CMS Proposed Change in Resident Classification System

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On April 27th, the Centers for Medicare & Medicaid Services (CMS) released an Advance Notice of Proposed Rulemaking that solicits comment on potential revisions to the Medicare skilled nursing facility (SNF) payment system, based on...

Proposed Medicaid Rates

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The State published proposed Medicaid Rates for the State Fiscal Year 2018 on April 20, 2017 in the Kansas Register. These rates are based on Cost Report Data from 2014-2016 with inflation through December...

Medicaid Audits

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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...

Releasing Medicaid Information to Nursing Facilities

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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

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This will be an all managed care organization (MCO) collaborative session providing training for Medical and Institutional providers.  In addition to the training, each MCO will be available in a breakout room all day.  ...

Civil Monetary Penalties Cap for Medicaid Only

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Did you know that if you are not a Medicare Certified provider, only Medicaid, that there is a cap of $10,000 on any Civil Monetary Penalty (CMP) you receive for a survey or complaint...

KanCare All MCO Training

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The KanCare MCOs are hosting a collaborative session providing training for Medical and Institutional Providers. Topics that will be covered include: Eligibility and MCO assignment via the KMAP Website How to determine covered benefits...

KMAP Website Requirements

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Periodically, browser versions change which can have an impact on Kansas Medical Assistance Program (KMAP) website users. The KMAP websites function optimally when the appropriate operating system, platform, and settings are in place.  The operating...

Nursing Facility Level of Care Coding for KanCare Billing

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Effective May 1, 2017, managed care organizations (MCOs) will no longer be able to reimburse Nursing Facilities for Medicaid residents unless they have the proper Kansas Medical Assistance Program (KMAP) coding Level of Care...

UnitedHealth Care Member Call

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UnitedHealth Care will be hosting a member call on Tuesday, March 28th at 10:00 AM. The call will cover Fall Risks, AIRs, and MS-2126. If you are interested in participating contact Mona Hall or Michelle Cowen.

LT Governor Requests Your Input on KanCare

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Please complete this short survey before March 30th to identify your KanCare training needs. The Lt. Governor’s KanCare Process Improvement Workgroup is working to identify improved processes for providers and consumers. The Lt. Governor’s Office...

Sunflower Provider Workshop

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Sunflower Health Plan is hosting a Provider Workshop in Topeka on March 29th. There will be two sessions to choose from: 10:00 AM– 12:00 PM and 1:00 PM – 3:00 PM. This course will provide information...