KanCare administration organizations extending transition period for providers

02/16/2013 10:16 AM

02/16/2013 11:39 AM

The three managed care organizations that are administering the state’s privatized Medicaid program, KanCare, will extend the transition period for providers who are actively engaged in the contracting process, according to a statement by Kari Bruffett, director for the division of health care finance at the Kansas Department of Health and Environment.

KanCare launched Jan. 1.

While the state does not intend to automatically extend the 90-day transition period, it has “secured assurances from each KanCare plan that they will continue to treat providers as in-network, even beyond the initial 90 days,” Bruffett said.

Last week, physician groups requested an extension beyond the beginning of April so that Medicaid recipients can continue to see their current physicians and physicians can receive full reimbursement.

In a recent letter to Dr. Susan Mosier, director of Medicaid services at the Kansas Department of Health and Environment, representatives from the Kansas Medical Society and the Kansas Medical Group Management Association expressed concerns about the short time frame, citing notifications from several physician groups that had experienced delays and errors while contracting with the new MCOs.

“We’re not unhappy with the program or the transition because the agency and the MCOs are working hard to address concerns. … We just think the additional time would be helpful,” said Jerry Slaughter, executive director of the Kansas Medical Society, in an interview.

Jon Rosell, executive director of the Medical Society of Sedgwick County, said that major transitions such as the one to KanCare take time, but the “extension would provide an opportunity to make sure patient care is provided in a smooth and efficient way.”

Out-of-network physicians who are not contracted receive reimbursement for Medicaid recipients at a 90 percent rate.

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