Health Plan Information

The State has selected three health plans, or managed care organizations (MCOs), to provide services to Medicaid consumers in the KanCare program.  More information about each plan and how to contact them is below.

Aetna logo small

1-855-221-5656

  • Website
  • Email
  • Multi-language interpreter services
    English: To access language services at no cost to you, call 1-855-221-5656.

Sunflower Health Plan Logo

1-877-644-4623

  • Website
  • Email
  • Interpretation Services Information:
    Call our Customer Service Department to arrange
    for an interpreter, 1-877-644-4623.

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1-877-542-9235

SUBCONTRACTORS

The KanCare health plans partner with subcontracted organizations to help in providing certain sets of services. The table below includes information about which organizations are working with the KanCare health plans.
KanCare Health Plans Subcontractors

Behavioral Health

MCO Subcontractors

Dental Services

MCO Subcontractors

NEMT Services

MCO Subcontractors

PHARMACY BENEFITS MANAGER (PBM)

MCO Subcontractors

VISION SUBCONTRACTORS

MCO Subcontractors

AMG Information

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.


MCO Subcontractors

Health Plan Highlights 2019

KanCare health plans are required to offer all the same Medicaid services to beneficiaries that were offered prior to the start of KanCare. Additionally, each of the health plans offer some extra (value-added) services to consumers at no cost to the State. Providers who supply these services to consumers can contact each of the KanCare plans with specific questions. A list of all the value-added services offered by KanCare plans is shown in
2019 Value Added Services - English 
2019 Value Added Services - Spanish.