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Tuesday, Oct. 29, 2024, 2- 3 p.m.
Kansas Medicaid Grievance, Appeals, and State Fair Hearings
Instructor: Dorothy Noblit, Fair Hearings Manager
- The process of initiating a Grievance, Appeal or State Fair Hearing request.
- The basic requirements and timelines for requests.
- The responsibilities of the MCOs, the State of Kansas, providers and members related to requests.
- Changes implemented in 2018 that impacted a member’s course of action. Including the new requirement to initiate an appeal.
Monday, Oct. 21, 2024, 1- 3:30 p.m.
Medicaid Fraud
Instructors: Kiel Kearney, Special Agent with the Inspector Generals Office
- Participants will understand the history of the Medicaid Inspector General’s office, its statutory basis for existing, and its duties.
- Participants will understand what Medicaid fraud is and how to identify it.
- Participants will understand how Medicaid fraud audits are developed.
- Participants will review several case studies, which include examples of Medicaid fraud in Caretaker Medical and PD Waiver/Medically Needy.
Tuesday, Oct. 22, 2024, 2- 4 p.m.
Incentivizing Employment: Working Healthy, WORK, and STEPS
Instructor: Liz Long, Director of Working Healthy and Billie Crawshaw, Working Healthy Senior Manager
- An overview of the KS Medicaid Buy-In, Working Healthy.
- An overview of WORK, the personal assistance program for Working Healthy.
- The importance of employment for people with disabilities.
Incentivizing Employment
- The difference between Title II benefits and Title XVI.
- That Social Security encourages people to test their ability to work.
- A brief insight into the provisions of Medical and Cash Work Incentives provided through the Ticket To Work and Work Incentives Improvement Act of 1999
Social Security Benefits
- Descriptions of Adult Social Security Benefits
- Eligibility for Adult Social Security Benefits
- Social Security Benefits and KanCare Benefits
Computer Based Training (CBT)
Available Now through October 30, 2024
This is a 1.25-hour course.
Medicaid Overview Recorded Training
Instructor: Heidi Hartner, Medicaid Training And Initiatives Manager
- Understand the statutory and regulatory background of Medicaid
- Medicaid requires coverage of certain populations and services, while others are optional
- Nexus of Medicare, CHIP, and Medicaid
- Basic financing of Medicaid
- Medicaid buy-in, presumptive eligibility, and health home programs
- How the State administers medical, behavioral health, and long-term services and supports services under Medicaid
Thursday, Oct. 24, 2024, 9 a.m.- Noon
Medicaid Eligibility
Instructor: Andrea Acosta-Berry, Eligibility Operation Field Specialist
- Participants will understand the process for application for Medicaid or Children’s Health Insurance Program (CHIP) coverage.
- Participants will understand the basic income levels set for families and children to achieve Medicaid and CHIP eligibility.
- Participants will understand the process for application for Medicaid coverage.
- Participants will understand the basic income levels set for the elderly and individuals with disabilities to achieve Medicaid eligibility.
- Participants will understand the concepts of Protected Income Limit (PIL), spenddown, and patient liability.
- Participants will understand presumptive medical disability and how it works.
Thursday, Oct. 24, 2024, 2- 3 p.m.
Medicaid Eligibility - Home and Community Based Services (HCBS)
Instructor: Andrea Acosta-Berry, Eligibility Operation Field Specialist
- Participants will understand the process for application for Medicaid coverage when the individual is seeking HCBS.
- Participants will understand the basic income levels set for individuals who want to receive HCBS.
- Participants will understand the concepts of protected income limit (PIL) and client obligation.
- Participants will understand how functional eligibility works for individuals who want to receive HCBS.
Friday, Oct. 25, 2024, 1:30- 2:30 p.m.
Presumptive Medical Disability Team (PMDT)
Instructor: Kayla Johnston, PMDT Manager
- How a PMDT determines disability for certain KanCare programs.
- The correlation with Social Security Disability criteria.
- What documentation is needed for a PMDT disability determination.
- Sample cases and scenarios to better understand the process.
Wednesday, Oct. 30, 2024, 2- 3 p.m.
Understanding Medicaid Annual Reviews
Instructor: Andrea Acosta-Berry, Eligibility Operation Field Specialist
- Better understand Medicaid annual eligibility reviews.
- Understand how to submit reviews.
- Understand how to access the Medical Consumer Self-Service Portal.
- Understand the importance of the facilitator authorization form and medical representative authorization form.
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