Payroll Based Journaling Data Audits
CMS is beginning a pilot program to audit Payroll Based Journaling data submitted by long-term care providers for the first quarter of 2017. These audits are not part of any health and safety survey...
Revised MS-2126 Form
On June 1, 2017, the revised Notification of Facility Admission/Discharge (MS-2126) form was posted on the Kansas Family Medical Assistance Manual (KFMAM) page of the Kansas Department of Health and Environment (KDHE) website. The...
Public Notice and Comment Period KanCare Extension
The Kansas Department of Health and Environment (KDHE) is offering additional opportunities to attend public hearings regarding the State’s proposed one-year extension of the KanCare program and to provide comments about the extension request...
Provider Input Period KanCare Renewal
The Kansas Department of Health and Environment (KDHE) is offering opportunities to attend public meetings regarding the State’s proposed renewal of the KanCare program and to provide input and ideas for changes.
Anyone may provide...
MCO Provider Appeal Process
Effective with payment denials processed on and after May 1, 2017, the three KanCare managed care organizations (MCOs) standardized the Provider Appeal process for all KanCare providers. Providers continue to have the opportunity to...
Sunflower Health Plan Prior Authorization Changes
Sunflower Health Plan has made changes in their prior authorization requirements for Long-Term Care providers, effective May 15, 2017. They will no longer require prior authorization for custodial nursing care. Skilled Care Nursing will...
Comply by June 1 Deadline or Risk 2% Medicare Cut
Skilled Nursing Facilities must have all their MDS forms for admissions/discharges between October 1 and December 31, 2016 completed and corrected by June 1, 2017 to comply with the SNF Quality Reporting Deadline or...
Sunflower Health Plan Change in Prior Authorization Requirements
Sunflower Health Plan sent out a bulletin on May 22, 2017 related to prior authorization requirements for select therapy services. The bulletin lists specific therapy codes that will no longer require prior authorization. This...
New Consumer Access Guide to HCBS Services in Kansas
KDADS Community Services and Programs Commission has released a new Consumer Access Guide to HCBS Services in Kansas. This user-friendly guide is full of helpful information for anyone wanting to learn more about the...
KDHE Public Meetings Slated on Future of KanCare
KDHE will hold public meetings regarding the state’s proposed renewal of the KanCare program, and to provide input and ideas for changes. Anyone may provide comment and input about the KanCare renewal at any...
CARE Assessment
LeadingAge Kansas has heard from KDADS that some providers are being denied payment by MCOs due to issues with the new requirements for CARE assessments. These requirements went into effect on May 1, 2017....
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...