Introduced February 13, 2026
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).
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 or clinic visits where a provider assesses a patient's health. It sets a minimum coverage floor, ensuring that at least two of these visit units per provider, per patient, per day cannot be denied. This means Medicaid recipients could not be turned away for a second covered visit with the same provider on…
Open official bill text (PDF)·Report a problem with the summary
Legislative History
Primary Sponsor
Donald Douglas
Senator · Senate District 22
Bill Text Versions
Something wrong on this page? Tell us
