Sunflower Health Plan Change in Prior Authorization Requirements
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...
New Consumer Access Guide to HCBS Services in Kansas
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...
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...
Provider Input Period KanCare Renewal
The Kansas Department of Health and Environment (KDHE) is offering opportunities to attend public meetings regarding the State’s proposed renewal of the KanCare program and to provide input and ideas for changes.
Anyone may provide...
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...
Revised MS-2126 Form
On June 1, 2017, the revised Notification of Facility Admission/Discharge (MS-2126) form was posted on the Kansas Family Medical Assistance Manual (KFMAM) page of the Kansas Department of Health and Environment (KDHE) website. The...
Money Follows the Person End Date
The current Money Follows the Person demonstration grant as funded by CMS is coming to an end in all 43 participating states. The end date in Kansas for transitions to the community is June...
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...
Payroll Based Journaling Data Audits
CMS is beginning a pilot program to audit Payroll Based Journaling data submitted by long-term care providers for the first quarter of 2017. These audits are not part of any health and safety survey...
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...
Third Quarter Provider Assessment Due July 31, 2017
All long-term care providers should have received an email from KDADS last week regarding the Third Quarter Provider Assessment due July 31, 2017. None of the procedures and amounts have changed, however providers that...