On April 14, 2025, the Administrative Regulation Review Subcommittee of the Kentucky Legislature convened to discuss significant amendments to Medicaid requirements and foster care funding. The meeting highlighted two key regulatory changes aimed at improving health services for vulnerable populations.

The first major topic addressed was Kentucky Regulation 20,005, which proposes to amend Medicaid requirements for incarcerated children and youth. This regulation would allow these individuals to receive targeted health services 30 days prior to their release. Cochair West raised questions regarding the specifics of these services, which include early and periodic screening, diagnostic and treatment services, and targeted case management. These services are designed to ensure that young individuals receive comprehensive physical and mental health assessments, facilitating smoother transitions back into the community.

The second regulation discussed was 922 KAR 1360, which pertains to the per diem rates for private child placing therapeutic foster care levels 2 and 3. This amendment aims to increase funding rates to better support therapeutic foster care services. Melanie Taylor, the director of the Division of Protection and Permanency at the Department for Community Based Services, presented the staff's suggested amendments, which also ensure compliance with existing regulations.

The meeting concluded with a brief acknowledgment of staff contributions, including a light-hearted moment involving cookies provided by staff member Anna. The next meeting is scheduled for May 13, 2025, where further discussions on these and other regulations will continue.

These regulatory changes reflect Kentucky's ongoing efforts to enhance health services for at-risk youth and improve the foster care system, addressing critical needs within the community. The implications of these amendments could lead to better health outcomes for incarcerated youth and increased support for foster care providers, ultimately benefiting the state's most vulnerable populations.