Is your Organization Using the Correct Advance Beneficiary and Notice of Medicare Non- Coverage...
A recent question from a member brought up the subject of Advance Beneficiary and Notice of Medicare Non-Coverage Forms. Surveyors are known to check for the correct use of these forms and that the...
Trouble with Aetna? Please Let Us Know
The state of Kansas has threatened Aetna with termination of their KanCare contract due to non-payment of claims, and a laundry list of other failures. Are you having issues with Aetna? Are you having...
Updated Grievance, Appeal, and Fair Hearing Information
The KanCare Ombudsman office has updated the Grievance, Appeal and Fair Hearing page on the website to be more thorough and easier to understand. Please check out the link and see what is now available.
Latest Tip From Josh Johnson, Reimbursement Consultant
On a recent conference call with United Health Care, the MCO mentioned that there are still outstanding members that are billing with a TIN instead of their KMAP number. If you have recently received...
New Medicare Cards
The new Medicare card transition period ends in less than 5 months. Starting January 1, 2020 all providers must use the MBI number (Medicare Beneficiary Identifier) on claims. Medicare will reject claims with the...
KDHE/KDADS Small Groups Meetings Update
KDHE and KDADS have been having meetings during the first quarter of 2018 with associations and advocacy groups regarding KanCare issues. These meetings provide an opportunity for the agencies to update the groups on...
Is Your Organization’s Ownership Information Correct on Nursing Home Compare?
When checking Nursing Home Compare for your 5 Star Rating, have you checked the accuracy of your General Information? This reflects your Nursing Home information, such as number of beds, Medicare and Medicaid certification...
Current KanCare MCO Contacts
Aetna
Keith Wisdom , CEO Phone 913-202-5796
Provider Contacts Map
Care management services coordination – email
HCBS questions – email
Sunflower Health Plan
Michael Stephans, CEO
LTSS/HCBS Reps Map
Nursing Facility and Intermediate Care Facility Rep...
PDPM – A Word From Josh Johnson, Our Reimbursement Consultant
As the year trucks along, so does the October 1st start date for PDPM. Are you prepared? Our partner BKD has put on several presentations. EHR vendors are re-tooling their systems and also providing...
A Word From Our Reimbursement Consultant
One of the topics that we have been discussing as of late is the possibility of creating a tool box of financial and revenue cycle information that providers could use for resources and training....
KDADS-HCBS Public Forum Invitation
The Kansas Department for Aging and Disability Services (KDADS) is seeking feedback from Home and Community Based Services (HCBS) stakeholders as the agency begins planning for upcoming HCBS waiver renewals. KDADS will host regional...
Provider Enrollment Managed Care Regulation Implementation Update
In compliance with the Centers for Medicare & Medicaid Services (CMS) Medicaid Managed Care Final Rule 2390F and 42 CFR 438.602(b)(1), all KanCare managed care organization (MCO) network providers who receive payment for KanCare...