KanCare & Medicaid

Overview

The Division of Health Care Finance (DHCF) is responsible for purchasing health services for children, pregnant women, people with disabilities, the aged, and the elderly through the Medicaid program, the Children's Health Insurance Program (CHIP), and the state-funded MediKan program. On average, about 360,000 Kansas are enrolled in these programs each month.

Health services are purchased through either a managed care model or a fee-for-service model. The KanCare program is the State of Kansas' managed care program. KanCare is provided to all Medicaid and CHIP consumers. Kansas has contracted with three health plans, or managed care organizations (MCOs), to coordinate health care for nearly all beneficiaries. The KanCare program began in January 2013. The KanCare health plans are Aetna Better Health of Kansas (Aetna), Sunflower State Health Plan (Sunflower), and UnitedHealthcare Community Plan of Kansas (United). For more information about KanCare, please visit the KanCare website.

In the fee-for-service model, the State pays the provider directly for medical services. The following Kansas programs are not in KanCare and are paid through the fee-for-service model.

Program Descriptions

Featured Information

Many people with disabilities want to work but worry that doing so could jeopardize their vital health and long-term care coverage. Working Healthy offers people with disabilities who are working or interested in working the opportunity to get or keep Medicaid coverage while on the job. Through Working Healthy people can earn more, save more, achieve their career goals, and still maintain their health coverage.

• Background on Medicaid and CHIP
• Eligibility Guidelines
• Historical Program Information

Announcements

Citizenship and Identity Verification for Federally Funded Medical Benefits: Are you applying for federally funded medical benefits? If so, the following links will inform you more about federal requirements for applications that were added in July 2007.

• Fact Sheet
• Federally Funded Medical Benefits Federal Citizenship Requirements (PDF)
• Center on Budget Policy and Priorities report on Medicaid citizenship documentation requirement
• Local Education Agencies Frequently Asked Questions (PDF)
• Hospital Payments: Transition to MS-DRGs - January 2009 (PDF)
• Disproportionate Share Hospital (DSH) Program - May 2008
• Providers Address for Claims and Refunds (PDF)

Section 6032 of the Deficit Reduction Act (PDF) - KMAP Providers and Entities who make or receive $5 million or more in annual KMAP payments are subject to the provisions of Section 6032 of the Deficit Reduction Act. This Provision relates to "Employee Education About False Claims Recovery."

Medicaid Subrogation

For assistance with Medicaid Subrogation (KSA 39-719a claims), please contact Health Management Systems (HMS) Kansas Estate Recovery Contractor via email or phone at 800-817-8617 or fax at 785-271-9318.