Adverse Incident Reporting (AIR) For Non Long-Term Care Providers
The Kansas Department of Aging and Disability Services (KDADS) issued a new Adverse Incident Reporting (AIR) procedure effective immediately. This is not for Long-Term Care Providers. It is for HCBS, Money Follows the Person,...
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...
REMINDER: Appeals Process
Providers can appeal the adjudication of a claim or an action taken on a claim. For fee-for-service claims, reference Section 5300 of the General Billing Fee-for-Service Provider Manual on the Provider Manuals page of...
Sunflower Provider Orientation/Refresher
Sunflower Health Plan is hosting a Provider Orientation/Refresher online September 8th from 12:00 PM - 1:00 PM. This is a great way for your organization’s billing staff to make sure they are up-to-date on...
SNF Quality Reporting Program (IMPACT Act 2014)
On September 18, 2014, Congress passed the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act). The Act requires the submission of standardized data by Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home...
Transition to New Medicare Numbers and Cards
CMS, through the Medicare Administrative Contractors (MACs), recently mailed letters to all Medicare Fee-For-Service providers about their work to assign new numbers (known as Medicare Beneficiary Identifiers or MBIs) and issue new Medicare cards...
Healthcare Effectiveness Data Gathering Efforts
The current Sunflower Health Plan Provider Update contains an article about some Quality Measures they and the other MCOs will be working on starting soon. Healthcare Effectiveness Data and Information Set (HEDIS) will be...
LT Governor Requests Your Input on KanCare
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...
KanCare Issues – Your Input is Needed
LeadingAge Kansas has received input on KanCare issues from several members over the last week regarding issues with the KanCare Clearinghouse. In preparation for meeting with them we would like to hear from even...
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...
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 – For Sunflower-Specific Questions
Keep this Sunflower Provider Relations Territory Map on your desk! It provides contact info for the person you need to reach out to with all of your Sunflower-specific questions or concerns.