KanCare FAQs

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KanCare FAQs
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Are the Medicaid managed care organizations allowed to reimburse non-contracting providers for ED services below the Medicaid FFS rate?
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.
The CMS letter, SMDL #06-010, can be found at: http://new.dhh.louisiana.gov/assets/docs/Making_Medicaid_Better/Resources/LHA_Response/SMD06010_Non-contracted_ER_3-31-06.pdf
Informational webinar about the Efficient Revenue Cycle Processes Project
For more information regarding the AHA Regional Policy Board Meeting, contact Amy Fluke at afluke@kha-net.org or (785) 233-7436.
For more information, contact Healther Fuller, MS, FACHE, at hfuller@srhc.com or (785) 452-6102.
For more information regarding this program, contact Audrey Dunkel (adunkel@kha-net.org) or Dee Lewis (dlewis@kha-net.org) at (785) 233-7436.