KanCare

Troubled Medicaid contractor Maximus could soon have a new contract with Kansas officials that pays it more to do less.

State officials say that appears to be the price of getting the job of processing applications for the privatized Medicaid program, KanCare, done right.

Several members of a task force formed by Kansas Gov. Jeff Colyer to address the opioid crisis claim his refusal to consider Medicaid expansion undermines their work.

A contract dispute that could disrupt the health care of more than 400,000 Kansans enrolled in the state’s privatized Medicaid program has landed in court.

Amerigroup, one of three companies that since 2013 has managed the delivery of care to low-income, elderly and disabled through KanCare, is contesting a recent decision by state officials to replace it with Aetna when new contracts take effect in January.

Kansas Gov. Jeff Colyer says he will continue to push for a Medicaid work requirement despite a recent court order blocking a similar policy in Kentucky.

Last week, U.S. District Judge James Boasberg, an Obama appointee in the District of Columbia, questioned whether the Trump administration had adequately considered the consequences of Kentucky’s work requirement before reversing longstanding federal policy to approve it.

Kansas Gov. Jeff Colyer’s proposed Medicaid work requirement would create a “catch-22” for some low-income Kansans, according to a report released Tuesday.

The report, from the Center for Budget and Policy Priorities — a nonpartisan research organization that supports Medicaid expansion — said work requirements could jeopardize their coverage.

The company that processes applications for Kansas’ privatized KanCare Medicaid program faces potentially steep fines if it doesn’t fix problems, responsible for massive backlogs, by the end of this week.

Maximus, a Maryland-based company that specializes in managing “human service programs” for states and the federal government, has operated the “KanCare Clearinghouse” since 2016.

There have been problems from the start.

Five-year-old Ridley Fitzmorris sits at a picnic table in his backyard in Lawrence, one leg dangling and the other tucked beneath him. His eyes are focused on a row of Hot Wheels that his therapist asked him to count.

“One, two, three,” he says in a whisper, his finger hovering over each toy car until he reaches the last one. Turning to an iPad that he uses to communicate, he clicks an icon. “Eight,” the computerized voice announces.

“Good job!” cooes therapist Ashley Estrada, a specialist in treatment for children with autism. “You did it by yourself."

Fred Fletcher-Fierro/ KRPS

Gov. Jeff Colyer signed the Kansas budget into law Tuesday, but in the process he knocked out a provision aimed at curbing his administration’s revamp of the state’s privatized Medicaid program, KanCare.

Colyer and his predecessor, former-Gov. Sam Brownback, have been working to overhaul KanCare and get federal permission to extend the program for several more years.

The Trump administration has nixed Kansas’ idea of a three-year lifetime cap on Medicaid benefits.

Gov. Jeff Colyer had wanted to include the limit in a remake of the state’s privatized Medicaid system, KanCare. He also wants work requirements for non-disabled KanCare beneficiaries.

Late last month, he walked back his stance on pursuing a lifetime cap, while sticking by the work proposal. Both ideas had faced criticism from health care advocates who fear they would reduce poor people’s access to doctors and medication.

Kansas lawmakers have struck a deal to end their session-long battle over Republican Gov. Jeff Colyer's plan to tighten eligibility for KanCare, the state’s privatized Medicaid program.

The compromise, detailed in the final budget bill of the 2018 session, blocks Colyer from implementing a work requirement and lifetime benefit cap as part of his planned “KanCare 2.0” makeover of the program. 

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