Medicaid Application Changes

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LeadingAge Kansas staff met with KDHE last week brought for updates regarding the Medicaid Elibgibility Backlog.  They acknowledged that there are needed changes to the Medicaid Application for the Elderly.  They are open to input...

Sunflower Annual and Quarterly HCPCS Code Change

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In cooperation with KDHE and with regards to benefit and pricing determinations, Sunflower Health Plan will make annual and quarterly HCPCS code changes, including additions, revisions and deletions, effective with dates of service on...

United Healthcare Community Plan Provider Call

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United Healthcare Community Plan has scheduled their next provider call for September 22nd at 10:00 AM.  This is a great way for providers to hear from United staff about upcoming changes, billing issues, etc. ...

Medicare Rate Calculator

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CMS released the final fiscal year 2017 (FY17) payment and policy changes for Medicare Skilled Nursing Facilities in July 2016. To see your organization’s rates, download the 2017 SNF Medicare Rate Calculator.

CARE Assessment

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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....

Comply by June 1 Deadline or Risk 2% Medicare Cut

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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

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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...

Acuity-Based Staffing

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We’ve all started hearing about acuity-based staffing and that we are going to be judged on it for Value Based Purchasing and in future survey models, but what is acuity-based staffing? Because residents have...

New Consumer Access Guide to HCBS Services in Kansas

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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...

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.

KanCare All MCO HCBS Training

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Description: This will be an all MCO collaborative session providing training for Home and Community Based Services (HCBS) providers. In addition to the training each MCO will be available in a breakout sessions all...

Elderly and Persons with Disabilities KanCare Eligibility Application Guide

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The Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF) has released a guide to assist the Elderly and Persons with Disabilities (E&D) in completing an Application for Medical Assistance...