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AN ACT relating to Medicaid. 1
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 2
ď˘Section 1. KRS 205.557 is amended to read as follows: 3
(1) For the purposes of this section: 4
(a) "Advanced practice registered nurse" has the same meaning as in KRS 5
314.011; 6
(b) "Children's advocacy center" has the same meaning as in KRS 620.020; 7
(c) "Child medical evaluation" means an examination at a children's advocacy 8
center to evaluate for child physical abuse, sexual abuse, or neglect and to 9
exclude other etiologies and evaluate the health and well-being of the child. A 10
child medical evaluation shall include but not be limited to one (1) or more of 11
the following: 12
1. A medical history taken from the child and a nonimplicated parent, 13
guardian, or primary caretaker; 14
2. A comprehensive physical examination; 15
3. Laboratory services; 16
4. Photo documentation; 17
5. Follow-up evaluation; or 18
6. A mental health screening to determine the impact of the alleged abuse 19
on the mental health status of the child and the need for mental health 20
services; 21
(d) "Physician" has the same meaning as in KRS 311.550; and 22
(e) "Sexual assault nurse examiner" has the same meaning as in KRS 314.011. 23
(2) The Cabinet for Health and Family Services and any managed care organization or 24
other entity with which[whom] the Department for Medicaid Services contracts for 25
the delivery of Medicaid services shall provide Medicaid reimbursement for a child 26
medical evaluation provided by a licensed physician, advanced practice registered 27 UNOFFICIAL COPY 25 RS BR 1825
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nurse, or sexual assault nurse examiner employed or contracted by a children's 1
advocacy center if the children's advocacy center is in compliance with the 2
appropriate and necessary federal and state laws or regulations. 3
(3) Child medical evaluations provided by a licensed physician, advanced practice 4
registered nurse, or sexual assault nurse examiner in a children's advocacy center 5
shall be reimbursed by the Department for Medicaid Services at the true and actual 6
cost of the child medical evaluation. 7
(4) The Department for Medicaid Services shall apply for any waivers of federal laws 8
or regulations necessary to implement this section. 9
(5) The cabinet shall promulgate administrative regulations in accordance with KRS 10
Chapter 13A to implement this section. 11