907 KAR 1:680. Vaccines for Children

Program.

 

      RELATES TO: KRS 205.520, 42 U.S.C. 1396s

      STATUTORY AUTHORITY: KRS 194A.030(2),

194A.050(1), 205.520(3), 42 U.S.C. 1396a, b, d, s, 2004-726

      NECESSITY, FUNCTION, AND CONFORMITY: EO 2004-726, effective July 9, 2004, reorganized

the Cabinet for Health Services and placed the Department for Medicaid Services

and the Medicaid Program under the Cabinet for Health and Family Services. The

Cabinet for Health and Family Services has responsibility to administer the Medicaid

Program. KRS 205.520(3) authorizes the cabinet by administrative regulation, to

comply with any requirement that may be imposed or opportunity presented by

federal law for the provision of medical assistance to Kentucky's indigent

citizenry. This administrative regulation establishes the provisions relating

to vaccines provided through the Vaccines for Children Program.

 

      Section 1. Definitions. (1)

"Immunization" means an inoculation against a vaccine preventable

disease.

      (2) "Program registered provider"

means a health care provider that is:

      (a) Licensed or otherwise authorized for

administration of pediatric vaccines; and

      (b) Enrolled in the Vaccines for Children

Program.

      (3) "Recipient" means a person

age eighteen (18) or under who has been determined eligible to receive benefits

under the state’s Title XIX or Title XXI program in accordance with 907 KAR

Chapters 1 through 4.

      (4) "Vaccines for Children

Program" means the program for distribution of pediatric vaccines

administered by the Department for Public Health and described in 42 U.S.C.

1396s.

 

      Section 2. Obtaining Vaccines. (1) A

program registered provider shall obtain a vaccine for the administration of a

childhood immunization to an eligible recipient from the Vaccines for Children

Program.

      (2) The Medicaid Program shall not make

payment to a provider for the cost of a vaccine available through the Vaccines

for Children Program.

      (3) A fee for administering a vaccine

obtained through the Vaccines for Children Program may be paid by the

department through the appropriate provider program. (21 Ky.R. 3107; eff.

7-26-95; Am. 29 Ky.R. 2776; eff. 7-16-03.)