Benefits and Services
KanCare is the new name for Kansas Medicaid and HealthWave. Some of the services in KanCare include:
- Doctor’s office visits
- Vaccines and check-ups
- Hospital services
- Blood work and lab services
- Pharmacy and prescription drugs
- Eye doctor visits
- Behavioral health services
- Dental care
- Transportation to medical appointments
- Home and community based services.
- Nursing facility services
All your services have been provided through your KanCare health plan since January 1, 2013.
New Services Include:
- Heart and lung transplants for adults
- Weight-loss surgery
- Value-added services (each of the 3 managed care companies offer their own special benefits for joining)
- Some preventive dental care for adults
CLICK BELOW TO LEARN MORE ABOUT YOUR OPTIONS.
YOU’LL SELECT A PLAN WITH ONE OF THE 3 COMPANIES LISTED.
Keeping Your Same Providers in KanCare
Do I have to move if my nursing home is not part of the health plan’s network?
No. Nursing homes have up to a year to sign up with the health plans.
Will I have to pay more if my nursing home is not part of the health plan’s network?
If my doctor or in-home helpers never sign up with my health plan, will they be paid less?
Yes, they might. We want doctors and others to sign up with all three health plans. After the first 90 days of KanCare, some of those providers could be paid 90% of the approved KanCare rates.
Will I have to make up the difference, if my doctor or in-home helpers are paid less?
What if I need to see a special doctor who is not in the health plan’s network?
The health plan will check to make sure another special doctor is in their network first. If there is not, they will help you see the doctor you need. As long as the health plan approves you seeing the special doctor, you will not pay anything.
What if I have an emergency? Do I have to worry about finding a hospital in the health plan’s network?
No. In an emergency, go to the nearest hospital emergency room. All hospitals with emergency rooms will see anyone in an emergency situation.
Protections for Consumers Receiving Long-Term Services & Supports
Question: What is the State doing to make sure things go smoothly for members who have Home and Community Based Services (HCBS)?
Answer: There is a long list of protections for members who receive HCBS and other long-term services and supports. It is important to us that those members continue to have high-quality services. Those protections include:
- Education for people getting services and providers
- Involving people who get services and providers, including in daily calls beginning Dec. 26
- Health plans are accountable to the State
- Completing level of care assessments due before KanCare starts
- Continuing plans of care
- State review of health plan changes to plans of care
- State staff will “ride along” with health plan care coordinators to observe service planning process
- Rights to grievances and appeals AND the State Fair Hearing process
- KanCare Consumer Ombudsman
- Eligibility is decided by the State or contractors for the State—not by the health plans
- Assessing the quality of services and outcomes
- Making sure performance improves steadily
- Delaying I/DD waiver services
- I/DD waiver pilots
- Offering a way for providers to keep sending claims to MMIS
- Keeping the current HCBS waiver protections
- Testing billing systems and data transfers