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Potential new KanCare bidders stepping up efforts

 The Kansas Department of Health and Environment (KDHE) is expected to release a Request for Proposal (RFP) for the KanCare program in the near future. The RFP is designed to continue the program for an additional five years, 2019 – 2023, and is referred to as KanCare 2.0. It is expected that the three current Managed Care Organizations (MCOs), Amerigroup, Sunflower Health Plan, and UnitedHealthcare Community will bid. Other payers have expressed an interest in bidding include, Aetna, AmeriHealth Caritas, Molina Healthcare and Wellcare.

KMS has been notified that Aetna has distributed letters dated September 29, 2017 to physicians that were contracted with Children’s Mercy Family Health Partners (CMFHP), a former Medicaid payer prior to the KanCare program. The letter indicates that Aetna Better Health would like to use the CMFHP agreement, which was purchased by Coventry Healthcare and then sold to Aetna, to demonstrate provider willingness to participate in their network for the upcoming KanCare program. The letter indicates that providers must submit written notice to Aetna no later than October 31, 2017 to “opt out” of the network.

Physicians are under no obligation to sign letters of intent or to agree to “opt in” for incoming KanCare bidders. KMS does; however, recommend that you review any contracts that you may have had with CMFHP, Coventry, Aetna and other managed care plans to prepare you for any contracting discussions.

If you have any questions or concerns regarding KanCare please contact This email address is being protected from spambots. You need JavaScript enabled to view it., KMS Director of Health Care Finance.

 

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