Provider Grievances

The provider or their authorized representative may submit a provider grievance either orally or in writing. The contractor cannot require a written form from the provider or their representative for a grievance.

To submit a managed care grievance by telephone call:

• Aetna: 1-855-221-5656                     
• Sunflower: 1-877-644-4623 TYY 711
• United: 1-877-542-9235

To submit a managed care grievance by fax send to:

• Aetna: 1-833-857-7050              
• Sunflower: 1-888-453-4755     
• United: Not Available

To submit a managed care grievance by mail send to:

• Aetna            

  Appeal and Grievance Department

  9401 Indian Creek Parkway                

  Suite 1300                             

  Overland Park, KS 66210

• Sunflower   
  Sunflower Health Plan Quality Department
  8325 Lenexa Drive
  Lenexa, KS 66214
• United   

  United Healthcare Attn: Formal Grievances and Claims Appeals
  PO Box 31364
  Salt Lake City, UT 84131-0364

To submit a managed care grievance in person go to:

• Aetna    

• Sunflower   

• United:

No specific grievance form is required when submitting a provider grievance.

Yes, a provider or their authorized representative must submit a provider grievance within 180 calendar days of the date of the incident being grieved.

The MCO shall sent the letter of grievances acknowledgement to the beneficiary, member or their authorized representative within 10 calendar days from the date of receipt.

98% of all grievances must be resolved in 30 calendar days. 100% of all grievances must be resolved in 60 calendar days. 

All notices containing the grievance resolution decisions shall be in writing.

The contractor shall send the notice of provider grievance resolution to the provider within five (5) business days following the date of resolution of the grievance.

The provider or their authorized representative may submit a provider grievance either orally or in writing. The contractor cannot require a written form from the provider or their representative for a grievance.

• To submit a FFS grievance by telephone call:
  1-800-766-9012 – Members
  1-800-933-6593 - Providers
• To submit a FFS grievance by fax send to:

  785-267-7687

• To submit a FFS grievance by mail send to:
  KMAP/Kansas Medicaid Fiscal Agent
  Grievance and Appeals Team
  P.O. Box 3571
  Topeka, KS  66601-3571

No specific grievance form is required when submitting a provider grievance.

Yes, a provider or their authorized representative must submit a provider grievance within one hundred and eighty (180) calendar days of the date of the incident being grieved.

• The FFS grievance shall be resolved within 30 calendar days of receipt of the grievance from the FFS provider.
• The resolution of the grievance shall be communicated to the FFS provider by telephone or letter.