KanCare Ombudsman Office Grievance

This process is for applicants, members or their authorized representative who have been in contact with the KanCare Ombudsman Office and are dissatisfied with the help they have received.

For grievances regarding eligibility, managed care organizations (Aetna, Sunflower, United), Fee for Service (FFS), and providers go to Appeals, Hearings & Grievances (ks.gov) for assistance.

What is a KanCare Ombudsman Office grievance?

It is an expression of dissatisfaction about contact with the KanCare Ombudsman Office.  It is NOT an expression of dissatisfaction regarding eligibility, managed care organizations, FFS services, or providers.

Examples of a KanCare Ombudsman Office grievance might be:

• Concerns about help or resources provided by the KanCare Ombudsman Office employee or volunteer
• You are unhappy with customer service during your contact with the KanCare Ombudsman Office, for example: failure to respect a person’s rights and dignity during contact.

How do I submit a KanCare Ombudsman Office grievance?

The applicant, member or their authorized representative may submit a grievance in writing to  kdhe.KanCare@ks.gov. You can also call 785-296-8903.  This phone number is only to be used for a grievance against the KanCare Ombudsman Office or the state.

Is there a KanCare Ombudsman Office grievance form?

No specific form is required when submitting a KanCare Ombudsman Office grievance.

Is there a deadline for filing a KanCare Ombudsman Office grievance?

No. An applicant, member or their authorized representative may submit a grievance at any time.

What is the process once the grievance has been submitted?

Kansas Department for Health and Environment/Health Care Finance will send a letter of grievance resolution to the applicant, member, or their authorized representative within 30 calendar days following the date of resolution of the grievance.