2016 Annual Conference Powerpoint Slides
340B Compliance and MegaGuidance Update.
KAR Regulation Updates
Please see the revised License Procedures and Fee Schedule regulation. 902 KAR 20:008 License procedures and fee schedule This regulation establishes the fee schedule and requirements for obtaining a license to operate a health facility and establishes the procedure for obtaining a variance. This regulation is amended to include administrative regulation 902 KAR 20:014, (Effect of previous denial or revocation on application for a license to operate a health facility) and administrative regulation 906 KAR 1:150, (Uniform evaluation and reevaluation of a health care professional), which are both repealed.
Other regulations attached to 902 KAR 20:008 are Uniform Evaluation and Reevaluation of Health Care Professionals to assess the credentials of health care professionals applying for privileges, shall use form KAPER – 1, Part A Provider Enrollment, Disclosure & Documentation for participation in the Medicaid Program 906 KAR 1:190 Kentucky National Background Check Program. This program regulation replaces and builds on the KARES system, the ‘Kentucky Applicant Registry and Employment Screening’ and introduces the Kentucky National Background Check Program NBCP, a secure web based system.
Also, Joe Smith received a letter from the Office of the Inspector General on appreciation of the Association support for the amendment of 902 KAR 20:058 as the it waits on final adoption by the interim Joint Committee on Health and Welfare for final adoption. This will align 902 KAR 20:058 with the list of Medicaid covered behavioral health services established by 907 KAR 1:054.
Another notice received relates to a primary care center or extension site that elects to employ a psychiatrist to prescribe Buprenorphine in accordance with 201 KAR 9:270, this notice sent served as clarification that a separate licensure as an alcohol and other drug treatment program under 908 KAR 1:370 is not required for a primary care center or extension site that provides this services under its outpatient substance abuse program.
However, if a primary care center or an extension site seeks to provide methadone-based treatment, the primary care center or extension site must obtain separate licensure as a narcotic treatment program under 908 KAR 1:340 as well as licensure as an alcohol and other drug treatment program (AODE), under 908 KAR 1:370
Also related to the above Amended KAR:primary care center and federally qualified health center services 907 KAR 1:054: Professional standards for prescribing or dispensing Buprenorphine-Mono-Product or Buprenorphine-Combined-with-Naloxone 201 KAR 9:270: Licensing procedures and standards for persons and agencies operating nonmedical - and nonhospital- based alcohol and other drug abuse treatment programs 908 KAR 1:370:
Narcotic treatment programs. 908 KAR 1:34
For Other Kentucky Revised Statutes through the 2016 regular session, please see KRS Chapter 216B
The KRS database was last updated on 07/22/2016
The Kentucky Primary Care Association was founded in 1976 as a not-for-profit 501(c)(3) corporation of
community health centers, rural health clinics, licensed primary care centers and other organizations and individuals
concerned about access to health care services for the state’s underserved rural and urban populations.
KPCA is charged with promoting the mutual interests of our members, with a mission to promote access to
comprehensive, community-oriented primary health care services for the underserved.
Association members are providers of primary care – first contact, broadly trained physicians
, physician assistants, nurse practitioners, behavioral health providers, dental providers and
other professionals delivering whole-person health care.
We support the development of primary care services throughout the Commonwealth
by working with federal, state and local legislators, regulatory agencies, health policy organizations,
foundations, and payors to build a stronger primary care system in Kentucky.
KPCA was established to:
- Develop a unified coalition of primary care providers.
- Stimulate and support development of primary health care services.
- Serve the needs of our members.
KPCA offers the following services:
- Independent Practice Association (IPA) that contracts with Medicaid Managed Care Organizations (MCOs) and some commercial payors
- Conferences, Training and Technical Assistance, including: Board Governance, Strategic Planning, Leadership, Finance, Billing & Coding, Patient Centered Medical Home, Quality Improvement, Integrated Care, Data & Reporting, Outreach & Enrollment, the 340B Program, and more
- Group Purchasing contracts for office supplies, medical supplies, reference lab services, and a language interpretive services agreement
- Outreach & Enrollment resources, training, and best practices for helping patients enroll and maintain health insurance coverage
- Member Rates to our Spring/Annual conference and year-round trainings
- Networking and Peer-Learning
- Weekly Updates to keep you informed
- Community Development to support the expansion of primary care services into underserved areas of Kentucky
- Advocacy at the Local, State, and Federal levels
Conference Presentations, Federal Guidelines, and much more
Without health insurance many are unable to access the health care they need. Kynect, Kentucky’s State Based Health Insurance marketplace, allows individuals and families to enroll in health insurance coverage.
The Kentucky Primary Care Association operates a messenger-style Independent Practice Association (IPA), which contracts with Medicaid Managed Care Organizations, Medicare and commercial payors on behalf of KPCA members.
KPCA’s Quality Improvement Program supports practice transformation and the transition to value-driven care with the purpose of developing the IPA practices into a high performing preferred provider network