Kan. Admin. Regs. § 30-5-114

Current through Register Vol. 43, No. 45, November 7, 2024

Section 30-5-114 - Scope of targeted case management services

(a) Targeted case management services shall be covered for medicaid/med-ikan recipients.

(b) Covered services shall include the following:

(1) Referral for assessment;

(2) referral for treatment if appropriate according to the assessment; and

(3) assistance with gaining access to medically necessary services.

(c) Mental retardation targeted case management services shall be provided by mental retardation centers as defined in K.S.A. 19-4001 to 19-4005, inclusive, or agencies specifically designated by a mental retardation center to provide these services to individuals who are mentally retarded or developmentally disabled.

(d) Targeted nurse case management services for eligible medicaid recipients with at least one prior hospitalization for a high cost, high risk condition, and who are not eligible for any other medicaid case management services except the primary care network (PCN) services shall be provided by registered nurses in Sedgwick county only. Covered services shall include the following:

(1) Referral for assessment or performance of assessment;

(2) referral for treatment if appropriate according to the assessment; and

(3) assistance with gaining access to and coordination of medically necessary services. The effective date of this regulation shall be October 1, 1992.

Kan. Admin. Regs. § 30-5-114

Authorized by and implementing K.S.A. 1991 Supp. 39-708c; effective May 1, 1988; amended, T-30-1-2-90, Jan. 2, 1990; amended, T-30-2-28-90, Jan. 2, 1990; amended, T-30-6-10-91, July 1, 1991; amended Oct. 28, 1991; amended Oct. 1, 1992.