The Richmond Register

Local News

June 24, 2013

Local health departments could get payment for school nurse services

Frankfort judge says he’s inclined to order

RICHMOND — FRANKFORT ― The Madison County Health Department is among the local health agencies that soon could be getting money through a court ruling that one of the state’s Medicaid managed-care organizations must pay for treatments provided by school nurses.

On Monday, Franklin Circuit Judge Phil Shepherd told attorneys for the Cabinet for Health and Family Services and Kentucky Spirit, the Managed Care Organization (MCO), he is “inclined” to order the state to pay the health departments out of money it is withholding from Kentucky Spirit.

In May, Shepherd ruled Kentucky Spirit must pay $7.9 million for the school services provided by local health departments. The state has been withholding payment to the MCO until it complies and was in court Monday on a motion to compel Kentucky Spirit to post bonds to cover the disputed payments while Kentucky Spirit appeals the May ruling.

Christie Green, health department spokesperson, confirmed Monday that Madison County is a party to the court action. The department has $379,000 in Medicaid claims being held up by Kentucky Spirit, David Reed, its chief financial officer, told the health board June 5.

“I would rather allow (the state to make the payments) than to post additional bonds,” Shepherd said after the state’s attorney, Richard Sullivan, said such an order would “be helpful” in securing federal Medicaid approval.

But Shepherd said the state would make the payment at its own risk. If Kentucky Spirit wins an appeal of Shepherd’s earlier ruling, it would be the state, rather than local health departments, which would have to refund the money.

Before Kentucky moved to a managed care delivery system for Medicaid, it paid health departments for the school nurse services. The other MCOs have made payments for the school nurse services but Kentucky Spirit objected to paying for the services because the nurses aren’t under direct, immediate supervision by a doctor.

When he issued his May ruling, Shepherd said the nurses work under doctor supervision even if the doctor is not present in the school building when the treatment is provided.

Kentucky Spirit is also attempting to break its contract with the state and cease operations in Kentucky, claiming the state underestimated costs of delivering services to Medicaid clients.

In another health care-related suit, Shepherd set a July 25 date to hear arguments in a suit filed by David Adams, a tea party activist, who claims Gov. Steve Beshear did not have the authority to establish a Health Benefit Exchange.

The exchange is an online website where individuals and some small businesses can shop for affordable health insurance.

The Beshear administration sought to have the case dismissed, but Shepherd ruled Adams has standing as a taxpayer to pursue the case. Adams’ attorney, Michael Dean, has filed a motion for a summary judgment in favor of Adams.

Beshear re-issued in amended form his original executive order establishing the exchange and Adams claims that isn’t legal. But Shepherd said the re-issued order does not substantively alter the arguments about a summary judgment.

Shepherd will allow attorneys for the state to respond to the motion and hear arguments on July 25.

Ronnie Ellis writes for CNHI News Service and is based in Frankfort. Reach him at rellis@cnhi.com. Follow CNHI News Service stories on Twitter at www.twitter.com/cnhifrankfort.

 

1
Text Only
Local News
  • 4-23 Gravestone.jpg In search of the last resting place

    At a popular illegal dump site off Bybee Loop in Waco, two marble grave markers were among some items found there by Pat and Ronnie Aldridge, residents who live about 250 yards from the area.

    April 22, 2014 1 Photo

  • Fiscal court awards EMA bids

    Two more bids were awarded at Tuesday’s Madison County Fiscal Court meeting for the emergency operations agency.

    April 22, 2014

  • 4-23 Peter Crowe.jpg Intoxicated man charged with wanton endangerment

    A 27-year-old Richmond man was charged Sunday with second-degree wanton endangerment after he was found intoxicated and walking with several young children in the Keystone Drive area, according to a Richmond police report.

    April 22, 2014 1 Photo

  • Absentee voting available for May 20 election

    Walk-in absentee voting for the May 20 primary has begun and will continue until May 19, County Clerk Kenny Barger announced Tuesday at the Madison Fiscal Court meeting.

    April 22, 2014

  • 4-23 Tab-a-PULLooza1.jpg Friday last day to collect pop tabs for Tab-a-Pullooza

    Before throwing that soda can in the recycling bin, twist off the pop tab and donate it to a local elementary or middle school for this year’s Tab-a-Pullooza celebration.

    April 22, 2014 4 Photos

  • Pot throwing downtown leads to arrest

    A Berea man was arrested Saturday after police say he damaged a downtown Richmond business and a parked vehicle by throwing flower pots.
    Jonathan A. McCullough, 34, was charged with first- and third-degree criminal mischief as well as alcohol intoxication, according to a Richmond police report.

    April 21, 2014

  • London police chief ordered to stay away from Berea woman

    A woman who who moved to Berea in February 2013 after a live-in relationship with London Police Chief Stewart O. Walker has obtained an emergency protective order against him from Madison Family Court.

    April 21, 2014

  • Task force reveals plan to make ‘Meaningful Math' matter

    It’s all too common to hear parents say, “I was never good at math...,” as if to excuse their children for not being good at math, said Madison County Schools Superintendent Elmer Thomas.

    April 21, 2014

  • WP_20140419_001.jpg Cruisin’ with the Oldies

    With the sound of classic songs wafting through the air Saturday, hundreds of people took advantage of the summer-like temperatures and turned out for the Kirksville Community Center car show.

    April 21, 2014 9 Photos

  • 4-18 Hong Kong 1.JPG Hong Kong fifth-graders visit Kit Carson

    A group of students from Hong Kong got a taste of the bluegrass last week thanks to an invitational education program at Kit Carson Elementary School.

    April 21, 2014 3 Photos

AP Video
Bon Jovi Helps Open Low-income Housing in Philly Pipeline Opponents Protest on National Mall Hagel Gets Preview of New High-tech Projects S.C. Man Apologizes for Naked Walk in Wal-Mart New Country Music Hall of Fame Inductees Named 'Piles' of Bodies in South Sudan Slaughter New Yorkers Celebrate Cherry Blossom Blooms SCOTUS Hears Tv-over-Internet Case Justice Dept. Broadening Criteria for Clemency Chief Mate: Crew Told to Escape After Passengers 'Miss Meadows' Takes Holmes Back to Her Roots Biden: Russia Must Stop Talking, Start Acting David Moyes Out As Manchester United Manager Raw: Leopard Bites Man in India Iowa College Finds Beauty in Bulldogs High Court to Hear Dispute of TV Over Internet Stowaway Teen Forces Review of Airport Security
Hyperlocal Search
Premier Guide
Find a business

Walking Fingers
Maps, Menus, Store hours, Coupons, and more...
Premier Guide
Poll

Should Richmond rezone the southwest corner of Main Street and Tates Creek Avenue to B-1 (Neighborhood Business) with restrictions to allow construction of a financial services office?

Yes
No
     View Results