Sunflower Health Plan Summer Provider Orientation
Sunflower Health Plan will be hosting a Summer Provider Orientation Webinar on June 29th at 12:00 pm. This will be a quarterly new provider and refresher orientation. They will provide information on Sunflower’s processes...
New Medicaid Rates
All facilities should have received notice of their July 1, 2018 Medicaid Rate through the Myers and Stauffer portal. These rates include rebasing with Cost Report data for 2015-2017 with partial inflation through 7/31/18....
Hospice: Proposed Updates to the Wage Index and Payment Rates for FY 2019
On April 27, CMS issued a proposed rule that would update FY 2019 Medicare payment rates and the wage index for hospices serving Medicare beneficiaries. This rule also proposes changes to the Hospice Quality...
New Medicare Cards May Have QR Codes
New Medicare cards may have a square code, also referred to as a QR code (a type of machine-readable code). The QR codes on Medicare cards allow the contractor who prints the cards to ensure...
SNF VBP Review and Corrections Process Coming in August
Phase Two of the SNF Value Based Purchasing (VBP) Review and Corrections process will begin in early August 2018 when annual performance score reports are made available in the Certification and Survey Provider Enhanced...
KanCare All MCO Spring 2018 Training
KanCare will be hosting their Spring 2018 Training Sessions again. This is a great opportunity to train new billing staff and a refresher for current staff. It’s also a way to make personal connections...
SNF Consolidated Billing Web-Based Training Course — Revised
A revised SNF Consolidated Billing Web-Based Training course is available through the Learning Management System. Learn about:
Skilled Nursing Facility (SNF) coverage and payment guidelines
Bundled prospective payments
Services excluded from SNF consolidated billing
The...
KDADS CARE Training
KDADS is offering a CARE Manual and training to go over requirements for the CARE Assessments and PASRR. There are three trainings left covering the same information so you can pick one of the...
UHC Dual Special Needs Plan Training
United Healthcare sent out an invitation for their Dual Special Needs Plan Meeting scheduled for March 22 at 10 AM CST. This is a Medicare Advantage plan for Dual Eligible members. UHC would like...
UPDATED MCO Provider Appeal Process
Effective with payment denials processed on and after May 1, 2017, the three KanCare
managed care organizations (MCOs) standardized the process for disputing a denial of
payment by an MCO through submission of a Reconsideration, Appeal,...
KanCare 2.0 MCO Information
Aetna Better Health of Kansas, Inc. will be a new KanCare MCO beginning January 1, 2019.
Sunflower State Health Plan, Inc and United Healthcare, Midwest, Inc. will continue services for Kansas providers and members alike.
Per...
LeadingAge Kansas to Meet with KDHE Regarding Clearinghouse
LeadingAge Kansas personnel will be meeting with KDHE regarding updates on the Clearinghouse and Medicaid application processing. In preparation for this, our question to you is “How is it going?” We are looking for...