipient's proof  of\nKentucky residency when submitting an initial request for Medicaid\nreimbursement if the facility is aware that the recipient resided in another state\nwithin the past month.\n(2) Any substance use disorder program that is authorized or regulated under th is\nchapter or holds a chemical dependency treatment services license under KRS\n222.231 that was issued in accordance with KRS 216B.042, or a recovery residence\nas defined in KRS 222.500, that violates subsection (1)(a) of this section shall be\nfined:\n(a) Twenty thousand dollars ($20,000) for each offense; and\n(b) Not less than five hundred dollars ($500) for each day an out -of-state resident\nreceived Medicaid services in Kentucky.\n(3) To the extent allowed by federal law, any out-of-state resident found to be ineligible\nfor Medicaid services in Kentucky as a result of failure to establish Kentucky as his\nor her residency shall reimburse the Department for Medicaid Services any fees\npaid by Medicaid on his or her behalf.\n(4) All enforcement actions for fines assessed under this section shall be brought on\nbehalf of the Commonwealth by the Office of the Attorney General, and shall be\nfiled in the county where the violation occurred or in Franklin Circuit Court.","path":["KRS Chapter 222"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=54921","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:52:34Z","sha256":"50684b1d07a914e341601cfc40d9a5dd72f9f45dba297d4e0265293dbecffc25","source_id":"us-ky","stale":false,"prev":"us-ky/krs-222.423","next":"us-ky/krs-222.427"},"notice":"GroundRules: Original legal text. Not legal advice."}