CABINET FOR HEALTH AND FAMILY
SERVICES
Office of Health Policy
(Amendment)
900
KAR 7:030. Data reporting by health care providers.
RELATES
TO: KRS Chapter 13B, 216.2920-216.2929
STATUTORY
AUTHORITY: KRS 216.2923(3), 216.2925
NECESSITY,
FUNCTION, AND CONFORMITY: KRS 216.2925 requires that the Cabinet for Health and
Family Services promulgate administrative regulations requiring specified
health care providers to provide the cabinet with data on cost, quality, and
outcomes of health care services provided in the Commonwealth. KRS 216.2923(3)
authorizes the cabinet to promulgate administrative regulations to impose fines
for failure to report required data. This administrative regulation establishes
the required data elements, forms, and timetables for submission of data to the
cabinet and fines for noncompliance.
Section
1. Definitions. (1) "Agent" means any entity with which the cabinet
may contract to carry out its statutory mandates, and which it may designate to
act on behalf of the cabinet to collect, edit, or analyze data from providers.
(2)
"Ambulatory facility" is defined by KRS 216.2920(1).
(3)
"Cabinet" is defined by KRS 216.2920(2).
(4)
"Coding and transmission specifications", "Kentucky Inpatient
and Outpatient Data Coordinator's Manual for Hospitals", or "Kentucky
Data Coordinator's Manual for Ambulatory Facilities" means the document
containing the technical directives the cabinet issues concerning technical
matters subject to frequent change, including codes and data for uniform
provider entry into particular character positions and fields of the standard
billing form and uniform provider formatting of fields and character positions
for purposes of electronic data transmissions.
(5)
"Hospital" is defined by KRS 216.2920(6).
(6)
"Hospitalization" means the inpatient medical episode identified by a
patient's admission date, length of stay, and discharge date, that is
identified by a provider-assigned patient control number unique to that
inpatient episode, except for:
(a)
Inpatient services a hospital may provide in swing, nursing facility, skilled, intermediate
or personal care beds; or
(b)
Hospice care.
(7)
"National Provider Identifier" or "NPI" means the unique
identifier assigned by the Centers for Medicare and Medicaid Services to an
individual or entity that provides health care services and supplies.
(8)
"Outpatient services" means services performed on an outpatient basis
in a hospital in accordance with Section 3(2) of this administrative regulation
or services performed on an outpatient basis by an ambulatory facility in
accordance with Section 4 of this administrative regulation.
(9)
"Provider" means a hospital, ambulatory facility, clinic, or other
entity of any nature providing hospitalizations, mammograms, or outpatient services
as defined in the Kentucky Inpatient and Outpatient Data Coordinator's Manual
for Hospitals or the Kentucky Data Coordinator's Manual for Ambulatory
Facilities.
(10)
"Record" means the documentation of a hospitalization or outpatient
service in the format prescribed by the Kentucky Inpatient and Outpatient Data
Coordinator's Manual for Hospitals or the Kentucky Data Coordinator's Manual
for Ambulatory Facilities as approved by the Statewide Data Advisory Committee
on a computer readable electronic medium.
(11)
"Standard Billing Form" means the uniform health insurance claim form
pursuant to KRS 304.14-135, the Professional 837 (ASC X12N 837) format, the
Institutional 837 (ASC X12N 837) format, or its successor as adopted by the
Centers for Medicare and Medicaid Services, or the HCFA 1500 for use by
hospitals and other providers in billing for hospitalizations and outpatient
services.
Section
2. Medicare Provider-Based Entity. A licensed outpatient facility that is a
Medicare provider-based entity of a hospital and reports under the hospital's
provider number shall be separately identifiable through a facility-specific
NPI.
Section
3. Data Collection for Hospitals. (1) Inpatient hospitalization records. A
hospital shall document every hospitalization it provides on a Standard Billing
Form and shall, from every record, copy and provide to the cabinet the data
specified in Section 12 of this administrative regulation.
(2)
Outpatient services records.
(a)
A hospital shall document on a Standard Billing Form the outpatient services it
provides and shall from every record, copy and provide to the cabinet the data
specified in Section 12 of this administrative regulation.
(b)
A hospital shall submit records that contain the required outpatient services procedure
codes specified in the Kentucky Inpatient and Outpatient Data Coordinator's
Manual for Hospitals.
(3)
Data collection on patients. A hospital shall submit required data on every
patient as provided in Section 12 of this administrative regulation, regardless
of the patient’s billing or payment status.
