KanCare: Reinventing Medicaid for Kansas

Consumers

Choosing a KanCare Health Plan

Do you know about Open Enrollment as a KanCare member?

You will receive your open enrollment packet 30 days before your one-year anniversary in KanCare. If you were added to someone's existing KanCare case, you will be up for open enrollment the same time as your family's case. After you receive your open enrollment packet, you will have until 60 days past your KanCare anniversary date to make changes to your KanCare health plan.

Open enrollment means you can change your plan if you want to be covered by a different plan, or you can keep your same health plan. If you are happy with your current health plan, you do not need to do anything at all. Again, if you do not want to change health plans, you will automatically be re-enrolled in your same plan. But if you want to change your health plan, you will need to let us know by following the instructions in the packet mailed to you on the anniversary date of when you joined KanCare.

All members will have 60 days to review their open enrollment packet and decide whether or not they want to stay in their plan or change to a different plan.

Almost everyone will receive their open enrollment packet 30 days before their one-year anniversary in KanCare. If you were added to someone’s existing KanCare case, you will be up for open enrollment the same time as your family’s case. After you receive your open enrollment packet, you will have until 60 days past the anniversary date to make changes to your KanCare health plan.

To see an example an Open Enrollment Packet for Current Members, click here.

En Español, haga clic aquí.


There are 3 plans to choose from

Amerigroup
800-600-4441, TTY: 711
Sunflower State Health Plan
877-644-4623, TTY: 888-282-6428
UnitedHealthcare
877-542-9238, TTY: #711


There are 3 ways to choose your plan - Web, Mail or Phone

  •   Enroll online at https://www.kmap-state-ks.us/hcp/member
     
  •   Call the Enrollment Center at 1-866-305-5147 (TDD/TTY 1-800-766-3777)
     
  •   Mail the KanCare Enrollment Form that you receive in your packet.

Things to Know

  • Make a list of your providers.  These are your doctors, hospital, pharmacy, in home service providers, and any other providers you see.  Check to make sure the providers you use for all services are signed up with the plan you choose.
  • You must have active eligibility to stay enrolled with the plan each month. 
  • You will be able to change your plan one time each year.  You will be told when you can make a change. 

How Medicaid Consumers Received Notification about KanCare before January 1, 2013

Before KanCare launched in January 2013, member pre-enrollment packets were mailed to Medicaid consumers through the end of November 2012. Click here to see an example of the material that was contained in these packets.

The Kansas Department of Health and Environment (KDHE) and the Kansas Department for Aging and Disability Services (KDADS) held educational tours across the state to meet with Medicaid consumers about their transition to KanCare. Also attending were representatives from the three health plans. Go to the following link for archived and current meeting details:  http://www.kancare.ks.gov/events.htm



Home and Community Based Services Consumer Letters from 2012

Consumers who receive home and community based services (HCBS) got letters from the State in late December 2012. Click here to see an example of the letter for severe emotional disturbance (SED) waiver members. Click here to see an example of the letter for all other waiver members. These examples show the information these letters contained. The letters explained the changes for HCBS consumers that will happen with KanCare.


Extra Services

Health Plan Highlights for 2016

Look at the highlighted services below to compare plans. All physical, mental, and substance abuse services are the same in each MCO. The table below shows extra services you can receive in KanCare. Please contact your MCO by phone or the MCO website for additional details related to the value added services.

Amerigroup

1-800-600-4441

Sunflower State Health Plan

1-877-644-4623

UnitedHealthcare

1-877-542-9238

Dental care for members 21 and over:

  • Two cleanings per year
  • Scaling and polishi

One dental visit for adults 21 and older every six months. Children receive regular benefits on most dental services.

Any member over age 21 can visit a participating dental provider once a year for a screening and cleaning, which includes scaling and polishing teeth. Dentist will provide one x-ray per year.

FE members may be eligible to receive dentures at no cost.

Healthy Rewards program:

  • Earn $10, $15, or $25 debit card credits for over-the-counter (OTC) items when you get health checkups and screenings

Members can earn $10 - $50 in healthy rewards or a combination of rewards on a CentAccount rewards card for receiving healthy checkups. The rewards can be used to buy from hundreds of items.

Members can earn rewards through UnitedHealthCare’s Community Rewards program, by tracking healthy activities using an online tool or smart phone.  Earn points to get merchandise and reward cards.  

Free cell phones and up to 250 free minutes each month plus:

  • 200 bonus lifetime minutes
  • Unlimited text messages

*Coverage may not be offered in certain remote service areas.

Free cell phone through our Connections Plus programs for those who qualify. SafeLink® provides up to 250 free minutes of service per month. This includes free calls to and from Sunflower Health Plan. Members will be able to have telephone access to their KanCare providers.

Our Member Advocates can help certain members get free cell phones through SafeLink®. Member can get up to 250 free minutes of service a month. The advocates can help with:

  • Getting the member connected with the program
  • Picking the right cell phone provider
  • Filling out the application
  • Learning phone benefits

Coverage may not be offered in some service areas.

Taking Care of Baby and Me®, fee health resources and coaching for pregnant women plus:

  • Information on Warm Health and how to enroll
  • Helpful information on enrolling in Text4Baby, pregnancy group centering visits and more

Start Smart for Your Baby - Support and education for moms, babies, and families. The program includes the services below. There is no cost to member.

  • Home visits for new mothers
  • Baby showers for pregnant mothers
  • Birthday programs for children.

Each pregnant member will get the "Baby Basics" book.

