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Frequently Asked Questions
Providers Frequently Asked Questions
How do I bill when maternity care spans over multiple MCOs?
Can providers still contact the State for help or to ask questions?
Do I submit claims to the three health plans or continue to submit them to the State’s MMIS?
Do providers have any input into how KanCare operates?
What are providers’ options to file a grievance or appeal?
Are the MCOs incentivizing mail order pharmacy?
Does each MCO have its own preferred drug list (PDL)?
Does each MCO have different medical necessity requirements?
Do all three MCOs have the same prior authorization requirements?
If a claim is denied by a health plan, can I bill fee-for-service Medicaid?
What is a “clean claim”?
What if the health plan doesn’t pay my claim quickly?
If I don’t sign up with any MCO, can I still be a Medicaid provider?
What if I don’t sign a contract with one of the MCOs?
Were any consumers excluded from KanCare? I cannot find a health plan assignment for one of my consumers.
How should providers bill for inpatient stays? What if the payer changes during an inpatient stay?
Who do I call if I have questions?
Links to Other FAQ Pages
Frequently Asked Questions During 2012-2013 Medicaid Reforms
Consumer FAQs
Notice of Privacy Practices
KDHE Notice of Privacy Practices