Section
4. Data Collection for Ambulatory Facilities. (1) Outpatient services records.
(a)
An ambulatory facility shall document on a Standard Billing Form the outpatient
services it provides and shall, for every record, copy and provide to the
cabinet the data specified in Section 13 of this administrative regulation.
(b)
An ambulatory facility shall submit records that contain the required
outpatient services procedure codes specified in the Kentucky Data
Coordinator's Manual for Ambulatory Facilities.
(2)
Data collection on patients. An ambulatory facility shall submit required data
on every patient as provided in Section 13 of this administrative regulation,
regardless of the patient’s billing or payment status.
Section
5. Data Finalization and Submission by Providers. (1) Submission of final data.
(a)
Data shall be final for purposes of submission to the cabinet as soon as a
record is sufficiently final that the provider could submit it to a payer[payor]
for billing purposes, regardless of whether the record has actually been
submitted to a payer[payor].
(b)
Finalized data shall not be withheld from submission to the cabinet on grounds
that it remains subject to adjudication by a payer[payor].
(c)
Data on a hospitalization shall not be submitted to the cabinet before a
patient is discharged and before the record is sufficiently final that it could
be used for billing.
(2)
Data submission responsibility.
(a)
If a patient is served by a mobile health service, specialized medical
technology service, or another situation where one (1) provider provides
services under contract or other arrangement with another provider,
responsibility for providing the specified data to the cabinet shall reside
with the provider that bills for the service or would do so if a service is
unbilled.
(b)
Charges for physician services provided within a hospital shall be reported to
the cabinet.
1.
Responsibility for reporting the physician charge data shall rest with the
hospital if the physician is an employee of the hospital.
2.
A physician charge contained within a record generated by a hospital shall be
clearly identified in a separate field within the record so that the cabinet
may ensure comparability when aggregating data with other hospital records that
do not contain physician charges.
(3)
Transmission of records.
(a)
Records submitted to the cabinet by a hospital shall be uniformly completed and
formatted according to coding and transmission specifications set forth by the
Kentucky Inpatient and Outpatient Data Coordinator's Manual for Hospitals.
(b)
Records submitted to the cabinet by an ambulatory facility shall be uniformly
completed and formatted according to coding and transmission specifications set
forth by the Kentucky Data Coordinator's Manual for Ambulatory Facilities.
(c)
Each provider shall submit data by electronic transmission as specified by the
Kentucky Inpatient and Outpatient Data Coordinator’s Manual for Hospitals and
the Kentucky Data Coordinator’s Manual for Ambulatory Facilities.
(d)
Each provider shall provide back-up security against accidental erasure or loss
of the data until all incomplete or inaccurate records identified by the
cabinet have been corrected and resubmitted.
(4)
Verification and audit trail for electronic data submissions.
(a)
Each provider shall maintain a date log of data submissions and the number of
records contained in each submission, and shall make the log available for
inspection upon request by the cabinet.
(b)
The cabinet shall, within twenty-four (24) hours of submission, verify by
electronic message to each provider the receipt of the provider's data
transmissions and the number of records in each transmission.
(c)
A provider shall immediately notify the cabinet of a discrepancy between the
provider's date log and a verification notice.
Section
6. Data Submission Timetable for Providers. (1) Quarterly submissions. Each
provider shall submit data at least once for each calendar quarter. A quarterly
submission shall:
(a)
Contain data, which during that quarter became final as specified in Section
5(1) of this administrative regulation; and
(b)
Be submitted to the cabinet not later than forty-five (45) days after the last
day of the quarter.
1.
If the 45th day falls on a weekend or holiday, the submission due date shall be
the next working day.
2.
Calendar quarters shall be January 1 through March 31, April 1 through June 30,
July 1 through September 30, and October 1 through December 31.
(2)
Submissions more frequent than quarterly. A provider may submit data after
records become final as specified in Section 5(1) of this administrative
regulation and at a reasonable frequency convenient to a provider for
accumulating and submitting batch data.
Section
7. Data Corrections for Providers. (1) Editing. Data received by the cabinet
shall, upon receipt, be edited to ensure completeness and validity of the data.
Computer editing routines shall identify for correction every record in which
the submitted contents of required fields are not consistent with the cabinet’s
coding and transmission specifications contained in the Kentucky Inpatient and
Outpatient Data Coordinator's Manual for Hospitals and the Kentucky Data
Coordinator’s Manual for Ambulatory Facilities.
