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A set of 37 historical documents provided by the Kansas Department of Social and Rehabilitation Services and its predecessors with resources and information on various programs and services.

"The purpose of this memorandum is to provide the Managed Care Organizations (MCO)s with guidance on processing post-MFP transitions until the MFP Sustainability Plan and policies necessary to implement the approved plan are vetted and approved. Until the aforementioned policies are approved and implemented, requests received on or after July 1, 2017 involving individuals who wish to transition from an institutional setting to a community-based setting will be approved through the applicable waiver program manager as outlined below. This process will be utilized to process, monitor and track the status of these transitions."

Presentation before the Kansas Legislature, Robert G. (Bob) Bethell KanCare Oversight Committee, by the KanCare Program, Kansas Department of Health and Environment.

Presentation concerning HCBS caseloads, the 7 HCBS waiver programs, and other programs available to those individuals with disabilities and older Kansans who need services in their home, services in their community or nursing facility care through KanCare, as managed by the Kansas Department of Aging and Disability Services.

Presentation concerning Medicaid and KanCare, giving an overview of Medicaid, its coverage and cost, the difference between Medicare and Medicaid, the Federal Medical Assistance Percentage, what flexibility states have, the Medicaid State Plan, KDHE's role in Kansas Medicaid, and who uses Medicaid in Kansas, along with KanCare goals, statistics, costs, and the use of waivers and MCOs.

Presentation concerning the integration of HCBS services in order to improve the quality of care provided to persons with various disabilities in the KanCare Medicaid program.

"The purpose of the FMS Provider manual is to: 1. Explain how providers are enrolled and qualified to provide services; 2. Establish the standards that each provider must meet; 3. Identify acceptable methods to document compliance with the standards; and 4. Describe the review process used to determine the provider's initial and ongoing compliance with these standards."

Presentation discussing the issues of health homes, behavioral health drugs, financial allotments, program changes, pilots and projects within the KanCare program and the KDHE Division of Division of Health Care Finance, and giving statistics on Medicaid costs and utilization.

Presentation giving an overview of the Medicaid and State Children's Health Insurance programs, both nationally and within Kansas, and discussing some of the various issues involved with these programs.

Presentation discussing the KanCare program, specifically the progress of the Intellectual and Developmental Disabilities program's transition into the KanCare program, along with some statistical data on the Home and Community Based Services plan of care and the agency's current efforts to manage waiting lists for services.

Presentation discussing the KanCare program and its transition into the Kansas Department for Aging and Disability Services.

Presentation giving a comprehensive overview of the KanCare program within the Kansas Department of Health and Environment.

Presentation discussing various aspects of the KanCare program and the services that it provides.

Presentation regarding the progress of the privatization of the KanCare program in Kansas by using managed care organizations, with added information highlighting Aging and Disability Resource Centers (ADRCs) and Intellectual/Developmental Disability services.

Presentation regarding the progress of the privatization of the KanCare program in Kansas by using managed care organizations.

The Centers for Medicare and Medicaid Services (CMS) requires Medicaid programs to reimburse for professional services on behalf of their beneficiaries. This report will focus on three provider types: physicians, advanced registered nurse practitioners (ARNPs), and physician assistants (PAs) and the professional services they provide. Services are delivered in a variety of settings and include preventive care, well child services, and treatment for illnesses, chronic diseases, and traumatic injuries. This report targets cited professionals delivering services to Medicaid beneficiaries through Fee for Service Programs (FFS). All three provider types are able to bill Evaluation and Management Codes, or E & M codes, write prescriptions, and must enroll and bill independently. Mid-level practitioners, however, provide a more limited range of services when compared to physicians and are subject to a reduced payment, receiving 75 percent of maximum rates.

Rehabilitative therapy services are optional Medicaid services which include physical therapy, occupational therapy, and speech and language therapy services. Rehabilitative therapy services are provided following an injury or illness to restore functional status. For example, rehabilitative therapy services may be provided following an illness in an attempt to restore strength and endurance. These services may also be provided after a traumatic injury such as a broken hip or a cerebrovascular accident (CVA). The objective in both examples would be to restore the individual to their pre-illness or pre-injury functional ability. In extreme cases the focus would be to assist the individual in performing basic activities of daily living (ADLs) such as feeding, dressing and bathing.

Kansas Medicaid maintains an out-of-state program for situations which require a Kansas Medicaid beneficiary to receive services in another state. The out-of-state program, described in this review, includes only those services provided to individuals enrolled in the fee for service program. The Managed Care contractors manage the out-of-state services provided to the HealthWave population.

The primary purpose of prior authorization (PA) is to facilitate cost containment by ensuring fee for service (FFS) medical services provided to Medicaid/HealthWave beneficiaries are medically necessary and cost effective. This is accomplished by identifying, researching, and reviewing designated procedures or services, and implementing measures to promote performance and reimbursement of services considered to meet the specified criteria set forth by KHPA.

HealthConnect Kansas (HCK) is a primary care case management program established in 1994 to provide Medicaid beneficiaries increased access to quality care and continuity of service, while controlling costs for specialty care. Case management was instituted by contracting with Primary Care Case Managers (PCCMs) to provide primary care to HCK members and coordinate their specialty care.

Testimony to review on-going chronic care management initiatives at KHPA and discuss the medical home initiative in particular.

Testimony giving an overview of the HealthWave Program's history, the services it provides, and it's goals for the future.

PowerPoint presentation giving an overview of KHPA's goals, initiatives and programs with regard to health care reform in Kansas.

Packet of reference materials to provide additional detail on several of the the issues and initiatives that were discussed in testimony given by Connie Hubble and Dr. Marcia Nielsen, as well as the testimony given by Dr. Andrew Allison, both of which were presented at the May 31, 2007 meeting of the Joint Committee on Health Policy Oversight.

Testimony to provide an update on several major initiatives and issues in Medicaid, the State Employee Health Benefits Plan (SEHBP), and other KHPA programs.

Testimony "regarding the Community Health Record pilot project in Sedgwick County and various e-prescribing projects that the Kansas Health Policy Authority is working on."

Testimony to review billing and payment practices of EDS as the Medicaid fiscal agent.

"It has been the intent of Medical Policy/Medicaid to bring the Title XIX and Title XXI programs together into what we have termed a blended program. The goal was to provide medical services in a capitated managed care format. The reasons for this are two fold. First, the Title XXI legislation mandated the provision of services be in a capitated managed care format. Second it is our belief that managed care organizations are able to provide an organized system of care that cannot be provided in a fee for service model."

"SRS seeks to improve the quality, access and cost effectiveness of health care provided to eligible persons through managed health care solutions, while recognizing and preserving individuals rights and dignity. Since the adoption of Senate Bill 119 (K.S.A. 39-7,111), SRS has begun to develop the managed care program and project outlined by the 1993 Kansas legislature. The program's mission statement, goals, and objectives are outlined in this fact sheet."

"This paper will discuss the issues to consider when choosing the rural county to be included in the managed care pilot project."

"The Kansas State Medicaid program must be reformed in order to ensure its long term viability and to protect the state's ability to finance health care services for its aged, disabled and poor citizens."

"The Kansas State Medicaid program must be reformed in order to ensure its long term viability and to protect the state's ability to finance health care services for its aged, disabled and poor citizens."