KanCare Renewal Consumer Input Meetings June 14, 17, 19, 20, 26, 28, and 29 Topeka, Kansas City, Dodge City, Hays, Wichita & Pittsburg KanCare Renewal Meetings Now Feedback before writing the application o Information from members and providers on ideas for improvement Fall meetings Feedback on application Information from these meetings will be posted to the KanCare website as soon as possible 2
KanCare Renewal Consumer Input Meetings KanCare Multi-Year Renewal We will renew the program, beginning January 1, 2019 Renewal would run for at least five years Plan to submit renewal application by end of 2017 We want your input for the renewal application 3 KanCare Renewal Consumer Input Meetings KanCare Multi-Year Renewal
Process 4 Conduct Renewal Public Meetings May 2016 and June 2017 Develop Draft Renewal Application Summer 2017 Post Application for Review and Public Hearings
Fall 2017 Renewal Application Submitted to CMS November 2017 CMS Public Notice & Consultation With State Throughout 2018 CMS Decision & Special Terms and Conditions Issued By 12.31.18
KanCare Renewal Consumer Input Meetings KanCare One Year Extension Started on January 1, 2013 Five-year waiver demonstration approved by the Centers for Medicare and Medicaid Will submit application for one-year extension (no changes) this summer: Services and eligibility remain the same Same Managed Care Organizations (MCOs) and providers One-year extension begins January 1, 2018 We will have meetings July 6 & 7 about the extension 5 KanCare Renewal Consumer Input Meetings
KanCare One Year Extension- Process 6 Conduct Extension Public Meetings March 2017 Develop Draft Extension Application June 2017 Post Application for Review June 2017 Public Hearings
July 2017 Extension Submitted to CMS July - August 2017 CMS Public Notice & Consultation With State July- August 2017 CMS Decision & Special Terms and Conditions Issued August 2017 KanCare Renewal Consumer Input Meetings
KanCare Now KanCare is the name of the Medicaid and Childrens Health Insurance Program (CHIP) in Kansas Created to: Provide better care Improve health Offer extra services 7 KanCare Renewal Consumer Input Meetings KanCare Serves More than 400,000 people Well over half are children
About 25% are elderly or people with disabilities Seven different groups receiving Home and Community Based Services People with mental health or substance use disorders People in nursing homes 8 KanCare Renewal Consumer Input Meetings Current KanCare Beneficiaries
9 Children Pregnant Women Individuals with disabilities (physical, intellectual, developmental) Technology assisted children
Children with autism Frail elderly Able-bodied parents/caretakers under 38% FPL Individuals with traumatic brain injury Individuals with severe emotional disturbance Individuals with breast and cervical cancer Individuals with HIV and AIDS KanCare Renewal Consumer Input Meetings KanCare Benefits for Kansas Added new services (Weight loss surgery, heart and lung transplants, and Value Added Services) 2013 through 2016
Total members getting value added services Combined three KanCare MCOs 10 1,069,652 Total units of value added services provided
1,908,783 KanCare Renewal Consumer Input Meetings Total value of value added services provided $18,831,782 KanCare Multi-Year Renewal Topics to Discuss Continued improvement in care coordination
Value Added Services How Managed Care Organizations (MCOs) communicate with you 11 KanCare Renewal Consumer Input Meetings Care Coordination Care coordination : Makes sure you get the right services at the right time Teaches you about your conditions and how you can help yourself be healthier Helps when you are discharged from a hospital or care facility
Helps you reach your health goals with the help of your family or other helpers and caregivers Makes sure you get other services and supports you need to stay in your home 12 KanCare Renewal Consumer Input Meetings MCO Care Coordination When we renew the program, we want to make sure: Care coordination is provided to those who are supposed to have it Everyone knows who their care coordinator is and what care coordinators do Those who have care coordinators can reach them when needed
Care coordinators are there to help when you leave a hospital or nursing home or begin receiving home and community based services 13 KanCare Renewal Consumer Input Meetings Questions to Consider How has care coordination worked for you? What would you like to improve about care coordination? 14
KanCare Renewal Consumer Input Meetings Value Added Services The Managed Care Organizations (MCOs) offer extra services now, like pest control, dental cleanings and extra respite care Many people have used these services, but there may be others that would be more useful When we renew KanCare, we will ask MCOs to offer extra services We want to make sure they offer extra services you can use 15 KanCare Renewal Consumer Input Meetings
Questions to Consider Which extra services have been or would be most helpful to you? What new ones would you like to see? 16 KanCare Renewal Consumer Input Meetings MCO Communication Each year after you choose which MCO you want, you are sent information about how they can help you Your MCO also sends you special papers during the year about how to be healthy, how to get services,
and when your services change You can call your MCO to ask questions or get information you need about your services 17 KanCare Renewal Consumer Input Meetings Questions to Consider Do you understand information your MCO sends you? Is it easy to get questions answered when you call your MCO? How can your MCO communicate better with you? 18
KanCare Renewal Consumer Input Meetings KanCare Other Questions or Comments What else do you want us to hear today? 19 KanCare Renewal Consumer Input Meetings KanCare Multi-Year Renewal - Input E-mail: [email protected] Mail:
KanCare Renewal c/o Becky Ross KDHE-Division of Health Care Finance 900 SW Jackson, LSOB 9th Floor Topeka, Kansas 66612 20 KanCare Renewal Consumer Input Meetings KanCare Multi-Year Renewal - Input Public hearings will happen this fall, once a draft of the application is done and posted for review Please check for updates at www.KanCare.ks.gov
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