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...
Final Policy, Payment, and Quality Provisions in the Medicare Physician Fee Schedule for Calendar...
On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician...
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,...
New Medicare Cards
Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative the Centers for Medicare &a Medicaid Services (CMS) will prevent fraud, fight identity theft and protect essential program funding...
KanCare Clearinghouse Issues
LeadingAge Kansas continues to receive reports from members of issues with the KanCare Clearinghouse, despite KDHE’s statements that they have it all worked out. Issues that are being reported include continued requests for records...
Updated Data for the Medicaid Cost Report Navigator Is Here
The Medicaid Cost Report Navigator with 2016 Cost Report data is now available on the LeadingAge Kansas website. This valuable tool enables members to compare their data with other organizations based on tax status,...
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...
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...
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...
PEPPER Update Webinar
PEPPER is hosting a free Webinar on Thursday, April 27th at 1:00 PM. This will be a review of the 4th Quarter 2016 PEPPER report for Skilled Nursing Facilities as well as other available...
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...
Public Notice and Comment Period KanCare Extension
The Kansas Department of Health and Environment (KDHE) is offering additional opportunities to attend public hearings regarding the State’s proposed one-year extension of the KanCare program and to provide comments about the extension request...