KanCare
Kansas Medicaid is KanCare, run by the Kansas Department of Health and Environment and the managed-care organizations on the card. The plan is the payer. Missouri MO HealthNet will not pay a Kansas member.
Medical Billing Services in Kansas
KanCare, WPS, and the auto insurer are three payers. Kansas Medicaid is KanCare, run by the Kansas Department of Health and Environment and the managed-care organizations on the card. The plan is the payer. Missouri MO HealthNet will not pay a Kansas member.
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What a claim follows in Kansas
KanCare, WPS, and the auto insurer are three payers.
WPS, Jurisdiction 5
Medicare Part A and Part B for a Kansas practice go to WPS Government Health Administrators, Jurisdiction 5, with Missouri, Iowa, and Nebraska. Colorado and Oklahoma use Novitas, Jurisdiction H.
Auto coverage and workers' compensation
Kansas requires auto policies to include personal injury protection. That medical bill goes to the auto insurer, not to KanCare. A work injury goes to the employer's carrier under the Division of Workers Compensation.
Kansas City is one metro and two Medicaid programs. The practice address decides the Medicare contractor. The member's card decides whether the claim is KanCare or MO HealthNet. PIP is a third file when the visit is from a crash.
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Kansas billing questions
What is KanCare?
Kansas Medicaid. The managed-care organization on the card is the payer.
How is a Kansas auto injury billed?
To the personal-injury-protection insurer, not to KanCare or the health plan.
Does a Kansas practice change the fee?
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.