(2)
Submission of corrections. The cabinet shall allow a provider thirty (30) days
in which to submit corrected copies of initially submitted data the cabinet
identifies as incomplete or invalid as a result of edits.
(a)
The thirty (30) days shall begin on the date of the cabinet's notice informing
the provider that corrections are required.
(b)
A provider shall submit to the cabinet corrected data by electronic
transmission within thirty (30) days.
(c)
Corrected data submitted to the cabinet shall be uniformly completed and
formatted according to the cabinet's coding and transmission specifications
contained in the Kentucky Inpatient and Outpatient Data Coordinator's Manual
for Hospitals and the Kentucky Data Coordinator’s Manual for Ambulatory
Facilities.
(3)
Percentage error rate.
(a)
When editing data upon its initial submission, the cabinet shall identify and
return to the provider for correction every record in which one (1) or more of
the required data elements fails to pass the edit.
(b)
When editing data that a provider has submitted, the cabinet shall check for an
error rate per quarter of no more than one (1) percent of records or not more
than ten (10) records, whichever is greater.
(c)
The cabinet may return for further correction any submission of allegedly
corrected data in which the provider fails to achieve a corrected error rate
per quarter of no more than one (1) percent of records or not more than ten
(10) records, whichever is greater.
Section
8. Fines for Noncompliance for Providers. (1) A provider failing to meet
quarterly submission guidelines as established in Sections 6 and 7 of this
administrative regulation shall be assessed a fine of $500 per violation.
(2)
The cabinet shall notify a noncompliant provider by certified mail, return
receipt requested, of the documentation of the reporting deficiency and the
assessment of the fine.
(3)
A provider shall have thirty (30) days from the date of receipt of the
notification letter to pay the fine which shall be made payable to the Kentucky
State Treasurer and sent by certified mail to the Kentucky Cabinet for Health
and Family Services, Office of Health Policy, 275 East Main Street 4 W-E,
Frankfort, Kentucky, 40621.
(4)
Fines during a calendar year shall not exceed $1,500 per provider.
Section
9. Extension or Waiver of Data Submission Timelines. (1) A provider experiencing
extenuating circumstances or a hardship may request from the cabinet, in
writing, a data submission extension or waiver.
(a)
A provider shall request an extension or waiver from the Office of Health
Policy on or before the last day of the data reporting period to receive an
extension or waiver for that period.
(b)
An extension or waiver shall not exceed a continuous period of greater than six
(6) months.
(2)
The cabinet shall consider the following criteria in determining whether to
grant an extension or waiver:
(a)
Whether the request was made due to an event beyond the provider's control,
such as a natural disaster, catastrophic event, or theft of necessary equipment
or information;
(b)
The severity of the event prompting the request; and
(c)
Whether the provider continues to gather and submit the information necessary
for billing.
(3)
A provider shall not apply for more than three (3) extensions or waivers during
a calendar year.
Section
10. Appeals for Providers. (1) A provider notified of its noncompliance and
assessed a fine pursuant to Section 8(1) of this administrative regulation
shall have the right to appeal within thirty (30) days of the date of the
notification letter.
(a)
If the provider believes the action by the cabinet is unfair, without reason,
or unwarranted, and the provider wishes to appeal, it shall appeal in writing
to the Secretary of the Cabinet for Health and Family Services, 5th Floor, 275
East Main Street, Frankfort, Kentucky, 40621.
(b)
An appeal shall be filed in accordance with KRS Chapter 13B.
(2)
Upon receipt of the appeal, the secretary or designee shall issue a notice of
hearing no later than twenty (20) days before the date of the hearing. The
notice of the hearing shall comply with KRS 13B.050. The secretary shall
appoint a hearing officer to conduct the hearing in accordance with KRS Chapter
13B.
(3)
The hearing officer shall issue a recommendation in accordance with KRS
13B.110. Upon receipt of the recommended order, following consideration of any
exceptions filed pursuant to KRS 13B.110(4), the secretary shall enter a final
decision pursuant to KRS 13B.120.
Section
11. Working Contacts for Providers. (1) On or before the last day of the data
reporting period, a provider shall report by electronic transmission to the
cabinet the names and telephone numbers of a designated contact person and one
(1) back-up person to facilitate technical follow-up in data reporting and
submission.
(a)
A provider's designated contact and back-up shall not be the chief executive
officer unless no other person employed by the provider has the requisite
technical expertise.
(b)
The designated contact shall be the person responsible for review of the
provider's data for accuracy prior to the publication by the cabinet.
