205.510 Definitions for medical assistance law.
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<![CDATA[205.510 Definitions for medical assistance law. As used in this chapter as it pertains to medical assistance unless the context clearly <br>requires a different meaning: <br>(1) "Chiropractor" means a person authorized to practice chiropractic under KRS Chapter 312; (2) "Council" means the Advisory Council for Medical Assistance; <br>(3) "Dentist" means a person authorized to practice dentistry under laws of the Commonwealth; (4) "Health professional" means a physician, physician assistant, nurse, doctor of chiropractic, mental health professional, optometrist, dentist, or allied health <br>professional who is licensed in Kentucky; (5) "Medical care" as used in this chapter means essential medical, surgical, chiropractic, dental, optometric, podiatric, telehealth, and nursing services, in the <br>home, office, clinic, or other suitable places, which are provided or prescribed by <br>physicians, optometrists, podiatrists, or dentists licensed to render such services, <br>including drugs and medical supplies, appliances, laboratory, diagnostic and <br>therapeutic services, nursing-home and convalescent care, hospital care as defined <br>in KRS 205.560(1)(a), and such other essential medical services and supplies as <br>may be prescribed by such persons; but not including abortions, or induced <br>miscarriages or premature births, unless in the opinion of a physician such <br>procedures are necessary for the preservation of the life of the woman seeking such <br>treatment or except in induced premature birth intended to produce a live viable <br>child and such procedure is necessary for the health of the mother or her unborn <br>child. However, this section does not authorize optometrists to perform any services <br>other than those authorized by KRS Chapter 320; (6) "Nurse" means a person authorized to practice professional nursing under the laws of the Commonwealth; (7) "Nursing home" means a facility which provides routine medical care in which physicians regularly visit patients, which provide nursing services and procedures <br>employed in caring for the sick which require training, judgment, technical <br>knowledge, and skills beyond that which the untrained person possesses, and which <br>maintains complete records on patient care, and which is licensed pursuant to the <br>provisions of KRS 216B.015; (8) "Optometrist" means a person authorized to practice optometry under the laws of the Commonwealth; (9) "Other persons eligible for medical assistance" may include the categorically needy excluded from money payment status by state requirements and classifications of <br>medically needy individuals as permitted by federal laws and regulations and as <br>prescribed by administrative regulation of the secretary for health and family <br>services or his designee; (10) "Pharmacist" means a person authorized to practice pharmacy under the laws of the Commonwealth; (11) "Physician" means a person authorized to practice medicine or osteopathy under the laws of the Commonwealth; (12) "Podiatrist" means a person authorized to practice podiatry under the laws of the Commonwealth; (13) "Primary-care center" means a facility which provides comprehensive medical care with emphasis on the prevention of disease and the maintenance of the patients' <br>health as opposed to the treatment of disease; (14) "Public assistance recipient" means a person who has been certified by the Department for Community Based Services of the Cabinet for Health and Family <br>Services as being eligible for, and a recipient of, public assistance under the <br>provisions of this chapter; (15) "Telehealth consultation" means a medical or health consultation, for purposes of patient diagnosis or treatment, that requires the use of advanced <br>telecommunications technology, including, but not limited to: <br>(a) Compressed digital interactive video, audio, or data transmission; <br>(b) Clinical data transmission via computer imaging for teleradiology or telepathology; and (c) Other technology that facilitates access to health care services or medical specialty expertise; (16) "Third party" means an individual, institution, corporation, company, insurance company, personal representative, administrator, executor, trustee, or public or <br>private agency, including, but not limited to, a reparation obligor and the assigned <br>claims bureau under the Motor Vehicle Reparations Act, Subtitle 39 of KRS <br>Chapter 304, who is or may be liable to pay all or part of the medical cost of injury, <br>disease, or disability of an applicant or recipient of medical assistance provided <br>under Title XIX of the Social Security Act, 42 U.S.C. sec. 1396 et seq.; and (17) "Vendor payment" means a payment for medical care which is paid by the Cabinet for Health and Family Services directly to the authorized person or institution which <br>rendered medical care to an eligible recipient. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 227, effective June 20, 2005. -- Amended 2000 Ky. Acts ch. 14, sec. 32, effective July 14, 2000; and ch. 376, sec. 3, effective <br>July 15, 2001. -- Amended 1998 Ky. Acts ch. 426, sec. 194, effective July 15, 1998. -<br>- Amended 1980 Ky. Acts ch. 135, sec. 28, effective July 15, 1980; and ch. 252, <br>sec. 1, effective July 15, 1980. -- Amended 1978 Ky. Acts ch. 140, sec. 2, effective <br>June 17, 1978. -- Amended 1976 Ky. Acts ch. 119, sec. 1. -- Amended 1974 Ky. Acts <br>ch. 74, Art. VI, sec. 107(1), (15), (16) and (19); ch. 225, sec. 1; and ch. 308, sec. 38. <br>-- Amended 1972 Ky. Acts ch. 256, sec. 15. -- Amended 1970 Ky. Acts ch. 78, <br>sec. 1. -- Amended 1963 (2d Extra. Sess.) Ky. Acts ch. 2, sec. 1. -- Amended 1960 <br>(1st Extra. Sess.) Ky. Acts ch. 2, sec. 1. -- Created 1960 Ky. Acts ch. 68, Art. VII, <br>sec. 3. Legislative Research Commission Note (7/15/2001). Under 2000 Ky. Acts ch. 376, sec. 24(1), this version of the statute takes effect "on July 15, 2001, or upon approval <br>of any federal waivers, whichever first occurs." Because federal waivers were not <br>approved, the effective date is July 15, 2001. ]]>