This week, the Kansas Department of Health and Environment hosted the first two meetings in their series of public forums for the discussion of the State’s proposed renewal of the KanCare program. The renewal of KanCare is designed to continue the program for an additional five years, from Jan. 1, 2019, through Dec. 31, 2023. During the meetings, KDHE asked participants for input concerning the inclusion of some value-based performance measures in the new program, recommendations on how to reduce the administrative burden for providers, as well as input on educational tools and resources important for providers. Besides the public forums hosted this week in Topeka and Olathe, there are additional forums scheduled for June 19 in Dodge City, June 20 in Hays, June 28 in Wichita and June 29 in Pittsburg. Details regarding the meetings can be found in the Kansas Medical Assistance Bulletin 17130 and on the KanCare Renewal website.
In addition to providing input through these public forums, written comments may be submitted from June 14 through Oct. 15, 2017, either through email at firstname.lastname@example.org or by postal mail to: KanCare Renewal, c/o Becky Ross, KDHE-Division of Health Care Finance, 900 SW Jackson, LSOB – 9th Floor, Topeka, Kansas, 66612.
There will be a second set of meetings in the fall of 2017 to collect formal comments about the waiver renewal application the State intends to submit to the Centers for Medicare & Medicaid Services. KDHE indicates they plan to submit the renewal request on Nov. 1, 2017.
Public Notice and Comment Period on KanCare Extension
KDHE has scheduled public hearings regarding the State's proposed one-year extension of the current KanCare program, from Jan. 1, 2018, through Dec. 31, 2018, and to provide comments about the application process. The public hearings will be July 6 in Overland Park and July 7 in Wichita, followed by a conference call on July 10. The State has extended a public comment period from June 8 through July 10, 2017.
Information about the public hearings and how to submit written comments can be found in Kansas Medical Assistance Program Bulletin 17141. Other information about the KanCare extension request is available for public review on the KanCare website.
KHA Talking Points
The Kansas Hospital Association has shared the following priorities with KDHE leadership for KanCare:
- Decrease the administrative burdens for providers
- Standardization of provider enrollment and credentialing processes
- Reduction of and standardization of prior authorization requirements
- Strengthen claims encounter data
- Provide transparency on annual rate settings for Critical Access Hospital cost adjustment factors and inpatient DRG rates
- Ensure claims encounter data provided for Medicaid Disproportionate Share Hospitals and other programs is accurate
- Resolve on-going payment issues
- Medicare cross over claims
- Ensure transition to KanCare 2.0 is successful
- No more than three managed care plans
- If new a managed care organization is selected, ensure adequate transition time for contracting, network development and ramp up time
- Ensure continuity of service
KHA staff has met with representatives from two new plans, WellCare and Amerihealth Caritas, that have expressed interest in bidding on the request for proposal for the renewal of Kancare. We understand that Amerihealth Caritas also has circulated some letters of intent to providers requesting information to help them to demonstrate network adequacy during the bidding process. We will provide you with other updates as we become aware of them.
We encourage members to attend meetings and submit public comments on these issues or others of concern to you. If you have questions about the meetings, please contact one of the following KHA staff: Chad Austin at email@example.com; Tish Hollingsworth at firstname.lastname@example.org; or Audrey Dunkel at email@example.com.