(2)
If the chief executive officer, designated contact person, or back-up person
changes during the year, the name and telephone number of the replacing person
shall be reported immediately to the cabinet.
Section
12. Required Data Elements for Hospitals. (1) A hospital shall ensure that each
record submitted to the cabinet contains at least the data elements identified
in this section and as provided on the Standard Billing Form.
(2)
A single asterisk identifies elements that shall not be blank and shall contain
data or a code as specified in the cabinet's coding and transmission
specifications contained in the Kentucky Inpatient and Outpatient Data
Coordinator's Manual for Hospitals.
(3)
Double asterisks identify elements that shall not be blank if present on the
record and shall contain data or a code as specified in the cabinet’s coding
and transmission specifications contained in the Kentucky Inpatient and Outpatient
Data Coordinator’s Manual for Hospitals.
(4)
Additional data elements, as specified in the Kentucky Inpatient and Outpatient
Data Coordinator's Manual for Hospitals, shall be required by the cabinet to
facilitate proper collection and identification of data.
Required
DATA
ELEMENT LABEL
Yes
*Provider
Assigned Patient Control Number
Yes
**Provider
Assigned Medical Record Number
Yes
*Type
of Bill (inpatient, outpatient or other)
Yes
**Federal
Tax Number or Employer Identification Number (EIN)
Yes
*Facility-specific
NPI
Yes
*Statement
Covers Period
Yes
*Patient
City and Zip Code
Yes
*Patient
Birth date
Yes
*Patient
Sex
Yes
*Admission/Start
of Care Date
Yes
**Admission
Hour
Yes
*Type
of Admission
Yes
*Source
of Admission
Yes
*Patient
Status (at end of service or discharge)
No
Occurrence
Codes & Dates
Yes
**Value
Codes and Amounts, including birth weight in grams
Yes
*Revenue
Codes/Groups
Yes
*HCPCS/Rates/Hipps
Rate Codes
Yes
*Units
of Service
Yes
*Total
Charges by Revenue Code Category
Yes
*Payer
[Payor] Identification – Payer [Payor] Name
Yes
*National
Provider Identifier
Yes
*Diagnosis
Version Qualifier - ICD version 9.0 or 10.0
Yes
*Principal
Diagnosis Code
Yes
*Principal
Diagnosis Code present on admission identifier for non-Medicare claims
Yes
*Principal
Diagnosis Code present on admission identifier for Medicare claims
Yes
**Secondary
and Other Diagnosis Codes
Yes
**Secondary
and Other Diagnosis code present on admission identifier for non-Medicare
claims
Yes
**Secondary
and Other Diagnosis code present on admission identifier for Medicare claims
Yes
*Inpatient
Admitting Diagnosis
Yes
**Outpatient
reason for visit
Yes
*External
Cause of Injury Code (E-code) if present
Yes
*External
Cause of Injury (E-code) present on admission identifier on non-Medicare
claims if present
Yes
*External
Cause of Injury (E-code) present on admission identifier on Medicare claims
if present
Yes
*Principal
Procedure Code & Date if present
Yes
**Secondary
and Other Procedure Codes & Date if present
Yes
*Attending
Physician NPI/QUAL/ID
Yes
*Operating
Clinician ID Number/NPI
Yes
**Other
Physician NPI/QUAL/ID
Yes
*Race
Yes
*Ethnicity
Section
13. Required Data Elements for Ambulatory Facilities.(1) An ambulatory facility
shall ensure that each record submitted to the cabinet contains at least the
data elements identified in this section and as provided on the Standard
Billing Form.
(2)
A single asterisk identifies elements that shall not be blank and shall contain
data or a code as specified in the cabinet's coding and transmission
specifications contained in the Kentucky Data Coordinator's Manual for
Ambulatory Facilities.
(3)
Double asterisks identify elements that shall not be blank if present on the
record and shall contain data or a code as specified in the cabinet’s coding
and transmission specifications contained in the Kentucky Data Coordinator’s
Manual for Ambulatory Facilities.
(4)
Additional data elements, as specified in the Kentucky Data Coordinator's
Manual for Ambulatory Facilities, shall be required by the cabinet to
facilitate proper collection and identification of data.
