The Kansas Department of Health and Environment today posted a Request for Proposal (RFP) for managed care organizations who are interested in contracting with the State of Kansas to administer the new, enhanced KanCare 2.0 Medicaid program.
“KanCare is a model for other states, leading the country with innovative changes to traditional Medicaid,” said Lt. Governor Jeff Colyer, M.D, “In this newest version, we have put together a program that will produce measurable outcomes for members, including a focus on social determinants of independence, better long-term care for those with disabilities, and better acute care,” said Dr. Colyer.
Lt. Governor Colyer, along with a group of dedicated healthcare administrators, legislators, and other key stakeholders, worked tirelessly listening and collaborating with members and providers and managed care organizations to improve the current KanCare program.
“The collaboration and open dialogue with the KanCare Process Improvement Working Group and others has resulted in numerous beneficial changes to the program,” said Dr. Colyer. “KanCare 2.0 will have improved care coordination for members and simplified billing requirements for providers, which means we can help more people achieve better health with less unnecessary and time-consuming red tape.”
Jon Rosell, Executive Director of the Kansas Medical Society, added his enthusiasm for the results achieved by the KanCare Process Improvement Work Group:
“Under Dr. Colyer’s leadership the KanCare Process Improvement Work Group has identified a series of issues and solutions that will lead to improved care and system enhancements which will benefit patients and providers alike. The Kansas Medical Society looks forward to continued participation in the process of improving the effectiveness and efficiency of the KanCare program.”
Representative Dan Hawkins also participated in the working group and agrees that significant improvements to KanCare came about as a result of the group’s work.
“Before the working group was formed we were simply going in circles, never really solving problems,” Hawkins said. “Providers constantly struggled with reimbursements and prior authorization. The KanCare improvement group allowed us to come together in a collaborative fashion and solve problems once and for all.
“Do we still have challenges and opportunities, sure we do. But now we have a venue where each challenge can be examined, and the best possible solution obtained. We have a path for future success. I thank Lt. Governor Colyer for his leadership in this improvement process.”
KDHE Secretary Dr. Susan Mosier says the improvements in KanCare 2.0 help members with more than just visits to the doctor’s office.
“KanCare members will be able to receive more tailored, comprehensive care than ever before,” said Dr. Mosier, “We have met with and listened to our KanCare members and advocates to address not only their health needs, but also their goals of becoming independent and living a better life.”
To help KanCare members achieve those goals, the program includes a work requirement for those who are able, as well as increased employment opportunities for members who have disabilities or behavioral health conditions. Studies show that work is generally good for physical and mental health and well-being.
The Temporary Assistance to Needy Families (TANF) program in Kansas has a similar work requirement as the one being put in place by KanCare 2.0. It has been successful at increasing the number of Kansans with new jobs. From January 2011 through June 2017, 43,975 new employments were reported for TANF clients.
The evolution of the current KanCare program into KanCare 2.0 will provide increased opportunities for more Kansans to better their health and quality of life in measurable ways. KDADS Secretary Tim Keck feels the additions and changes made in KanCare 2.0 will be a benefit to all its members.
“KanCare 2.0 will strengthen the way we provide services and supports to individuals with disabilities and individuals with mental illness, so they can continue to live successfully in the community,” said Keck.
Dr. Colyer adds that the process of selecting the managed care organizations (MCOs) to help run KanCare 2.0 will include a rigorous review process with an expectation of accountability and results.
“We will expect outcomes from our MCOs for KanCare 2.0, because we truly care about the health of Kansans, and feel that with proper execution of this program we will be able to help many people gain the independence they desire, as well as a better quality of life.”
The full text of the RFP can be found at: http://admin.ks.gov/offices/procurement-and-contracts/bid-solicitations