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TEAMKY Demonstration

Approval Period: January 1, 2025 through December 31, 2029

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Exhibit 2: HRSN Services Provider Types and Requirements A new provider type will be created through program integrity and recuperative care providers will need to apply to become the newly established provider type to be reimbursed by Kentucky Medicaid for recuperative care services through the pilot program. Providers will be reimbursed by a per diem rate for the provision of services, which meet the criteria that Kentucky Medicaid has set for the service. The provider types will also need to be registered through the National Institute for Medical Respite Care (NIMRC) Directory to qualify for certification once it becomes available. Providers will be expected to adhere to the national standards of recuperative care set forth by NIMRC. Self-attestation will be a mandatory requirement. Table 4. HRSN Services Provider Types and Requirements Service Eligible Provider Type/Setting Certification Other Standard (if applicable) Short-term Pre- Procedure Housing. Recuperative care facility, interim housing, or medical respite setting. Staffed 24/7 by licensed clinical professionals, allied health professionals, or paraprofessional staff. Listed on the NIMRC Directory and follows NIMRC standards of care.

Meets all requirements listed in Exhibit 1. Short-term Post- Transition Housing. Recuperative care facility or other approved setting with 24/7 staffing by licensed clinical personnel, allied health professionals, or paraprofessional staff. Listed on the NIMRC Directory and follows NIMRC Standards of Care. Meets all requirements listed in Exhibit 1.