Required
DATA
ELEMENT LABEL
Yes
*Patient
Birth date
Yes
*Patient
Sex
Yes
*Zip
Code
Yes
*1st
Individual Payer ID#
Yes
*Admission/Start
of Care Date
Yes
*Type
of Bill
Yes
*Principal
Diagnosis Code
Yes
**Secondary
and Other Diagnosis Codes if present
Yes
*Principal
Procedure Code & Date
Yes
**Secondary
and Other Procedure Codes & Date if present
Yes
*1st
Units of Service
Yes
*1st
Charge
Yes
**Secondary
and Other Units of Service and Charge
Yes
*Total
Charges for the Case
Yes
*Attending
Clinician NPI
Yes
*Provider
Assigned Patient ID#
Yes
**1st
Insurer Group #
Yes
**2nd
Insurer Group #
Yes
*Operating
Clinician NPI
Yes
*Billing
Facility-specific NPI
Yes
**Federal
Tax Number or Employer Identification Number (EIN)
Yes
*Statement
Covers Period
Yes
*Primary
Payer [Payor] Name
Yes
**Secondary
Payer [Payor] Name
Yes
*Race
Yes
*Ethnicity
Yes
*HCPCS/Rates/Hipps
Rate Codes
Section
14. Incorporation by Reference. (1) The following material is incorporated by
reference:
(a)
"Kentucky Inpatient and Outpatient Data Coordinator's Manual for
Hospitals", revised October 1, 2015[December 1, 2014]; and
(b)
"Kentucky Data Coordinator's Manual for Ambulatory Facilities,"
revised October 1, 2015[December 1, 2014].
(2)
This material may be inspected, copied, or obtained, subject to applicable
copyright law, at the Cabinet for Health and Family Services, 275 East Main
Street 4WE, Frankfort, Kentucky, 40621, Monday through Friday, 8 a.m. to 4:30
p.m.
ERIC
FRIEDLANDER, Acting Executive Director
AUDREY
TAYSE HAYNES, Secretary
APPROVED
BY AGENCY: October 8, 2015
FILED
WITH LRC: October 14, 2015 at 1 p.m.
PUBLIC
HEARING AND PUBLIC COMMENT PERIOD: A public hearing on this administrative
regulation shall, if requested, be held on November 23, 2015, at 9:00 a.m. in Suite
B, Health Services Building, First Floor, 275 East Main Street, Frankfort,
Kentucky 40621. Individuals interested in attending this hearing shall notify
this agency in writing by November 16, 2015, five (5) workdays prior to the
hearing, of their intent to attend. If no notification of intent to attend the
hearing is received by that date, the hearing may be cancelled. The hearing is
open to the public. Any person who attends will be given an opportunity to
comment on the proposed administrative regulation. A transcript of the public
hearing will not be made unless a written request for a transcript is made. If
you do not wish to attend the public hearing, you may submit written comments
on the proposed administrative regulation. You may submit written comments
regarding this proposed administrative regulation until November 30, 2015. Send
written notification of intent to attend the public hearing or written comments
on the proposed administrative regulation to:
CONTACT
PERSON: Tricia Orme, Office of Legal Services, 275 East Main Street 5 W-B,
Frankfort, Kentucky 40601, phone 502-564-7905, fax 502-564-7573, email address
tricia.orme@ky.gov
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact
Person: Diona Mullins
1.
Provide a brief summary of:
(a)
What this administrative regulation does: This administrative regulation
provides clarification and instruction to specified health care providers on
the process necessary to submit copies of administrative claims data to the
Cabinet.
(b)
The necessity of this administrative regulation: This administrative regulation
is necessary so that health care providers have a uniform mechanism with
timeframes and instructions with which to submit the required data. The
administrative regulation contains the updated data submission manuals for
hospitals and ambulatory care facilities. The following revisions to the
manuals were necessary: Kentucky Spirit of Kentucky, add end date of 1/1/2015;
and name change for Coventry Cares of Kentucky to Aetna Better Health of
Kentucky effective 2/1/2016.
(c)
How this administrative regulation conforms to the content of the authorizing
statutes: This administrative regulation is necessary to ensure that health
care providers have a uniform mechanism with timeframes and instructions with
which to submit the required data to enable the Cabinet to publish the data and
reports as required by KRS 216.2925.
(d)
How this administrative regulation currently assists or will assist in the
effective administration of the statutes: This administrative regulation
provides detailed instructions to specified health care providers relating to
the data elements, forms and timetables necessary to comply with the statute.
2.
If this is an amendment to an existing administrative regulation, provide a
brief summary of:
(a)How
the amendment will change this existing administrative regulation: This
administrative regulation incorporates by reference updated data reporting
manuals. The following revisions to the manuals were necessary: Kentucky Spirit
of Kentucky, add end date of 1/1/2015; and name change for Coventry Cares of
Kentucky to Aetna Better Health of Kentucky effective 2/1/2016.
