Medicare Crossover Claim Processing Changes
To comply with the Centers for Medicare & Medicaid Services (CMS) Managed Care regulations at Federal Register § 438.3(t), States that use the automated crossover process must require managed care organizations (MCOs) to...
KanCare Application Checklist Now Available
The State has released a 2-page KanCare Application checklist as a tool for long-term care providers to assist people applying for Medicaid/KanCare. Please use and share widely. Thank you to the LeadingAge Kansas members...
2015 Navigator Issues
After the release of our latest Medicaid Cost Report Navigator we found that several homes were not included. Upon checking with KDADS it was found that there was a problem with the data file...
PEAK Incentive Rates
Similar to changes in provider assessment rates, PEAK incentives that are earned (or taken away) are effective July 1st for the whole next year. Members who have had issues this year with PEAK progress...
Clarification: CCRC Status Changes Decreases Tax Rate and Net Medicaid Dollars, But Not Medicaid...
In the Aging Update article entitled “Change to CCRC Status”, posted on January 11, 2017, we stated, “… a change to CCRC status will lower your provider assessment rate, it will also lower your...
Sunflower Annual and Quarterly HCPCS Code Change
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...
Change to CCRC Status
Many members have been working on becoming CCRCs in order to lower their provider assessment. Questions about the timing of this change and the resulting change in provider assessment rate have come up.
The key date for...
Medicaid Backlog Climbing Again
The Medicaid application backlog in Kansas appears to be on its way up, after initial progress in tackling underlying factors that drove the crisis that started about a year ago. If your organization is...
Latest Medicaid Rates Released
KDADS released the latest Medicaid rate schedules on Friday, December 16th. This was sent out through the new Myers and Stauffer web portal. If you do not have access to this web portal call (785)...
Resident Fund Accounts
Has your team reviewed its policies in regard to resident fund accounts lately? LeadingAge Kansas has had several questions from a number of members recently in regard to this, so we thought we would review...
Medicaid Cost Report Navigator 2015
The Medicaid Cost Report Navigator with 2015 data is now available for download on the LeadingAge Kansas website. This is a great tool to use for your organization. Data is available to compare your...
Medicare Rate Calculator
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.