Bill > HB689

This bill requires the Department for Medicaid Services to seek approval from the United States Centers for Medicare and Medicaid Services (CMS) to establish a state-directed payment program for physician and nonphysician professional services provided to Medicaid beneficiaries by qualifying hospitals' affiliated physician groups or employed/contracted professionals. If approved by CMS, this program, which aims to improve access to and quality of care, would be implemented with a retroactive effective date of January 1, 2026, meaning Medicaid managed care organizations would be directed to issue payments back to that date for eligible services. The bill also specifies that funding for the nonfederal share must be identified and separate from existing programs, and qualifying hospitals will need to report quality measures similar to those used in other approved payment programs.

Health and Social Services

https://apps.legislature.ky.gov/record/26RS/hb689.html