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),...
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%...
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...
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...
Comments on SNF PPS Proposed Rule
LeadingAge posted comments to CMS over the weekend on the proposed FY 2022 SNF PPS rule. Find a copy of LeadingAge's comments here. The main areas of comment were opposing the PDPM parity adjustment and...
Join the Reimbursement Work Group
LeadingAge Kansas members with knowledge of the current Medicaid Nursing Facility reimbursement system are welcome to join our ad hoc Reimbursement Work Group. Those interested in participating will convene via conference call for 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...
Experiencing Delays in Medicaid Approvals Due to Missing CARE Scores?
The KDADS CARE program continues to have large data entry backlog that can have a cascading effect leading to delay in Medicaid payments. If you are experiencing problems related to this, contact Drew Adkins, 785.471.8298, drew.adkins@ks.gov or Sarah...
Complete Sunflower 2022 Provider Satisfaction Survey for Chance to Win $400
Sunflower Health Plan’s annual provider satisfaction survey is being distributed. SPH will send surveys to 2,500 random Sunflower providers via paper and email. The survey is brief and should only take a few minutes...
2017 Autumn Medicaid Training Opportunities
KDHE Division of Health Care Finance is offering four Medicaid Training courses beginning September 19, 2017. The courses in this curriculum provide an overview of Medicaid, Waivers, Social Security Disability & Working Healthy/WORK, and...
Attn: Billing Team for Sunflower
Sunflower Health Plan will be partnering with Payspan to provide a web-based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows...
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...