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
Discussion of activities for SHIP-eligible hospitals
For more information, contact Healther Fuller, MS, FACHE, at hfuller@srhc.com or (785) 452-6102.
Discussion of quality issues for CAHs
For more information on this meeting, contact Dee Dee Dewell at deedee.dewell@ascension.org or (316) 858-4988.
For more information regarding this meeting, contact Sarah Gideon, Executive Director, (785) 354-6137 or sgideon@stormontvail.org.