SB201
Log in to followAN ACT relating to Medicaid coverage for evaluation and management services.
Create a new section of KRS Chapter 205 to require the Department for Medicaid Services and Medicaid managed care organizations to cover evaluation and management services; prohibit the department or managed care organizations from limiting coverage for evaluation and management services to fewer than 2 units per provider, per recipient, per date of service; require the Cabinet for Health and Family Services or the Department for Medicaid Services to seek federal approval if it is determined that such approval is necessary; provide authorization from the General Assembly to make changes in the Medicaid program as required under KRS 205.5372(1).
Introduced: February 13, 2026
Last action: February 13, 2026
Plain-language summary
This bill would require Kentucky's Medicaid program and its managed care organizations to cover evaluation and management services, which are standard office visit-type appointments between a patient and a provider. It sets a minimum coverage rule ensuring that at least 2 of these visits per provider, per patient, per day cannot be denied. If federal approval is needed to make this change, the state would be required to seek it. Who it may affect: Kentuckians who rely on Medicaid for health coverage, and the healthcare providers who treat them.
Legislative History
Primary Sponsor
