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
  • 2-11 Mangan.jpeg Man indicted in I-75 wreck that killed two

    A man who police believe started the chain of events that led to the deaths of two people on Interstate 75 in February was indicted on several felony charges Wednesday in Madison Circuit Court.
    Bryan M. Mangan, 56, of South Bend, Ind., was indicted on six counts of first-degree wanton endangerment, tampering with physical evidence and operating on a suspended license.

    April 24, 2014 2 Photos

  • Man charged with reselling employer’s equipment

    A man who worked for a local satellite TV company has been charged with ordering extra equipment and selling it online.
    Charles William Hensley, 39, of Manchester, worked for the Multiband Corporation at its Richmond office, according to a Richmond police report.
    Multiband maintains DIRECTV’s installations, service and upgrades for single-family homes in 20 states and commercial sites nationwide.

    April 24, 2014

  • Saturday is National Drug Take-Back Day

    A nationwide initiative to dispose of prescription drugs in a safe manner will take place Saturday.
    Three Madison County sites are available for residents to get rid of their unused, unneeded or expired prescription drugs as part of the eighth annual National Prescription Drug Take-Back Day:
    • Richmond Police Department, 1721 Lexington Road, box is outside by the front door.
    • Kentucky State Police Post 7, 699 Eastern Bypass, across from the EKU stadium, box is inside at the front door.

    April 24, 2014

  • 4-25 Revue 1.JPG Retro Radio Revue

    “Stan O’Donnell’s Retro Radio Revue,” presented by Rose Barn Theatre, will be performed at 7:30 p.m. Friday and Saturday at Gillum’s Sports Lounge in the Richmond Mall.
    The production focuses on the performers of the show and the follies and chaos that take place as the unexpected ensues. Local musical performers from Madison County will be showcased throughout the production.
    Gillum’s will provide a full menu service and cash bar beginning at 5:30 p.m.
    Tickets for the show are $15 and available at the door or in advance at www.rosebarntheatre.org.
    The event is a fundraiser for the nonprofit arts organization.

    April 24, 2014 3 Photos

  • 4-25 Crit Luallen.jpg Luallen says no to 2015 governor’s race

    After months of deliberation, former state Auditor of Public Accounts Crit Luallen announced Thursday she will sit out the 2015 race for governor.
    The announcement disappointed friends and associates who see Luallen as an able and experienced administrator — she served in six gubernatorial administrations — but also someone with the character and integrity to restore confidence in government.

    April 24, 2014 1 Photo

  • Blue Grass Army Depot sponsors 5K

    The Blue Grass Army Depot is hosting a 5K run/walk Saturday in support of National Sexual Assault Awareness Month.
    The no-entry-fee event will begin and end at the depot’s new sports complex ball fields, according to a news release from the installation. Preregistration is available online at www.bluegrass.army.mil or starting at 9 a.m. the day of the event.

    April 24, 2014

  • 4-24 UKatWaco1.jpg Wildcats encourage Cardinals to work hard in school

    University of Kentucky student athletes Kastine Evans, a guard on the women’s basketball team, and Jon Hood, a guard on the men’s team, stopped by Waco Elementary School on Wednesday to talk about the benefits of working hard in school.

    April 23, 2014 4 Photos

  • Mayor, commissioner pay changed

    The Richmond City Commission approved 4-1 a new pay scale for the mayor and commissioners at a special-called meeting Wednesday morning.

    April 23, 2014

  • 4-24 Lorenzo McWilliams.jpg Harrodsburg to get old Richmond police mobile computers

    Richmond is donating to the city of Harrodsburg eight of 39 old computers formerly used in police cruisers.

    April 23, 2014 1 Photo

  • 4-24 HOSAblooddrive.jpg Health science students organize blood drive

    Aside from the gift cards and free snacks, 50 Madison County high school students have other reasons for donating 35 pints of blood Wednesday to the Kentucky Blood Center at Madison Central High School.

    April 23, 2014 1 Photo

AP Video
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