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205.6326 Review of Medicaid reimbursement systems -- Implementation of a standardized patient assessment tool and consistent quality-of-care mandates.

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Page 1 of 1 205.6326 Review of Medicaid reimbursement systems -- Implementation of a standardized patient assessment tool and consistent quality-of-care mandates. The Cabinet for Health and Family Services shall review all medical assistance <br>reimbursement systems for appropriateness and cost-effectiveness. The review shall <br>include: <br>(1) Review of cost-based reimbursement policies for hospitals and nursing homes to determine the effectiveness and appropriateness of alternate systems. Consideration <br>shall be given to the use of modified diagnostic-related groups and resource <br>utilization groups systems, using capitated payment methods; and (2) Review of reimbursement rates for physicians to determine whether savings or cost containment would be better achieved through using a relative-based resource value <br>scale system, a capitated payment method, or other alternative methods of <br>reimbursement; and (3) For all Medicaid-covered long-term-care services, implementation of a standardized patient assessment tool and consistent quality-of-care mandates. Effective: June 20, 2005 <br>History: Amended 2005 Ky. Acts ch. 99, sec. 255, effective June 20, 2005. -- Amended 1998 Ky. Acts ch. 426, sec. 213, effective July 15, 1998. -- Created 1994 Ky. Acts <br>ch. 512, sec. 80, effective July 15, 1994.