Reimbursement

Many members are having issues with PBJ and their 5-Star Rating. LeadingAge Kansas is working with LeadingAge National to address member issues. CMS has provided the following contact information for questions. For questions related to...

CMS has a website that offers assistance to SNFs with tools, ongoing assistance to staff, and ways to apply for funds from the Civil Money Penalty Reinvestment Program to assist your organization. Go to the...

Skilled Nursing News has a great article with tips for negotiating Medicare Advantage contracts. With the increase in Medicare Advantage plans being experienced, this is a good read for some ideas of how to...

HCBS providers should have received a message from KDADS Secretary Tim Keck regarding a new HCBS Rate Increase Survey. KDADS is collecting information on how the HCBS rate increases in state fiscal years 2018...

On November 28, CMS published the performance of 15,000+ Skilled Nursing Facilities (SNFs) on the 30-day all-cause hospital readmission measure required under the SNF Value-Based Payment(VBP) program showing each named SNF’s baseline (CY2015) readmission...

Per CMS final rule 6028-F, state Medicaid programs must collect an application fee for new provider applications, re-enrollments (revalidations), and reactivations. The following providers are exempt from the application fee: Individual providers, nonphysician...

Having trouble with Medicaid Application cases? You are not alone. Have the case number/s handy and contact Yvonne at Maximus. Office phone: 785-338-4917. Cell: 479-518-1672. Email yvonnercase@maximus.com. Please cc Rachel rachel@lwadingagekansas.org so we have a feel for volume and type of...

KDHE has sent to each MCO the service authorizations for members transitioning from Amerigroup to other MCOs. Read the state’s transition of care policy.

KDHE has created this how-to video to help nursing home staff and families fill out an application for Medicaid coverage. It contains advice about what materials to include with the application to speed processing.

Aetna Better Health is prioritizing the loading of HCBS providers into their systems, including financial management services (FMS) providers. Once providers are loaded, Aetna will align applicable authorizations for Aetna Better Health members to...

We have learned from some LeadingAge Kansas members that their timekeeping, payroll and PBJ reporting vendors are not getting accurate and timely reports to CMS. For nursing homes, slipshod PBJ reporting to CMS has...

There's always a lot going on for providers at Sunflower Health Plan, and we want to make sure you stay in the loop. On this page, you can find all of our latest notifications...