Rural health clinic services and other ambulatory services
shall be covered under the Kansas medical assistance program pursuant to
42 CFR
447.371, effective September 30, 1986, when
provided by clinics accepted by the health care financing administration as
qualified to furnish rural health clinic services for participation under the
medicare program. A clinic may be certified as either an independent or a
provider-based rural health clinic. Covered rural health clinic services and
other ambulatory services shall include the following:
(a) Physician services. These are
professional services performed by a physician.
(b) Advanced registered nurse practitioner
and physician assistant services. These are professional services furnished by
an advanced registered nurse practitioner or a physician assistant under both
of the following conditions:
(1) Services are
in accordance with medical orders prepared by a physician for the care and
treatment of a patient.
(2) A
physician is available at least once every two weeks to supervise the delivery
of services and to perform services that are not in the scope of advanced
registered nurse practitioner and physician assistant services as defined in
the Kansas statutes.
(c) Services and related medical supplies
furnished incident to professional services provided by a physician, advanced
registered nurse practitioner, or physician assistant. These are services and
supplies commonly furnished in physician offices under the direct supervision
of a physician, advanced registered nurse practitioner, or physician assistant.
(d) Visiting nurse services. These
are home health nursing services and related medical supplies provided by a
registered nurse or a licensed practical nurse under the supervision of a
registered nurse at the beneficiary's place of residence, which shall not
include a hospital or long-term care facility, under all of the following
conditions:
(1) The rural health clinic is
located in an area where there is no home health agency.
(2) The services are furnished to a homebound
individual who is confined to the individual's place of residence because of a
medical condition.
(3) Services
are provided under a written plan of treatment established by a physician,
advanced registered nurse practitioner, or physician assistant and reviewed at
least once every 60 days by a supervising physician.
(e) Other ambulatory services covered by a
medicaid state plan.
(f) Referral
for covered services not provided by the rural health clinic, to other
practitioners enrolled as providers in the Kansas medical assistance program
shall be covered.
(g) Screening
and appropriate referral for the "kan be healthy" program shall be covered.
This regulation shall take effect on and after January 1, 1999.
Notes
Kan. Admin. Regs.
§
30-5-82
Authorized by and
implementing K.S.A. 1997 Supp.
39-708c; effective May 1, 1981;
amended Jan. 2, 1989; amended July 1, 1989; amended, T-30-1-2-90, Jan. 2, 1990;
amended, T-30-2-28-90, Jan. 2, 1990; amended Dec. 29, 1995; amended Jan. 1,
1999.
