There are several issues that are facing Targeted Case Management (TCM) Services in Kansas for our families receiving Intellectual and Developmental Disability (I/DD) services. When the state shared that they have heard our families and have assured them that they can keep their case manager, they didn’t share that they would cut the rate of Targeted Case Management to a level that will make it almost impossible for agencies to continue to provide the services. Continue reading
The state sent out notifications on 9/12/14 to 100 people on the waiting list stating they can now access services! They must reply with just two weeks, by 9/26/14. Continue reading
Below is official communication from Sunflower Health sent on September 9 to service providers.
“Sunflower Health Plan has received requests from Targeted Case Management providers for units above the TCM benefit limit. Sunflower intends to enforce the state-established limit of 240 units per year but will review exception requests for consumers with the most complex needs. Sunflower will note denial reasons in the TCM PA system. Continue reading
Insurance companies drop $73M in first half of 2014 after $110M loss in 2013
By Andy Marso
KHI News Service
Sept. 9, 2014
TOPEKA — The three private insurance companies that administer the Kansas Medicaid Continue reading
Attorney general’s report echoes challenges in other states with managed care organizations
Switch to KanCare complicates Medicaid fraud detection
By Andy Marso KHI News Service Aug. 29, 2014
TOPEKA — The state’s privatization of Medicaid is complicating efforts to detect fraud and abuse, according to a recently released report from Kansas Attorney General Derek Schmidt’s office. Continue reading
Wichita Eagle, August 13, by Bryan Lowry, Eagle Topeka Bureau
None of the state’s KanCare providers hit the state’s benchmark for timeliness in claims processing during any month in 2013, according to an August report from the Kansas Department of Health of Environment.
The state set a goal to have 100 percent of clean claims processed in 20 days and 100 percent of all claims processed in 60 days. The state’s three KanCare providers — Amerigroup, Sunflower Health and United Healthcare — failed to meet that benchmark for all 12 months of 2013, according to the KanCare executive summary released this month. Continue reading
Since I am new to KanCare I will be watching how things are going.
From the Wichita Business Journal dated June 30, 2014 Continue reading