SB 90 — AN ACT relating to Medicaid ordering, referring, and prescribing providers.

UNOFFICIAL COPY 21 RS BRSB 111290/GA AN ACT relating to Medicaid ordering, referring, and prescribing providers.

A NEW SECTION OF KRS 205.510CHAPTER to205 205.560 IS CREATED TO READ AS FOLLOWS:

Page 1 of 3 SB009010.100 - 1112 - XXXX JacketedGA UNOFFICIAL COPY 21 RS BRSB 111290/GA a.

455.410, require a primary care provider who Page 2 of 3 SB009010.100 - 1112 - XXXX JacketedGA UNOFFICIAL COPY 21 RS BRSB 111290/GA enters into a direct primary care membership agreement with a Medicaid beneficiary to enroll with the state Medicaid program as an ordering, referring, and prescribing provider for screening purposes only.

(4) NothingNowithstanding inany thisother sectionprovision shallof requirelaw to the Departmentcontrary, fora Medicaidprimary Servicescare andprovider anyenrolled managedin carethe organizationstate's withMedicaid whomprogram theas departmentan contractsordering, forreferring, theand deliveryprescribing ofprovider Medicaidshall servicesnot toprovide reimbursea Medicaid beneficiary with a primaryprescription carefor providerany orSchedule aII Medicaidor beneficiarySchedule forIII servicescontrol providedsubstance underas adefined directin primaryKRS care218A.060 membershipand agreement.218A.080.

(5) TheNothing in this section shall require the Department for Medicaid Services mayand promulgateany administrativemanaged regulationscare necessaryorganization with whom the department contracts for the delivery of Medicaid services to carryreimburse outa thisprimary section.care provider or a Medicaid beneficiary for services provided under a direct primary care membership agreement.

SECTION(6) 2.The Department for Medicaid Services may promulgate administrative regulations necessary to carry out this section.

APage NEW3 SECTIONof OF3 KRSSB009010.100 205.510- to1112 205.560- ISXXXX CREATEDGA TO READ AS FOLLOWS:

(1) The Department for Medicaid Services and any managed care organization with who the department contracts for the delivery of Medicaid services shall permit a physician as defined in KRS 311.550, a physician's medical practice, an advanced practice registered nurse as defined in KRS 314.011, or an advanced practice registered nurse's practice to enroll as an ordering, referring, and prescribing provider in the state's Medicaid program if they are otherwise qualified to enroll as a provider.

(2) As used in this section, "ordering, referring, and prescribing provider" has the same meaning as in Section 1 of this Act.

Page 3 of 3 XXXX Jacketed