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Section 1115 Demonstrations: Kansas KanCare

The CMS Idea Factory is the tool by which CMS is gathering public comments on pending Section 1115 demonstrations. Please see the instructions below regarding how you can post a comment regarding a pending Section 1115 demonstration.

Section 1115 demonstrations, which enable states to test coverage and delivery system approaches in Medicaid and CHIP, have a significant and varied impact on Medicaid and CHIP beneficiaries, providers, States, Tribes, and local governments. The Centers for Medicare & Medicaid Services (CMS) values public input during the demonstration application Federal review process and has provided a platform for public submission of comments. Listed below is a description of the process and timelines for the Federal public comment process. For more specifics, please see the State Health Official (SHO) letter or regulation.

Once a State’s 30-day public comment period has ended, the State will submit an application to CMS. Within 15 days of receipt of the application, CMS determines whether the application is complete and will notify the State. If CMS determines that the application is complete, CMS will send the State written notice informing the State of receipt of the complete application, the date on which the Secretary received the application, and the start date of the 30-day Federal public notice period. If CMS determines that the application is not complete, CMS will notify the State of any missing elements in the application.

Each pending demonstration has a 30-day Federal open public comment period for the general public and stakeholders to submit comments. CMS will not act on the demonstration request until 15 days, at a minimum, after the conclusion of the public comment period. CMS will continue to accept comments beyond the 30-day period; however, CMS cannot guarantee that comments received after the 30-day comment period will be considered due to the need for a timely Federal response. Therefore, CMS strongly encourages comments to be submitted within the 30-day Federal comment period.

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  1. Review comments that have already been posted by searching or browsing.
  2. Concur with an existing comment by using the “Voting Function” to indicate your agreement with it. Alternatively, type a new comment and select a category for your comments. You have up to 10 concurrences (votes) that you can use to show that you concur with specific comments. You can use one concurrence at a time or you can use multiple concurrences for one comment. CMS does not measure public input or make decisions based on the number of comments or concurrences made, but your concurrence through voting helps inform our review of demonstration applications.You can use the additional space provided to describe your comments in more detail. There is a 5,000 character limit.
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Please note that CMS will review all comments, but the number of concurrences will not determine CMS’s policy. This is a moderated forum, and comments will not be posted immediately.

About the Kansas KanCare

According to information provided by the State, the State’s application is the first step in a two track process. The first track, which the State seeks to development and implement by 2013, is the creation of an integrated care coordination program, called “KanCare.” Under KanCare, the State will: (1) move nearly all Medicaid populations into managed care; (2) cover all services, including long term services and supports (LTSS), through managed care; (3) establish safety net care pools to reimburse hospitals for uncompensated care costs; and (4) create pilot projects that serve as alternatives to Medicaid. In addition, as part of a “second track,” the State seeks to discuss with CMS flexibility in services entitlements, service delivery regulations, and Medicaid eligibility, in exchange for fixed federal costs per capita in 2015.

Status: Pending New Demonstration Request, Open for public comment
Public Comment Period: Closed
Pending Documents

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  1. KanCare is in its Infancy

    The Kansas Medicaid Managed Care [KanCare] Program is in its infancy stage. There are numerous issues with billing, prior authorizations, coding issues, communication, etc. To include the most vulnerable group of Kansans’ LTSS into this system at this phase of the programs development is not at all a wise endeavor and should be avoided at this time to give the KanCare program a bit more time to mature and be in a far better position to absorb the services that individuals with Developmental Disabilities rely on all day, every day to manage tasks of daily living that the majority of…

    1 vote
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      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
    • KanCare is not needed. The current system is effective and efficient.

      KanCare is a cost saving effort plain and simple. THe talking point of providing better service and improved heath outcomes is a smoke screen. Long term services, employment issues (intervention, coaching, search), transportation, interpersonal // social skills, living // housing assistance...insurance companies have zero expertise in any of these critical areas. KanCare attempts to fix a system that is not broken.

      1 vote
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        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
      • 4 votes
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          0 comments  ·  Flag idea as inappropriate…  ·  Admin →
        • Choices limited for certain Medicaid individuals.

