July 1 Medicaid Rates Announced
Last week KDADS sent out the July 1, 2017 Medicaid Rates. Unfortunately, these rates do not represent a complete restoration of the 4.47% cuts from last year. Many providers were confused to see a...
REMINDER: KanCare All MCO HCBS Training
The managed care organizations (MCOs) are providing collaborative sessions to train Home and Community Based Services (HCBS) providers in September 2017. For information on these sessions, reference HCBS Bulletin 17179. Preregistration is required. Currently,...
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...
UnitedHealthcare Claims Payment Issue
United Healthcare recently identified a claims payment issue where they incorrectly paid claims from October through December at an old rate for many facilities. This only affects homes that had a retro rate change for...
KanCare Billing Guidance
Is your organization up-to-date on billing procedures for KanCare? Amerigroup has prepared a billing guide for their providers that is great for training new personnel as well as a review for current billers. This...
UnitedHealth Care Member Call
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.
KMAP Website Requirements
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...
KDHE Public Meetings Slated on Future of KanCare
KDHE will hold public meetings regarding the state’s proposed renewal of the KanCare program, and to provide input and ideas for changes. Anyone may provide comment and input about the KanCare renewal at any...
MCO Provider Appeal Process
Effective with payment denials processed on and after May 1, 2017, the three KanCare managed care organizations (MCOs) standardized the Provider Appeal process for all KanCare providers. Providers continue to have the opportunity to...
Sunflower Health Plan Prior Authorization Changes
Sunflower Health Plan has made changes in their prior authorization requirements for Long-Term Care providers, effective May 15, 2017. They will no longer require prior authorization for custodial nursing care. Skilled Care Nursing will...
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...
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...