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History of Kansas Medicaid Managed Care (Recording)
Instructor: Bobbie Graff-Hendrixson, Deputy Director of Operations and Deputy Medicaid Director
- Participants will understand the long history of Medicaid managed care in Kansas, including the legislative requirements for it.
- Participants will understand how various Medicaid populations and geographic regions were included in managed care.
- Participants will understand the differences and similarities between KanCare (today’s Medicaid managed care) and earlier Medicaid managed care programs.
Medicaid Overview (Recording)
Instructor: Heidi Hartner, Policy Initiatives Sr. 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
Understanding Kansas Medicaid Annual Reviews (Recording)
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.
Incentivizing Employment Working Healthy_WORK_and_STEPS (Recording)
Instructor: 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
Kansas Medicaid Fraud (Recording)
Instructor: Steve Anderson, Inspector General
- 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.
Kansas Medicaid Eligibility (Recording)
Instructor: Liz Long, Director of Working Healthy
- 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.
Kansas Medicaid Eligibility - Home and Community Based Services (HCBS)_(Recording)
Instructor: Liz Long, Director of Working Healthy
- 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 PIL and client obligation.
- Participants will understand how functional eligibility works for individuals who want to receive HCBS.
Kansas Presumptive Medical Disability Team Recording
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.
Kan Be Healthy: Early Periodic Screening Diagnosis and Treatment (Recording)*
Instructors: Lisa Shoop RN, RN Clinical Manager and Fran Seymour-Hunter RN, RN Policy Analyst
- The federal requirements of the EPSDT mandate for participating states.
- The services which are subject to the EPSDT mandate.
- The periodicity schedule required for EPSDT coverage in Kansas.
- The concept of medical necessity and other permissible limits on EPSDT eligible services.
*This course is not designed to train anyone to complete a Kan Be Healthy screening.
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