Medicaid Rates
The impact from passing of the Provider Assessment bill and the subsequent cuts by the Governor is still being processed. The new rates generated by the rebasing specified in the Provider Assessment bill will be...
KanCare Issues
Members and consumers continue to have issues with the KanCare Clearinghouse and Medicaid Application processing. A concern we hear is that patient liabilities are typically too high. It is important to communicate this to the...
Joint KanCare All MCO Training
LeadingAge Kansas staff attended this training last week. Attendance at the training sessions in Overland Park and Wichita was very high. Many attendees were disappointed that representatives from the KanCare Clearinghouse were not in...
Final Medicaid Rates
The state has published the final July 1st nursing facility Medicaid rates, reflecting the 4.5% cut to nursing homes announced by the Brownback administration two weeks ago. Keep in mind that these rates are exclusive of...
Medicare and Medicaid Posters Available
Kerry Bacon, KanCare Ombudsman, has provided us with updated posters for members to post in their buildings that detail the application process for Medicare and Medicaid. Thanks to Kerry for preparing these important tools...
United Healthcare Billing Issue
There has been a report from United HealthCare that they are seeing some members billing from long-term care that are showing level of care for swing bed. If a resident goes to the hospital...
Medicaid Training Courses
KDHE Division of Health Care Finance will once again offer Medicaid training courses in Topeka, beginning August 25th through September 29th. Each Tuesday and Thursday during that time period several of eight different courses...
KanCare Principal Diagnosis Denial
United Healthcare is reporting that they are seeing Principal Diagnosis denials. They submitted a ticket on this concern early last week and are waiting the final information to have them corrected. Until they receive the information, the...
KanCare All MCO HCBS Training
KanCare is hosting training for HCBS at various locations. This is a great opportunity for members to review their HCBS training or train new staff. Locations and dates are:
July 28th – Hays,Ks
August 2nd...
Sunflower Health Plan Provider
The July 2016 of the Sunflower Health Plan Provider News is out. This is a great resource to ensure that members and their staff are up on the latest news from Sunflower. In addition to...
HCBS Rates in Assisted Living Settings are Negotiable
During a meeting with United Healthcare representatives last week, the topic of HCBS in the Assisted Living setting was discussed. LeadingAge Kansas shared members’ frustration with the low reimbursement rates, with members reporting an approximate 50%...
CMS Final Rule for SNFs, Fiscal Year 2017
CMS recently published a Final Rule which outlines fiscal year (FY) 2017 Medicare payment policies and rates for the Skilled Nursing Facility Prospective Payment System (SNF PPS), the SNF Quality Reporting Program (SNF QRP),...