          Dr. Wendy Perryman
          2107 Henderson Rd
          Garden City, KS 67846

          September 27, 2012

          First, Kansas Medicaid recipients had to deal with Kansas’s money being outsourced to other states. Mainly Arizona and Massachusetts. This one move put many payroll corporations out of Medicaid business. This added up to hundreds of millions of dollars of Kansas’s money being shifted away form Kansas. Now Medicaid clientele are dealing with impersonal large corporate attitude and problems in communication not only between clients but also in amongst them selves.

          After, listening to one and a half hour teleconference I again have noticed some serious problems…

          5 votes
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            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
          • Concerned over state officials changing courses "midstream" in what they are telling families and providers, and children getting overlooked

            In glancing through comments, I do not see a specific mention of the issues that the KanCare transition will cause to the most medically fragile population. These are children from age 0 thru 21 who are on the Technology Assisted Waiver who without this benefit, would be institutionalized as they are on life-saving technology. With the TA Waiver, they are able to live at home and have either nursing or attendant care to meet their medical needs, as well as allowing parents to work since most daycare facilities do not accept these complicated children. RNs and APRNs are the case…

            4 votes
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              0 comments  ·  Flag idea as inappropriate…  ·  Admin →
            • The system we have is working. Putting kids above profits is always a good idea.

              The problem with Kancare is that it simply doesn't. Profits will always come before Kansas kids with a system that places profits above all else. While it benefits the wealthy donors to Governor Brownback, the children of the working poor will have poor medical care, at the expense of Kansas taxpayers.

              7 votes
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                0 comments  ·  Benefits  ·  Flag idea as inappropriate…  ·  Admin →
              • Healthwave works. No change is needed.

                My husband and I own a small business that has struggled during the recession. In addition to our family business, I have a full time job, but we are still reliant on Healthwave to cover our three daughters' health coverage. It provides full dental coverage for them and has saved us when they've had costly health issues that would have been too expensive for us to purchase out of pocket. It has also insured that we are able to keep up with important preventative health care and dental cleanings. Healthwave has worked beautifully for us, and I see no reason…

                3 votes
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                  0 comments  ·  Benefits  ·  Flag idea as inappropriate…  ·  Admin →
                • All waiver service should be under the same Office, insted of scattered around

                  Currently the different kinds of waivers, are under different depatements. If all of the HCBS waivers fell under the same program, less money would be spent for the wrong thing. More people would receive the benifits they need. The HCBS waiver system is cutting corners with KanCare. Please let all services communicate together on everything? Please make each service item, a matter of record, so everyone will have services? Let the records be available to all other branches of government. If everyone would pull together, the world would be a better place.

                  2 votes
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                    0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                  • All depatmetns in Kansas Goverments should share information about each Medicaid Recepient

                    In the past there has been a lack of communication between the departments at SRS and in our Government Offices. It would greatly benefit each individual, if their case information could be shared, with all the different departments in our State Government. I know the privacy act limits what can be shared. However actually having every department be able to share information about all Clients, would be very helpful. The different programs for Medicaid. Please let the different programs funct enrollies wouldn't duplicate services, through another program. Or not give people all the help they need, if they reach out…

                    2 votes
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                      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                    • KanCare is being put together to fast, without enough reaserch on what People really need

                      The State of Kansas, is rushing into their KanCare Program, without really finding out what Peopel really need. They weren't thinking right, when they made the decison to have a for profit company handle our States Medicaid Program. Turning over our care to an Insurance Company, that is for profit, just lets them take another piece of the pie, as far and money alotted to each indvidiuals care by our Federal Government. I urge our Federal Government to not allow Kansas to start the Kancare Program.

                      14 votes
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                        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                      • Transportation for People with Disabilities shoudl be a covered item for KanCare

                        People with Disabilities have a right to have a life, just like regular people who work do. Many can't leave their homes, due to no way to get around, no transportaion that is affordable, is available to them. KanCare should cover the cost for their trips to the store, Church and other activiities in the community, along with the rides for Medical Care. Being able to get around in our world is important to everyone, not just those who have a nice car and lots of money.

