MDS and Reimbursement Fused at the Hip.. Now More than Ever
Great relationships with our MDS Coordinators/RNACs are critical to financial success in a SNF. Members that provide nursing home services need to ensure that these critical team members have great support and have a...
PDPM Preparation Checklist
LeadingAge National has prepared a checklist to help members get ready for the Patient Driven Payment Model (PDPM) Transition for Medicare reimbursement. View it here.
Still don’t know what PDPM is and haven’t started planning? Get a...
Medicaid Training Courses
KDHE Division of Health Care Finance will offer nine Medicaid Training courses beginning April 9, 2019. The courses provide an overview of Kansas Medicaid with the following courses:
Introduction to Medicaid Managed Care
Early...
KanCare Application Tips
Based on experience and observation, Joshua Johnson, LeadingAge Kansas’s new Reimbursement Specialist, offers these tips for making sure everything is done on your end as you assist someone to apply for KanCare.
Make sure the...
Reimbursement-Related questions?
Here are some of the things we have contracted with Joshua Johnson to assist with:
Troubleshoot for members on their individual reimbursement problems/questions.
Communicating on a regular basis with state agency officials regarding Medicaid...
April Medicaid Training Opportunity in Norton and Hays
KDHE Division of Health Care Finance is offering Medicaid Training courses in Norton, KS on April 3, 2019 and Hays, KS on April 4, 2019. The courses in this curriculum provide an overview of Kansas...
KanCare Claims Resolution Logs
The KanCare Open Claims Resolution Log, KanCare Closed Claims Resolution Log, and KanCare 2.0 Open Claims Resolution Log are now available on the Bulletins page under the Publications heading of the KMAP website.
Current KanCare MCO Contacts
Aetna
Keith Wisdom , CEO Phone 913-202-5796
Provider Contacts Map
Care management services coordination – email
HCBS questions – email
Sunflower Health Plan
Michael Stephans, CEO
LTSS/HCBS Reps Map
Nursing Facility and Intermediate Care Facility Rep...
Sunflower Health Plan News for Provider
There's always a lot going on for providers at Sunflower Health Plan, and we want to make sure you stay in the loop. On this page, you can find all of our latest notifications...
KanCare Member Transitions
KDHE has sent to each MCO the service authorizations for members transitioning from Amerigroup to other MCOs. Read the state’s transition of care policy.
Video to Assist Providers to Help People Applying for Medicaid
KDHE has created this how-to video to help nursing home staff and families fill out an application for Medicaid coverage. It contains advice about what materials to include with the application to speed processing.
Notice from Aetna Better Health for HCBS Providers
Aetna Better Health is prioritizing the loading of HCBS providers into their systems, including financial management services (FMS) providers. Once providers are loaded, Aetna will align applicable authorizations for Aetna Better Health members to...