The OCK population has been significantly expanded to include additional ICD-10 codes. Specifically, there are now more asthma, bipolar and schizophrenia ICD-10 codes, and major depressive was added as a Severe Mental Illness qualifying diagnosis. This population expansion will go in effect on 4/1/2021. As this population expansion falls on the start of the second year of the program, the first year of the program now has different parameters than the second and subsequent years of the program. Some items will no longer be applicable to the current program but will nevertheless remain on the website for historical purposes.

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Contracted OneCare Kansas Providers

The term “OneCare Kansas” refers to a new Medicaid option to provide coordination of physical and behavioral health care with long term services and supports for people with chronic conditions. OneCare Kansas expands upon medical home models to include links to community and social supports. OneCare Kansas focuses on the whole person and all his or her needs to manage his or her conditions and be as healthy as possible. All the caregivers involved in a OneCare Kansas member’s health communicate with one another so that all of a patient's needs are addressed in a comprehensive manner.

OneCare Kansas is intended for people with certain chronic conditions, like diabetes, asthma, or mental illness. These people must be KanCare members. They can be members who also receive Medicare along with Medicaid.

Approaches to OneCare Kansas

OneCare Kansas is the name that Kansas has given to their new health home program. There are three distinct types of health home approaches that are approved to provide health home (OneCare KS in our state) services:

1. A designated provider: May be a physician, clinical/group practice, rural health clinic, community health center, community mental health center, home health agency, pediatrician, OB/GYN, other.
2. A team of health professionals: May include a physician, nurse care coordinator, nutritionist, social worker, behavioral health professional (including mental health or substance use disorder providers), and can be free standing, virtual, hospital‐based, community mental health centers, etc.
3. A health team: Must include medical specialists, nurses, pharmacists, nutritionists, dieticians, social workers, behavioral health providers, chiropractors, licensed complementary and alternative medicine practitioners and physicians’ assistants

Each state chooses among these three options. Kansas has decided to use a team of health professionals (option 2) for OneCare KS.

Other Providers

The Role of Other Providers in OneCare Kansas

While a variety of providers could potentially qualify to be OneCare KS Partners (OCK Partners), some may not qualify and others may chose not to serve in this role. There are still roles for these providers, whether or not they are directly involved in a OCK member’s provision of care.

Other Providers in the state will work with OCK Partners in the following ways:

• Participating in the development and implementation of Health Action Plans
• Being involved in the development of discharge plans from inpatient or long-term care settings for OCK members.
• Participating in coordination and communication activities to ensure OCK members have positive health outcomes.
• Providing OCK materials and information to prospective OCK members.
• Making referrals of patients to OCK.

In addition, some providers may contract with OCK Partners to:

• Provide one or more of the 6 Core OCK services.
• Provide training to OCK Partner staff about physical or behavioral health conditions
• Assist OCK members in understanding and managing a chronic condition.

Resources for More Information

• OneCare Kansas Services
• Payment & Codes
• Informational Materials for Providers
• News & Events
• Planning Council Information
• Questions?

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