907 KAR 16:025. Recovery, Independence, Support & Engagement (RISE) Initiative reimbursement provisions and requirements

Section 1. General Reimbursement Requirements. (1) For the department to reimburse for a service or item, the requirements of 907 KAR Chapter 16 shall be met. (2) The department shall reimburse a participating provider for a covered service as established pursuant to the 1915(i) Fee Schedule as available at: https://www.chfs.ky.gov/agencies/dms/Pages/feesrates.aspx. Section 2. Federal Approval and Federal Financial Participation. The department's reimbursement for services pursuant to this administrative regulation shall be contingent upon: (1) Receipt of federal financial participation for the reimbursement; and (2) Centers for Medicare and Medicaid Services' approval for the reimbursement. Section 3. Appeals. A provider may appeal a department decision made pursuant to this administrative regulation in accordance with 907 KAR 1:671.