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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For more information on this meeting, contact Steve Poage (spoage@kha-net.org) or Ronni Anderson (kanderson@kha-net.org) at (785) 233-7436.
Please join us for a Noon Briefing on Wednesday, Aug. 15, when we will unveil these new forms and provide instructions on how to complete them. Speakers for this webinar include Deborah Stern, senior vice president of clinical services and general counsel, KHA Anne Kindling, former manager of risk management, Stormont Vail Health Kendra Baldridge, director bureau of community health systems, KDHE and Jim Perkins, director health facilities, KDHE.
Please join us for a webinar hosted by the Kansas Hospital Association and the Kansas Medical Society on Thursday, Aug. 16 from 3:00 until 4:00 p.m. to hear from Aetna staff regarding their plans for contracting with providers, networks, credentialing, outreach, and other critical topics important to the successful implementation of their new health plan into KanCare.
For more information, contact Ronni Anderson at (785) 233-7436 or kanderson@khsc.org.
This seminar will be appropriate for any board member or hospital administrator, and will be offered six times for convenience, each seminar will cover the same material.Locations and Dates:Wichita - June 27Garden City - June 28Parsons - July 19Topeka - Aug. 17Salina - Oct. 17Colby - Oct. 18