Kan. Admin. Regs. § 30-2-17 - Administration of certain long-term care programs

Current through Register Vol. 40, No. 39, September 30, 2021

(a)
(1) Subject to the federal grant requirements for medicaid under the social security act, title XIX, the "nursing facility services payment program," as that term is used in K.S.A. 1996 Supp. 75-5321a, shall include the following functions:
(A) oversight of certification and recertification of nursing facilities;
(B) provider enrollment;
(C) minimum data set collection and analysis;
(D) rate setting and payments;
(E) cost report reviews;
(F) audits;
(G) payment reconciliations;
(H) overpayment collections;
(I) penalty enforcement;
(J) compliance functions, including collection of civil money penalties; and
(K) budget preparation and management.
(2) For purposes of this regulation, the term "nursing facility" shall not include any nursing facility for mental health or intermediate care facility for the mentally retarded.
(b) The "home and community-based nursing facility waiver program," as that term is used in K.S.A. 1996 Supp. 75-5321a, means the medicaid home and community-based service waiver program for the frail elderly and targeted case management for the frail elderly.
(c) For the purposes of administering the nursing facility services payment program, the home and community-based nursing facility waiver program, and the income eligible home care program pursuant to K.S.A. 1996 Supp. 75-5321a, the secretary of aging may use, exercise, and enforce any power, duty, definition, or description established in regulations of the secretary of social and rehabilitation services as may be necessary. To the extent that federal grant requirements for the medicaid program under the social security act, title XIX, require the continued involvement by the secretary of social and rehabilitation services as the designated medicaid single state agency, the state plan, regulatory, policy making, and supervisory authority over the programs administered by the secretary of aging under K.S.A. 1996 Supp. 75-5321a shall continue to be exercised by the secretary of social and rehabilitation services.

Notes

Kan. Admin. Regs. § 30-2-17
Authorized by and implementing K.S.A. 1996 Supp. 39-708c and K.S.A. 75-5321a; effective, T-30-7-1-97, July 1, 1997; effective Oct. 3, 1997.

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