Revision of the MS-2126 Form
On May 1, 2018, the new MS-2126 form was posted on the Policy Forms page of the KanCare website and on the Forms page of the Kansas Medical Assistance Program (KMAP) website under...
KanCare Clearinghouse Releases Latest Newsletter
The Kancare Clearinghouse has released their latest newsletter called Nursing Facility News. This newsletter has also been uploaded to the SharePoint site, under External Training in the Nursing Facility Liaison Newsletter folder.
Each month, this...
USAC Rural Health Care Program
The Rural Health Care (RHC) Program supports health care facilities in bringing world class medical care to rural areas through increased connectivity. It provides up to $400 million annually in reduced rates for broadband...
SNF Provider Preview Reports Now Available at CMS
Several members have noted issues with the data provided in the quarterly 5-star reports LeadingAge Kansas sends out. These are generated with data from CMS, which CMS gets from facilities MDS submission data. CMS...
Medicaid Rate Quality Measures Incentive Factor Explanation
The recent Medicaid rates included new incentives for providers. These resulted in many questions from providers regarding how the measures were calculated, especially the Quality Measures incentive.
Myers & Stauffer has prepared a more detailed...
Skilled Nursing Facility: Proposed FY 2019 Payment and Policy Changes
CMS issued a proposed rule outlining proposed FY 2019 Medicare payment updates and proposed quality program changes for Skilled Nursing Facilities (SNFs).
Proposed Rule Details:
Advancing My HealthEData: Request for Information from stakeholders
Modernizing the...
CMS Targeted Probe and Educate Program
CMS has instituted a new Targeted Probe and Educate (TPE) program to help providers and suppliers reduce claim denials and appeals through one-on-one education.
Most providers will never need TPE. The process is only...
Newly Revised Skilled Nursing Advanced Beneficiary Notice of Non-Coverage
CMS is releasing a newly revised SNFABN along with newly developed, concise and separate instructions for form completion.
The revised SNFABN has the requirements from the denial letters and looks very similar to...
Sunflower Health Plan Introduces Portal Document Upload Functionality
Sunflower Health Plan has announced new document upload functionality available on the Sunflower Secure Provider Portal. This will save members time and postage sending requested medical records. This is a secure portal. A login...
Residents Admitted with Medicare Savings Plan Eligibility
When an individual is admitted to the nursing home and is receiving coverage through the Medicare Savings program only, a new application and verifications are required. The Medicare Savings program assists with Medicare out...
CMS announces updates related to Nursing Home Compare and Payroll-Based Journal data
Long-Stay Hospitalization Quality Measure
CMS continues to focus on reducing hospitalizations to improve the health and safety of nursing home residents. Hospitalizations are expensive, disruptive, and place residents at risk for an increased decline in...
New or Increased Client Obligation Reporting
Sunflower Health Plan has sent out a request asking providers to contact them if you detect that an individual has a new or increased client obligation that has been retroactively assigned by the Clearinghouse....