KanCare FAQs

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KanCare FAQs
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The most significant change associated with the Kansas Medicaid program is the movement to a full managed care model.
The State issued the KanCare RFP on November 9, 2011.
According to the State, savings in Kansas will be achieved by reducing the number of people who are being kept in institutional settings unnecessarily, by decreasing repeated hospitalizations, by better managing chronic conditions and by coordinating each individual's overall care.
Over five years, the state expects to reduce growth in Kansas Medicaid spending by 8-10 percent.
The contracts stipulate that providers must be paid within 30 days or KanCare companies will face significant financial penalties.
Yes, the KHA Board of Directors has formed a special task force consisting of representatives of hospitals from each region of the State and from all sizes to identify a set of criteria the administration should consider under a reformed Medicaid program.
The five KanCare finalists are:
According to the RFP, an MCO’s provider network must be adequate to meet the following requirements regarding access to care for hospitals:
According to agency officials, the savings in Kansas will be achieved:
KHA has created a dedicated Web page to place resources, such as FAQs, regarding the KanCare program.
It is anticipated that legislation will be adopted that will create a legislative oversight committee on the KanCare program.
According to agency officials, the MCOs will be required to reimbursement critical access hospitals at an amount that is equivalent to cost-based reimbursement.
KHA has reached out to the state as well as to the nursing home associations to determine what impact, if any, KanCare will have on the program.
Yes, according to a March 31, 2006 letter (SMDL #06-010) from CMS to State Medicaid Directors, CMS indicated that states could pay “up to” the Medicaid FFS rate.
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