New Medicare Card: MBI Changes
There are times when a Medicare Beneficiary Identifier (MBI) may change. People with Medicare or their authorized representatives can request an MBI change. CMS can also initiate a change to an MBI (for example,...
Implications of Medicare Advantage Growth
A new JAMA viewpoint looks at the implications for the US health care system as we move toward the tipping point where Medicare Advantage will be the dominant source of Medicare coverage.
Map of Medicare Advantage Penetration...
Medicaid Audits
We have had several members report receiving notices from the Audit Section of KDADS indicating that they are being audited for the past 3 years. Many homes have not had a Medicaid audit in many...
UnitedHealthcare Corrected/Voided Claim Change
UHC is now requiring all Providers to submit corrected/voided claims with the UHC claim ID found on your Remittance Advices. Please discontinue using the KMAP ICN to reference original claims.
If you have access to...
Sunflower Health Plan Participating Provider Amendment
Sunflower Health Plan recently sent out an Amendment to their KanCare Participating Provider Agreement. The cover letter has the KanCare logo on it. This Amendment pertains to Sunflower’s sister company, Celtic Insurance Company, which is...
HCBS Rate Negotiation Progress – How Are You Doing?
Have you had any luck negotiating HCBS rates to move residents from Long-Term Care to Assisted Living? LeadingAge Kansas wants to hear from you! Your stories help us assist others and make progress in...
Have You Applied for Advance Payments?
The updated Advance Payment Protocol is in place and working! LeadingAge Kansas has heard from one member who has received payment. The state has a team dedicated to expediting these applications. This could be...
New Advance Beneficiary Notice Form Available
In March 2017, the Office of Management and Budget approved the Advance Beneficiary Notice (ABN) (Form CMS-R-131) for another 3 years. There are no changes to the form, except the new expiration date of...
Sunflower Recredentialing Overview Provider Huddle – July 5th & July 7th
The session will provide an overview of the Sunflower Health Plan recredentialing process. Topics to be covered include:
Frequency – How often does a provider recredentialTimeline – How long does recredentialing takeWhat happens if the deadline is not met
Schedule:
REGISTER for...
Releasing Medicaid Information to Nursing Facilities
For a resident of a nursing home who is an applicant or recipient of Medicaid, the KanCare Clearinghouse can only provide basic status information without proper releases signed by the resident or resident’s legal...
KanCare All MCO Training
The three KanCare MCOs hosted fall training sessions in October and November. These training sessions provide a great way to keep up with billing issues with KanCare. Some of the main issues they discussed...
Medicaid Cost Report Navigator 2015
The Medicaid Cost Report Navigator with 2015 data is now available for download on the LeadingAge Kansas website. This is a great tool to use for your organization. Data is available to compare your...