{"data":{"id":"us-ky/krs-281.872","jurisdiction":"us-ky","citation":"KRS 281.872","heading":"Program coordinators' duties relating to eligibility for participation in","body":"human  service  transportation delivery program  -- Resolution  of\ncomplaints -- Penalties.\n(1) The  cabinet shall employ a pool of program coordinators. Each  program\ncoordinator shall be a state employee and reside in the cabinet.\n(2) The  program coordinator shall initially investigate all complaints regarding\nrecipients, subcontractors, and  the broker for the area and  attempt to\nimmediately resolve the problem. All complaints relating to Medicaid fraud or\nabuse shall be forwarded by the cabinet to the Cabinet for Health and Family\nServices. The program coordinator shall further be responsible for assisting a\nperson with a complaint as required in subsection (4) of this section.\n(3) The  program coordinator shall investigate issues of eligibility that result in a\nperson being denied transportation, determine the status of the person's case,\nand  attempt to immediately resolve the matter in order for the person to\ncontinue to receive transportation services. A broker shall not deny any person\ntransportation services until the program coordinator resolves the question of\nthe person's eligibility and verifies to the broker that the person is actually\nineligible to receive transportation services. A  broker who  violates the\nprovisions of this subsection shall be fined one thousand dollars ($1,000) and\nshall be subject to his or her contract being revoked by the cabinet. The\nprogram coordinator shall coordinate information about eligibility to participate\nin the human  service transportation delivery program between the cabinet, the\nCabinet for Health and Family Services, and the Education and Labor Cabinet.\nThe cabinet shall ensure each program coordinator has direct computer access\nto all relevant databases used by all state agencies to administer the human\nservice transportation delivery program. The Department for Medicaid Services\nshall provide each program coordinator with a monthly eligibility list for the\narea.\n(4) If a program coordinator is unable to resolve a complaint against a broker or\nsubcontractor to the satisfaction of the person lodging the complaint on the\nsame  business day the complaint is made, the program coordinator shall\nimmediately act to assist the person in contacting the appropriate state agency\nto resolve the complaint. The  program coordinator shall ensure that the\ncabinet, the Cabinet for Health and Family Services, and the Education and\nLabor  Cabinet strictly adhere to the provisions of 42 C.F.R. governing a\nperson's right to appeal the denial of service or failure for a complaint to be\nacted upon promptly. The cabinet shall be required to inform in writing, every\nperson who has either been denied transportation or who has failed to have a\ncomplaint resolved in a prompt manner under the human service transportation\ndelivery program, of their right to a hearing to be held in the county where the\nperson lives, and the process to follow to obtain a hearing.\n(5) All brokers and subcontractors shall be prohibited from retaliating or attempting\nretribution in any  way  against any  person  using the human  service\ntransportation delivery program  who  files a  complaint. A  broker or\nsubcontractor who is determined by the cabinet to have violated the provisions\nof this subsection, after an investigation and hearing conducted by the cabinet,\nshall have his or her contract revoked by the cabinet within ninety (90) days of\nthe hearing and shall be prohibited from participating in the human  service\ntransportation delivery program for five (5) years from the date of the cabinet's\ndetermination.","path":["KRS Chapter 281"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=52418","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:53:34Z","sha256":"c3fe01376e16791037440247301ee7471de9ade6c02e2a556756586c7c94d113","source_id":"us-ky","stale":false,"prev":"us-ky/krs-281.870","next":"us-ky/krs-281.873"},"notice":"GroundRules: Original legal text. Not legal advice."}