(b)
The necessity of the amendment to this administrative regulation: This
amendment is necessary to provide new data submission manuals to facilities to
ensure accuracy of the submitted data.
(c)
How the amendment conforms to the content of the authorizing statutes: This
amendment conforms to the content of the authorizing statute by providing a
standardized method of reporting by hospitals and ambulatory care facilities.
(d)
How the amendment will assist in the effective administration of the statutes:
The amendment will assist in the effective administration of the statutes as it
provides detailed instructions for submission of required data elements.
3.
List the type and number of individuals, businesses, organizations, or state
and local governments affected by this administrative regulation: This
administrative regulation will affect the hospitals and ambulatory facilities
which are required to submit data to the Cabinet.
4.
Provide an analysis of how the entities identified in question (3) will be
impacted by either the implementation of this administrative regulation, if
new, or by the change, if it is an amendment, including:
(a)
List the actions that each of the regulated entities identified in question (3)
will have to take to comply with this administrative regulation or amendment: Each
entity will collect and submit data as required. Entities are already required
to submit data. This administrative regulation incorporates by reference
updated data reporting manuals. The following revisions to the manuals were
necessary: Kentucky Spirit of Kentucky, add end date of 1/1/2015; and name
change for Coventry Cares of Kentucky to Aetna Better Health of Kentucky effective
2/1/2016.
(b)
In complying with this administrative regulation or amendment, how much will it
cost each of the entities identified in question (3): Each entity will collect
and submit data as required. Entities are already required to submit data. This
regulation incorporated by reference manuals that were revised to provide detailed
submission requirements. Therefore, no additional cost will be incurred by entities
to comply with this amendment.
(c)
As a result of compliance, what benefits will accrue to the entities identified
in question (3): Data integrity is improved as all applicable payer codes are
now included in the manuals and instructions have been provided related to the
addition of the requirement to report all outpatient procedures.
5.
Provide an estimate of how much it will cost the administrative body to
implement this administrative regulation:
(a)
Initially: No additional costs will be incurred to implement this
administrative regulation. The Office of Health Policy currently collects data
and has the necessary data collection system in place.
(b)
On a continuing basis: No additional costs will be incurred.
6.
What is the source of the funding to be used for the implementation and
enforcement of this administrative regulation: The source of funding for the
implementation and enforcement of this administrative regulation will be the
Office of Health Policy’s existing budget. No new funding will be needed to
implement the provisions of the amended regulation.
7.
Provide an assessment of whether an increase in fees or funding will be
necessary to implement this administrative regulation, if new, or by the change
if it is an amendment: No increase in fees or funding is necessary.
8.
State whether or not this administrative regulation established any fees or
directly or indirectly increased any fees: This administrative regulation does
not establish any fees and does not increase any fees either directly or
indirectly.
9.
TIERING: Is tiering applied? Tiering was not appropriate in this administrative
regulation because the administrative regulation applies equally to all those
individuals or entities regulated by it.
FISCAL NOTE ON STATE OR LOCAL GOVERNMENT
1.
What units, parts or divisions of state or local government (including cities,
counties, fire departments, or school districts) will be impacted by this administrative
regulation? This amendment impacts the Office of Health Policy and may impact
any government owned, controlled or proposed hospitals and ambulatory care
facilities.
2.
Identify each state or federal statute or federal regulation that requires or
authorizes the action taken by the administrative regulation. The authorizing
statutes are KRS 216.2920-216.2929.
3.
Estimate the effect of this administrative regulation on the expenditures and
revenues of a state or local government agency (including cities, counties,
fire departments, or school districts) for the first full year the
administrative regulation is to be in effect.
(a)
How much revenue will this administrative regulation generate for the state or
local government (including cities, counties, fire departments, or school
districts) for the first year? This administrative regulation will not generate
any revenue.
(b)
How much revenue will this administrative regulation generate for the state or
local government (including cities, counties, fire departments, or school
districts) for subsequent years? This administrative regulation will not
generate any revenue.
(c)
How much will it cost to administer this program for the first year? No
additional costs will be incurred to implement this administrative regulation.
(d)
How much will it cost to administer this program for subsequent years? No
additional costs will be incurred to implement this administrative regulation
on a continuing basis.
Note:
If specific dollar estimates cannot be determined, provide a brief narrative to
explain the fiscal impact of the administrative regulation.
Revenues
(+/-): None
Expenditures
(+/-): None
Other
Explanation: None