Pregnant members can join Baby Blocks program. Get a $20 gift card or a cool diaper bag for joining. Earn seven more rewards for staying with the program until your baby is 15 months old.

Sponsored community baby shower events for pregnant and new mothers.  Moms learn about health and wellness for themselves and their babies.

Weight Watcher® vouchers to help you manage your weight:

  • Voucher for four weeks of classes
  • Payment of the sign-up fee

Weight management program through Healthy Solutions for Life, by referral only.

Adults can obtain membership in the Weight Watchers program to help them lose weight. The program is good for local meetings and cannot be used for online services.

Stop smoking program including:

  • Nicotine replacement therapy (NRT) products
  • Unlimited calls to a health coach for tips and advice

Members can participate in a smoking cessation program offered through Healthy Solutions for Life. (Nicotine replacement therapy is a regular benefit when prescribed by your doctor.)

We offer members who need glasses an enhanced benefit of higher quality lenses beyond what Medicaid covers to help members maintain their vision and improve their self-esteem.

Extra Over-The-Counter (OTC) drugs through mail order for all waiver groups and certain members on SSI: 

  • $120 per year ($10 member monthly per member) toward the purchase of OTC products online or over the phone

We also provide practice visits to dentists for members with developmental disabilities to help them become more comfortable with preventive care visits.

Pest Control treatments for HCBS members who own their home.  Services must be set up through Care Coordinator.

PD and FE waiver members can receive up to two boxes of adult briefs to assist with their everyday comfort.

Free rides for all waiver groups and certain members on SSI:

  • For members to community health events
  • For members and caregivers to provider appointments

MyStrength online program offers eLearning to help members overcome depression and anxiety. This online program includes simple tools, weekly exercises, mood trackers and daily inspirational quotes and videos.  The program may be used on its own or with other care.

Six one-way, or three roundtrip, rides for certain waiver members and some members receiving behavioral health support services, to job interviews or job.


Healthy Families program:

  • For families with overweight or obese children ages 7-13 to live healthier lives

Disease management for members with asthma, COPD, diabetes, heart disease or high blood pressure through our Healthy Solutions for Life Program. Members can enroll in any of these programs.

Families with children age 2 to 8 can participate in the Sesame Street “Food for Thought” program. The program is where families can learn about how to eat healthy on a budget from Sesame Street characters.


Free pest control for all waiver groups and certain members on SSI:

  • Maximum benefit of $500 per calendar year
  • Members must own their home to get this benefit

*Excludes members residing in ICF/MR, assisted living and nursing facilities, group homes, or similar settings.

Community Programs for Children: Free services and events to promote healthy lifestyles for kids, such as membership fees to Boys & Girls Clubs and Adopt a School Program.

Youth members up to 18 will have access to great youth programs such as the YMCA, Boys and Girls Clubs, and 4-H and selected Parks and Recreation Departments.

Adults on the FE and PD waiver and SMI Health Home members can get access to one activity per member per year with their selected local Parks and Recreation offices.

Extra respite care:

  • For caregivers of Frail Elderly waiver members
  • For members in Autism and Intellectual/Developmental Disability waiver groups (in addition to the KanCare benefit).

*Excludes members living alone or residing in ICF/MR, assisted living and nursing facilities, group homes, or similar settings

Up to 8 hours a year of respite for caregivers of members on the Frail Elderly waiver.  Up to 50 hours for respite care or hospital companionship for those on the Intellectual/Developmental Disability waiver.

Respite Care for I/DD waiver members receiving supported home care or home based services.  Up to 40 hours of respite care.

Personal assistant services for members in the Intellectual/Developmental Disability waiver group

We also provide practice visits to dentists for members with developmental disabilities to help them become more comfortable with preventive care visits.

Members coming out of the hospital for a behavioral health need can join the Peer Coaches Program.  This program can link the member to community resources to avoid going back into the hospital.

Hypoallergenic bedding for members with allergies or certain other conditions:

  • A one-time $100 credit for special bedding items
  • A doctor must recommend/order the product

Choose Health Program targets members with chronic health conditions. The program helps members determine how emotions can impact their condition (i.e. stress, poor sleep, and change in appetite).  As a part of the program, participants are assigned a Choose Health Coach who works with the entire health care team to ensure members have everything they need to feel their best.

The child member with Asthma is sent information presented by Sesame Street characters that teaches them how to deal with asthma. Children 1 to 4 will receive the A is for Asthma newsletter.

 

We provide members of certain waiver populations with a medical escort if needed.

Members over 21 can get up to two podiatry visits each year.

 

In-home tele-monitoring available for adults. This service helps members stay at home when they need help to manage their chronic heart failure, heart diseases or high blood pressure.

Adult members on the PD and FE waivers can pick one free home safety or other support product per year from a catalog of home help items through their care coordinator.

FE members will be mailed a wellness calendar at the beginning of each year to track their doctor appointments, medications timeline, and social events.

 

A Comprehensive Medication Review with a local pharmacist is available to eligible members. The review includes a 30 minute Face-to-Face consultation with a local pharmacist.

Members can download Health4Me app on their smartphone. This app can help members manage their health.

Members, or those responsible for members, can access myUHC.com online to help access health history, educate them on working with their doctor, and track doctor visits.

   

Mental Health First Aid program is an interactive course designed to mimic regular first aid training. It teaches the general public how to identify, understand, and respond to signs of mental health and substance use disorders.

To change plans call 1-866-305-5147

Para cambiar planes llame 1-866-305-5147