CARE Level I Must Be Complete and Entered in KMAP For Nursing Homes to Receive MCO Payments – Effective May 1st

According to an informational memo just released by KDADS, effective May 1, 2017, Managed Care Organizations (MCOs) will no longer be able to reimburse Nursing Homes for Medicaid Residents unless they have proper KMAP coding of Level of Care Description as “Nursing Facility.”  Nursing Homes can verify that a beneficiary is coded properly through KMAP by ensuring the Level of Care Description is coded as “Nursing Facility” in KMAP. Beneficiaries will be coded “Nursing Facility” after the following has occurred:

1. A Nursing Home has followed the PASRR/CARE Level I Procedure (see above)
2. The ADRC has entered the completed CARE Level I information.

Or

1. The Hospital Assessor has submitted a completed CARE Level I information to KDADS for data entry.
2. The Nursing Home has notified  KDHE via Form 2126 of admission into the building
3. KDHE has requested/received CARE information from KDADS

View more information regarding access to resident information on KMAP and  learn more about training on the CARE/PASRR.