                        2 votes
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                          0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                        • It's time our State provided decent places for People with Disabilities to live

                          About all a Person with Disabilities can afford to live in is Public Housing, or a very low rent apartment. An individual isn't allowed to rent a 2 bedroom house, if they are single with no children. Our Government should give people vouchers for rent and let them pick where they want to live. After all our Federal Government actually puts almost $2,000 per month into their housing programs, for each individual with Disabilities. The funds don't trickle down to those who are suppose to receive them. Most of the $2,000 gets used up in overhead and management of the…

                          2 votes
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                            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                          • People with Disabilities shouldn't be over medicated by their Dr's just to keep them quiet.

                            Our States Dr's, need to change their tactics, as far as prescriptions for People with Disabilities. Most People with Disabilities I know, are on 10 or more medications. This causes terrible side effects in their bodies. Also it incapacitates most of them. This is not treating a Person with Disabilities with Respect and Dignity. Many People are on pain medications and other mind altering drugs, that make it almost impossible for them to function with any quality of life. It's time People with Disabilities were given Food supplements, vitamins, nourishing foods and other natural products, instead of all the prescription…

                            2 votes
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                              0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                            • All Poeple with Disabilities should receive HCBS Services

                              Please end the Wait for those who are in need of HCBS Services? People that have been on the waiting list for HCBS Services, should all receive services right away. There have been people in our State who have died, without receiving HCBS Services, while on the States Waiting Lists. There shouldn't be anyone on a waiting list for services. Our Federal Government requires that All People with Disabilities be allowed to live in the lest restrictive environment, that gives them the best quality of life their Disability allows. People shouldn't just be stuck in the Nursing Homes as it…

                              7 votes
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                                0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                              • The KanCare Program should cover the cost of Dental Repair

                                Just doing preventive care on peoples teeth isn't enough. The State should pay for restorative services on teeth also. Fillings, crowns and dentures for those who need them. After all if a persons teeth don't work right, it's hard for them to eat. Our teeth effect our whole body and should be kept as long as possible. It isn't enough to just get your teeth cleaned. That doesn't prevent decay and help repair damage, that has already happened to peoples teeth.

                                3 votes
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                                  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                • Wellness CAre for People on Kan-Care

                                  I truly believe that if you would cover the cost of Food Supplements such as Protandim and Ambrotos, you would have more People with better health. People with better health, have a better quality of life and it costs less for their care. I used to be on over 24 medications, which cost the Medicaid Program over $2,000 a month for my prescriptions alone. Now that I take Food Supplements Protandim and Ambrotos, I only cost the State a few hundred dollars a month for Prescriptions. Also I have changed from being a Zombie in an electric wheelcahir, to not…

                                  2 votes
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                                    0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                  • I don't believe it is right to take away our ability to choose our own Case Managers for our HCBS Waiver Care.

                                    I suggest you allow the current Case managers to be the Care Mangers for the 3 insurance cCompanies that are included in Kan-Care. After all our current Case Managers know us better than anyone else. It has been the right of People with Disabilites to choose their Case Mangers for the HCBS services since the program started. Taking our current Case Mangers of choice away, is violating our rights.

                                    14 votes
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                                      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                    • Deny the waiver

                                      Plan and simple, privatization is a bad idea for KanCare.
                                      Please deny the waiver

                                      15 votes
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                                        0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                      • 4 votes
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                                          0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                                        • Keep Medicaid Public

                                          We should not in any way privatize a program that is there to help our citizens that do not have access to healthcare because of lack of funds. A private company is interested in one thing: money. Companies do not have the interest of people at all in mind unless those people will increase their stock prices and profit. The answer is not privatization. Our current governor and state government should stop trying to destroying public and social safety nets and find true solutions that actually help Kansas citizens. That includes the poor and lower income citizens also, not just…

                                          7 votes
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                                            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
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                                          Section 1115 Demonstrations: Kansas KanCare

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