*Kentucky Administrative Regulation 911 Chapter 2:200 sets forth not only maximum payment amounts for services, but also defines limitations on services. CBIS have seen asked to deny payment for services provides that exceed 1) the state's maximum guideline based on weekly service or 2) the amount specified in the child's individualized family service plan (IFSP) based on weekly service whichever is the least. You will see a new code on these statement of claims not being paid identified as "Exceeds Authorized Limits." This code indicates that service was provided beyond the limit defined by the IFSP or KAR 911 2:200

Limitations imposed by the regulation can be exceeded with prior authorization. To request prior authorization, please contact Theresa James at (502) 595-4459 for pre-authorization to exceed state guidelines.