Medicaid

Kansas Gov. Jeff Colyer’s proposed Medicaid work requirement would create a “catch-22” for some low-income Kansans, according to a report released Tuesday.

The report, from the Center for Budget and Policy Priorities — a nonpartisan research organization that supports Medicaid expansion — said work requirements could jeopardize their coverage.

Five-year-old Ridley Fitzmorris sits at a picnic table in his backyard in Lawrence, one leg dangling and the other tucked beneath him. His eyes are focused on a row of Hot Wheels that his therapist asked him to count.

“One, two, three,” he says in a whisper, his finger hovering over each toy car until he reaches the last one. Turning to an iPad that he uses to communicate, he clicks an icon. “Eight,” the computerized voice announces.

“Good job!” cooes therapist Ashley Estrada, a specialist in treatment for children with autism. “You did it by yourself."

Public health experts in Texas are concerned that a growing number of American children are forgoing services like Medicaid and food stamps because their parents are undocumented. The trend could get worse, they say, if a proposed change to immigration policy goes through.  

Kansas lawmakers have struck a deal to end their session-long battle over Republican Gov. Jeff Colyer's plan to tighten eligibility for KanCare, the state’s privatized Medicaid program.

The compromise, detailed in the final budget bill of the 2018 session, blocks Colyer from implementing a work requirement and lifetime benefit cap as part of his planned “KanCare 2.0” makeover of the program. 

High Plains Morning thanks Lisa Hancock from the  Area Agency on Aging of the Panhandle  for stopping into the studio today to share information about their 2018 Older Americans Month Celebration: Engage at Every Age.

Here are the details!

WHEN:            

May 4, 2018

9:00 a.m. to 3:00 p.m

***Registration check in opens at 8:30 a.m.***

 --FREE EVENT!

A behind-the-scenes struggle over proposed changes to Kansas’ Medicaid program is coming down to the wire.

Republican Gov. Jeff Colyer has offered concessions. But he appears determined to stick with his proposal to make some non-disabled recipients work, or undergo job training, for their health care coverage.

Jon Hamdorf, the Kansas Department of Health and Environment official who oversees the state’s privatized Medicaid program known as KanCare, said the governor believes “very strongly that work is a pathway to independence.”

This story was updated at 4:12 p.m. to include the comments of Planned Parenthood Great Plains' president and CEO.

Kansas improperly sought to end Medicaid funding for Planned Parenthood, a federal appeals court ruled Wednesday, rejecting the state's claims that the organization illegally trafficked in fetal parts and committed other wrongdoing.

The Kansas Medicaid program sets too many barriers for patients to receive a potentially life-saving, if extremely costly, drug regimen, a lawsuit filed Thursday contends.

The class action filed in federal court argues that KanCare should cover the cost of medications that have proven effective in treating hepatitis C without subjecting patients to a lengthy list of conditions.

When Kansans on Medicaid are incarcerated or treated at residential mental health facilities, their Medicaid benefits are terminated. Mental health advocates hope to change that during the upcoming legislative session by pushing for a bill that would instead suspend those benefits.

When Kansans on Medicaid are incarcerated or treated at residential mental health facilities, their Medicaid benefits are terminated. Mental health advocates hope to change that during the upcoming legislative session by pushing for a bill that would instead suspend those benefits.

After patients or inmates are dropped from Medicaid, it can take weeks or months to reinstate health coverage — a risk for people who need continuous care for mental health conditions.

Republican legislators have temporarily sidetracked an effort to block the Brownback administration from obtaining federal approval to renew KanCare, the state’s privatized Medicaid program.

Democrats on a joint committee that oversees KanCare wanted the panel’s report to the full Legislature to recommend keeping the current program in place until a newly elected governor takes office in January 2019.

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There’s a growing problem with Medicare prescription drug coverage for seniors who take high-priced specialty drugs: there’s no cap on how much they pay.

As The Denver Post reports, each prescription drug plan is structured a little differently, but people with very high drug costs almost inevitably enter what’s called the “catastrophic” phase of coverage. Then, they pay 5 percent of the list price of their drug, which is no small sum in an age of $10,000-a-month cancer drugs

President Trump has pledged to not make cuts to Medicare, the federal insurance program for seniors, but Seema Verma, administrator of the Centers for Medicare and Medicaid, acknowledges that changes are needed.

One of the program’s main funds, the Hospital Insurance Trust Fund, is expected to be depleted in 11 years.

On Monday, Verma was in Olathe, Kansas to talk with seniors about Medicare and encourage them to take part in Medicare open enrollment, which runs from October 15 through December 7.

State Medicaid officials on Friday formally started the process of renewing KanCare, the privatized Medicaid program launched by Republican Gov. Sam Brownback in 2013.

The two state agencies that oversee the private contractors that manage the program released a draft of the plan they intend to submit for federal approval after a public comment period that runs through November.

The federal agency that oversees Medicaid has agreed to a one-year extension of Kansas’ $3.2 billion KanCare program, which provides managed care services to the state’s Medicaid population.

