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: 800-855-2880
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

KanCare health plans offer to their members the same Medicaid services that were offered in old Medicaid, plus more.  As part of the KanCare program, each health plans offers some extra (value-added) services to consumers at no cost to the State.  Providers who supply these services to consumers can contact each of the KanCare plans with specific questions.  A list of all the value-added services offered by KanCare plans is shown in the table below.

AMERIGROUP

SUNFLOWER

UNITED HEALTHCARE

Dental care for people 21 and over:
Two cleanings annually
Scaling and polishing procedures

Dental visits for adults 21 and older-- One dental checkup every six months (includes cleaning and scaling).

Adult dental services will be a benefit. Members over 21 can get an examination, x-ray, and teeth cleaning.

Through the Healthy Rewards program, members can earn $10, $15, or $25 in debit card credits for over-the-counter items each time they get certain health checkups and screenings.

Members can earn rewards on our CentAccount debit card when they get health checkups and screenings. Members can earn $10 - $50 or more in CentAccount rewards.

Adults can earn between $10 and $25 in gift cards to help them become and stay healthy. They can earn the gift cards by going to health screenings and checkups.

We help certain members get free cell phones through SafeLink® and up to 250 free minutes of service each month plus:
200 bonus lifetime minutes
Unlimited nationwide text messages
Free outbound calls to Member Services
Coverage may not be offered in certain remote service areas.

SafeLink® and Connections Plus are programs that provide a free cell phone to members. SafeLink® provides up to 250 free minutes of service per month, with free calls to and from Sunflower State Health Plan. Members will be able to have telephone access to their health care providers.

For those members over 21 years of age, you can get two additional podiatry visits per year to see a foot doctor.

Taking Care of Baby and Me® prenatal and postnatal program with:
Health resources and coaching
A special self-care book
Information on Warm Health and how to enroll
A helpful tips brochure with information on enrolling in Text4Baby, centering pregnancy group visits and more.

Start Smart for Your Baby - This program gives support and education for moms, babies, and families. The program includes the services below. There is no cost to member.
Start Smart home visits for new mothers
Start Smart baby showers for pregnant mothers
Start Smart birthday programs for children.

Baby Blocks is a program to help those that are pregnant. Baby Blocks uses online tools so new mom’s can track their appointments. If they go to all of their appointments they can earn gifts for themselves or their baby. A book named Baby Basics will be sent to each member who is pregnant.

Smoking Cessation program that includes a full range of nicotine replacement therapy products, as well as coaching and support services.

Members can participate in a smoking cessation program, including www.kanquit.com or they can have a referral by their Primary Care Physician or Case Manager to be eligible for Sunflower’s smoking cessation program offered through Healthy Solutions for Life.

We have great Sesame Street programs. Learn from Sesame Street friends about going to the doctor for checkups. Learn about asthma and lead tests. We have help for families to teach them how to eat better without much cost.

Extra over-the-counter (OTC) medicines through mail order for all waiver groups and certain members receiving SSI.  $120 annually ($10 member monthly allowance) toward the purchase of OTC products through a secure website.

We provide members of certain waiver populations with a medical escort if needed. We also provide practice visits to OB/GYNs and dentists for members with developmental disabilities to help them become more comfortable with preventive care visits.

Kids age 10 to 17 who are watching their weight can earn a $50 gift card. They earn the gift card by finishing a healthy weight program. The family also helps them to develop a healthy lifestyle. For more information, call 1-877-542-9238.

Free rides to community health events and free caregiver transportation to Medicaid-covered appointments for all waiver groups and certain members receiving SSI.

Our MyStrength online program offers eLearning to help members overcome depression and anxiety with simple tools, weekly exercises, mood trackers and daily inspirational quotes and videos in a safe and confidential environment.  The program may be used independently or in conjunction with other care.

For our DD Waiver population we will provide transportation to job related activities. The transportation will be six one way or three round trip rides that can be used for attending job interviews or when member’s usual mode of transportation to and from employment is not available.

Respite Care for caregivers of Frail Elderly waiver members and extra respite care for members of Autism and Intellectual/Developmental Disability waiver groups (excludes members living alone or residing in ICF/MR, assisted living and nursing facilities, group homes, or similar settings). Personal assistant services for members in the Intellectual/Developmental Disability waiver group.

We provide additional respite for caregivers.  We provide 8 hours a year of respite for caregivers of persons who receive FE Waiver services.  We also provide 50 hours for respite care or hospital companionship for those on the DD waiver.


Free in-home pest control for all waiver groups and certain members receiving SSI, with a maximum benefit of $500 per calendar year.  Members must own the property to receive this benefit (excludes members residing in ICF/MR, assisted living and nursing facilities, group homes, or similar settings).

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

We will provide all children with the chance to participate in activities with a youth organization. This can be an organization like the YMCA, Boys and Girls Clubs, and 4-H or a Parks and Recreation office.

 

Sunflower provides hands on education and outreach to local community schools through its Healthy Lifestyles, Adopt-A-School and Reading Programs.

We will provide more vision services. The services will include a better choice of eyeglass frames.  It also includes replacement if your glasses are lost or stolen. Some members could get contact lenses.

Weight Watcher Vouchers - Members can receive one Weight Watchers voucher for four weeks of classes, plus payment of the initiation fee.

Our Choose Health Program targets members with chronic health conditions to 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.

Our adult members can go to FREE Weight Watchers classes for three months. You can also earn a $50 gift card to be used toward workout gear for finishing the program.

Healthy Families Program – Our Healthy Families program is designed to help families with children ages 7-13 who are overweight or obese, or at risk of becoming overweight or obese, live healthier lives.

We provide targeted disease management to at risk members for the following diseases under the Healthy Solutions for Life Program: Asthma (adults and Children); COPD (adults); Diabetes (adults and Children); Heart Disease (CAD) (adults); Hypertension (adults); Weight Management (adults) - enrolled by referral only from the health plan. (Members may be referred by their physician, health plan, or self-enrolled in any of these programs).

** Adults are classified as 18 years and older.

Families with children age 2 to 8 can participate in the Sesame Street "Food for Thought" program which will be offered throughout the State. The program is where families can learn from Sesame Street characters about the importance of eating healthy on a budget.

Hypoallergenic Bedding – Members with allergies or certain other conditions can get up to $100 for the calendar year to use toward special bedding items. To receive the benefit, a doctor must recommend/order the product, and the member must have an allergy diagnosis.

In-home telemonitoring is available for adults only. This service helps members be able to be more independent, have access to providers and monitor their long-term health conditions from their home. This service is offered to members needing help managing their chronic heart failure, heart diseases or high blood pressure.

We have Asthma programs that help children and their parents learn how to better manage their condition. Parents can order hypoallergenic blankets and pillowcases that help with a child’s asthma after seeing their doctor.

Entertainment Book Coupons with local coupons and discounts.

We offer medication review and coordination to ensure safe and appropriate prescribing practices for members living in foster care and/or living with Intellectual Developmental Disabilities.