Reimbursement

2019 has been quite the year for all of us that operate skilled nursing homes. As the year end approaches, be sure to have all of your 2020 rates entered into your billing system. ...

The Kansas Department of Health and Environment (KDHE) is offering opportunities to attend provider education meetings regarding the 2019 implementation of KanCare. State staff and managed care organizations (MCOs) will make brief presentations and...

Contracting and Credentialing ProcessThis bulletin provides a brief outline of the KMAP Enrollment process and the subsequent Aetna Better Health contracting and credentialing workflow.COVID-19 Communications on prior authorizations and pre-cert for admissions to SNFsAetna BetterHealth...

The KanCare Open Claims Resolution Log, KanCare Closed Claims Resolution Log, and KanCare 2.0 Open Claims Resolution Log are now available on the Bulletins page under the Publications heading of the KMAP website.

Welcome Brendan Flinn - LeadingAge's new Director of HCBS! Brendan will develop, refine and implement LeadingAge’s national agenda for HCBS and to help LeadingAge members plan and implement community service programs. Before coming to LeadingAge, Brendan...

Do you have new staff who needs training on the Medicaid program? Maybe you could use a refresher! The KanCare All MCO Spring 2021 Virtual Training is scheduled for April 21st and May 6th. This is a FREE program...

CMS requires nursing homes to have a fully implemented QAPI process by November 2019. Quality Apex gives your organization the ability to implement this requirement. For example, a QAPI plan can be created with...

Our field is becoming increasingly more complex every year. Member organizations are at a risk of losing all of the knowledge that is held by their long-time billers, MDS Coordinators, Administrators, Director of Nurses,...

Where providers should be now, on Oct. 1st, and at 6 and 12 months post implementation Steven Littlehale PDPM has dominated our professional awareness since its predecessor, RCS-1, hit the airways over two years ago. The...

Q: If I don’t have a contract with a Medicare Advantage plan, can I still get paid? In recent months, we’ve heard from members who do not have a signed contract with a Medicare Advantage...

KDHE Division of Health Care Finance is offering six Medicaid Training courses beginning March 27, 2018. Due to limitations on our presenters' time this spring, they will not be offering their regular 4-week Medicaid...

Annual Performance Score Reports for the FY 2019 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program year are now available. SNFs with eligible stays during the CY 2017 performance period can retrieve reports via...