The overhaul of the Kansas computer system for processing welfare and Medicaid applications recently went through its final implementation phase. State officials say the process went smoothly, especially compared to the system's initial rollout that delayed thousands of Medicaid applications.

$1.25 million.

That’s the size of the bill that could have shuttered the only public hospital in rural Pemiscot County, Missouri in August 2013.

$750,000 for payroll. $500,000 for a bond payment. $1.25 million total. One August day in 2013, the hospital’s CEO Kerry Noble had to face facts: The money just wasn’t there. It took an emergency bailout from a local bank to keep their doors open. For now.

Low-income Kansans are less likely to have health insurance than their counterparts in other states, according to an analysis of new data from the U.S. Census Bureau.

The health care plan unveiled last month by the Republican-controlled U.S. Senate met with fierce opposition from hospital, doctor and patient advocacy groups. Among them was the National Rural Health Association, which is based in Leawood, Kansas, and represents doctors, nurses and hospitals in rural areas nationwide. 

Three weeks after Blue Cross and Blue Shield of Kansas City said it will pull out of the Affordable Care Act exchange in 2018, Centene Corp. says it plans to offer coverage through the exchange in Missouri and Kansas.

The St. Louis-based insurer already has a presence in both states administering Medicaid plans, but the move to sell individual and small group health plans is new.

A bill to replace funding for Medicaid and the Kansas mental health system lost to budget-balancing cuts last year is headed to Gov. Sam Brownback.

Senate substitute for House Bill 2079 would increase a fee that health maintenance organizations, or HMOs, pay to do business in Kansas from 3.31 percent to 5.77 percent. HMOs are a type of health insurance that typically has lower premiums but only covers care within a network of doctors and hospitals. 

Another poll has found strong majorities of Kansans support expanding Medicaid, but some political experts say it isn’t likely to make a difference this legislative session.

The latest Medicaid expansion poll found about 68 percent of Kansans surveyed said they supported expanding the program to non-disabled adults who earn up to 138 percent of the federal poverty line, or annual income of about $16,600 for an individual and $33,400 for a family of four. About 60 percent of Republicans polled said they also supported expansion.

A third of the way to an end-of-year deadline, Kansas officials still do not have federal approval to extend KanCare.

In January, the federal Centers for Medicare and Medicaid Services denied the state’s request for a one-year extension of the waiver that allowed it to privatize its Medicaid program. The denial letter said neither the Kansas Department of Health and Environment nor the Kansas Department for Aging and Disability Services was doing enough to hold the three private companies that run the program responsible for providing services accountable to Medicaid rules.

Editor’s note: This story was updated at 11:20 a.m. Tuesday, March 28.

Buoyed by the failure of Republicans in Congress to repeal the Affordable Care Act, the Kansas Senate on Tuesday gave final approval to a Medicaid expansion bill in a 25-14 bipartisan vote.

The Senate vote sends the bill to Republican Gov. Sam Brownback, whose spokeswoman reaffirmed his opposition to expansion in tweets during nearly three hours of Senate debate Monday but did not say whether he would veto it.

Kansas lawmakers are now a step away from what could be a showdown with Republican Gov. Sam Brownback on the political football issue of Medicaid expansion.

KCUR

A bill that would have expanded Medicaid in Kansas was tabled Monday by the House Health and Human Services Committee.

As The Wichita Eagle reports, the action effectively ends chances that the bill will be passed this session under legislative deadlines.

Feds reject Kansas' request to extend KanCare

Jan 23, 2017
KanCare.ks.gov

Federal officials have rejected Kansas’ request to extend KanCare, the state’s privatized Medicaid program, saying it has failed to meet federal standards and risked the health and safety of enrollees.

As reported by The Wichita Eagle, federal investigators reviewed the state’s Medicaid plan in October and found that Kansas is “substantively out of compliance with Federal statutes and regulations, as well as its Medicaid State Plan,” according to a letter sent to the state Jan. 13 from the Centers for Medicare and Medicaid Services (CMS).

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In his State of the State address Thursday, Colorado Gov. John Hickenlooper proposed boosting rural access to high-speed Internet.

To boost economic development in rural areas, one of the governor’s proposals is to create an office focused on expanding broadband Internet access to the 30 percent or so rural households in the state that don’t have it, with an overall goal of ensuring that 100 percent of rural houses have it by 2020.

According to a recent study, Obamacare’s expansion of Medicaid coverage to people living just above the poverty line may be responsible for more disabled people getting jobs.

As Reuters Health reports, prior to passage of the Patient Protection and Affordable Care Act (ACA), Obamacare, in 2010, people with disabilities and low income jobs were often unable to afford their expensive medical care. Many opted for unemployment in order to qualify for Medicaid coverage.

Kansas Medicaid backlog is growing once again

Dec 20, 2016
Health by Got Credit / Flickr Creative Commons

Delays in processing Medicaid applications in Kansas have put financial strain on nursing homes and threatened coverage for thousands of Kansans and the backlog is on its way back up.

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