Robert (Bob) Bethel Joint Committee on
Home and Community Based Services and KanCare Oversight
Date: August 26 and 27, 2019
Place: 548-S; State Capitol Bldg
Joint Committee Information
Agenda to follow
KanCare Amerigroup Contract Update
The State of Kansas contract with Amerigroup expired December 31, 2018. Amerigroup maintained a local office until 3/31/19 to assist with the transition out of the Kansas market. As of 4/1/19, all Kansas emails and phone numbers are no longer in service. You must call the national provider assistance line, 1-800-454-3730 for assistance.
Providers have an on-going contractual relationship which survives the KanCare contract termination. Providers should use the terms of that contract for resolution of any issues or disputes. Depending upon the contract, normal provider disputes would follow the reconsideration, appeal and fair hearing pathway to resolve issues. Important to note, Amerigroup will consider a group appeal for the same issue. Please see the claims appeal form on the website below for instructions on how to do multiple claim appeals.
Please look at the bottom of the following website for Amerigroup guidelines, as well as any forms which may be required:
https://www.kancare.ks.gov/providers/health-plan-information
If you have followed these procedures and still need assistance, email KanCare at KDHE.KanCare@ks.gov with appeal/fair hearing information, the amount in dispute and a description of the issue.
KanCare
2.0 Implementation Rapid Response Calls
To ensure that implementation of KanCare 2.0 went smoothly and to hear about any issues that were emerging early on, KDHE and KDADS held weekly implementation rapid response calls. The calls occurred on Thursdays at 9:00 AM, until April 25th, 2019. State staff, MCO staff, and other contractor staff were on the line to provide updates and announcements and take questions from stakeholders about anything related to implementation.
Call Recording and Transcripts: (click for transcript and recording)