Is your PBJ Partner Submitting Accurate and Timely Reports to CMS? Big Problem for...
We have learned from some LeadingAge Kansas members that their timekeeping, payroll and PBJ reporting vendors are not getting accurate and timely reports to CMS. For nursing homes, slipshod PBJ reporting to CMS has...
Having Trouble with Medicaid Application Cases?
Having trouble with Medicaid Application cases? You are not alone. Have the case number/s handy and contact Yvonne at Maximus.
Office phone: 785-338-4917.
Cell: 479-518-1672.
Email yvonnercase@maximus.com.
Please cc Rachel rachel@lwadingagekansas.org so we have a feel for volume and type of...
KDADS HCBS Rate Increase Survey
HCBS providers should have received a message from KDADS Secretary Tim Keck regarding a new HCBS Rate Increase Survey. KDADS is collecting information on how the HCBS rate increases in state fiscal years 2018...
CMS Publishes SNF Performance Data on Readmissions under Value-Based Payments
On November 28, CMS published the performance of 15,000+ Skilled Nursing Facilities (SNFs) on the 30-day all-cause hospital readmission measure required under the SNF Value-Based Payment(VBP) program showing each named SNF’s baseline (CY2015) readmission...
Kansas Provider Application Fee Update
Per CMS final rule 6028-F, state Medicaid programs must collect an application fee for new provider applications, re-enrollments (revalidations), and reactivations. The following providers are exempt from the application fee:
Individual providers, nonphysician...
Negotiating Medicare Advantage Contracts
Skilled Nursing News has a great article with tips for negotiating Medicare Advantage contracts. With the increase in Medicare Advantage plans being experienced, this is a good read for some ideas of how to...
PBJ Update
Many members are having issues with PBJ and their 5-Star Rating. LeadingAge Kansas is working with LeadingAge National to address member issues. CMS has provided the following contact information for questions.
For questions related to...
CMS Patient Driven Payment Model (PDPM) Website Resources
In last week’s Aging Update LeadingAge Kansas announced the new CMS PDPM Website. There is a lot of great information on this website and we know that adopting PDPM can feel overwhelming. One of...
Civil Money Penalty Reinvestment Program
CMS has a website that offers assistance to SNFs with tools, ongoing assistance to staff, and ways to apply for funds from the Civil Money Penalty Reinvestment Program to assist your organization.
Go to the...
Aetna Contact for Questions and More
We have had several members ask questions about who their contact at Aetna is. All questions about contracts, etc can go to Scott Brunner. His information is below:
Scott Brunner
Vice President of Stakeholder Relations
Aetna Better...
Sunflower Dedicated Line for Resolving HCBS Authorization Issues
Effective immediately, Sunflower has a dedicated line for providers to call regarding HCBS authorization issues.
Providers can use this single-point of contact for the issues below:
To resolve a missing or potentially inaccurate HCBS authorization
...
CMS SNF Provider Preview Reports- Now Available
CMS Skilled Nursing Facility Provider Preview Reports have been updated and are now available. Providers have until November 30, 2018 to review their performance data on quality measures based on Quarter 2 -2017 to...