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...
KanCare Claims Resolution Logs
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.
KanCare Application Tips
Based on experience and observation, Joshua Johnson, LeadingAge Kansas’s new Reimbursement Specialist, offers these tips for making sure everything is done on your end as you assist someone to apply for KanCare.
Make sure the...
Reimbursement-Related questions?
Here are some of the things we have contracted with Joshua Johnson to assist with:
Troubleshoot for members on their individual reimbursement problems/questions.
Communicating on a regular basis with state agency officials regarding Medicaid...
April Medicaid Training Opportunity in Norton and Hays
KDHE Division of Health Care Finance is offering Medicaid Training courses in Norton, KS on April 3, 2019 and Hays, KS on April 4, 2019. The courses in this curriculum provide an overview of Kansas...
Medicaid Training Courses
KDHE Division of Health Care Finance will offer nine Medicaid Training courses beginning April 9, 2019. The courses provide an overview of Kansas Medicaid with the following courses:
Introduction to Medicaid Managed Care
Early...
PDPM Preparation Checklist
LeadingAge National has prepared a checklist to help members get ready for the Patient Driven Payment Model (PDPM) Transition for Medicare reimbursement. View it here.
Still don’t know what PDPM is and haven’t started planning? Get a...
MDS and Reimbursement Fused at the Hip.. Now More than Ever
Great relationships with our MDS Coordinators/RNACs are critical to financial success in a SNF. Members that provide nursing home services need to ensure that these critical team members have great support and have a...
Budget Updates
The Kansas Legislature is grinding through its work. Soon they will be reconciling the Senate and House’s version of the SFY 2020 budget (starts July 1, 2019.) The Governor’s budget recommendation had a 0%...
Cost Report Navigator Tool Available
Your business office is very likely buzzing with energy these days as you prepare for annual meetings, cost reports and quarterly reports that are due to various government entities. As a reminder PBJ for...
FE/PD Waiver Updates
Kansas is getting ready to renew its Frail Elderly (FE) and Physical Disability (PD) Waiver with the Centers for Medicare and Medicaid Services (CMS). Kansas must resubmit the Waiver with any changes to CMS....
Why is My Reimbursement Less Than the Published Medicare Rate?
There are multiple factors that are impacting rates this year, and it can be quite confusing.
First, there is 2% withheld to fund the value-based purchasing (VBP) program, but that is already built into the...