KanCare problems continue for providers

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Hospitals and other providers under the state’s KanCare program updated the KanCare Legislative Oversight Committee at a hearing Monday, saying that “reimbursement challenges have resulted in difficulties in receiving accurate KanCare payment claims.”

Beginning on January 1, 2013, virtually all of the 380,000 Medicaid enrollees were moved to MCO plans run by Amerigroup, UnitedHealthcare and Sunflower State Health Plan, a subsidiary of Centene.

Last week, the KHI News Service reported that Kansas Cavity Free Kids, which provided regular dental cleanings, fluoride varnish and sealants from dental hygienists in Head Start classrooms, was effectively shut down after the launch when UnitedHealthCare chose not to authorize payments for teeth cleaning performed at Head Start.

Kathy Hunt,  the Head Start official who coordinated Kansas Cavity Free Kids and a member of the Kansas Dental Charitable Foundation’s Board of Directors, testified about the problem at the first meeting of the Legislative KanCare Oversight Committee.  Dr. John Fales also provided testimony at the October 7th meeting on the problems his office was experiencing with KanCare.

Timothy Spiker, chief executive of UnitedHealthcare addressed the Head Start issue on Monday saying there has been communications with the Head Start Association and they are wring to ensure that coverage is in place for those services.

 

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