Suzanne J. Lueker

The meeting included a review of the history of the Medical Care Advisory Committee (MCAC) and background for proposed changes, as well as CMS proposed changes. The committee discussed how to define membership going forward considering new CMS rule to end consecutive terms. The committee voted to define quorum as over 50% of membership. Future agenda topics included a member receiving notice their provider is no longer enrolled with Medicaid when they are, consideration for coverage from KDHE for NanoVM line of dietary supplements, specialized/enclosed beds, as well as benik belt or other g tube securement devices, and more than 4 catheters covered per month.

The Medicaid Advisory Committee (MAC) meeting covered several topics, including legislative updates, prior authorization processes, and pharmacist as provider considerations. The committee discussed the legislative budget bill, potential changes to MCO contracts, and the removal of the continuous eligibility waiver. KDHE is exploring ways to reduce yearly prior authorization renewal requirements and simplify the process between MCOs and KDHE. The committee also addressed barriers to care for out-of-state providers, the termination of the OneCare Kansas program, and issues related to FQHC licensing and telehealth services. Future agenda topics include IDD and autism waivers, care coordination, contingency plans for CHIP, and the KS State of the State Nursing report.

The Medicaid Advisory Committee (MAC) meeting covered topics such as prior authorization processes, including issues with secondary insurance denials and the renewal of brand medical necessity medications. There was an overview of the Pharmacist as Provider General Bulletin 23196, allowing pharmacists to enroll with KMAP for reimbursement. Legislative updates included discussions on HB2240 and the federal HR1, OBBBA, with a request for a written summary of anticipated changes and their impact on Kansas. The committee also discussed tracking out-of-state providers prescribing narcotics to Kansas residents and the ability of Kansas Medicaid members to access care outside of Kansas. Additional topics included osteopathic manipulative treatment (OMT) and agenda items from the Beneficiary Advisory Committee, such as reviewing age restrictions and level of care requirements for HCBS waivers, and exploring self-directed support care options similar to Missouri's Medicaid program. Access to the KDHE MAC Teams Channel and updates on the Medicaid Doula Program and HB2240 were also discussed.

The Medicaid Advisory Committee (MAC) meeting covered a range of topics including the prior authorization renewal process, pharmacist as provider, legislative updates, procedure codes 90867, 90868, and 90869, out-of-state providers, FQHC's and KDADS, IDD and Autism Waivers, OneCare KS and Care coordination, and Osteopathic Manipulative Treatment (OMT). Discussions involved streamlining renewal requirements for mental health drugs, standardizing PA request forms, addressing issues with primary and secondary insurance approvals, and updates on state and federal legislative matters. The committee also discussed budget highlights, reimbursement for telemedicine services, and new waiver programs.

The KanCare Quality Management Strategy (QMS) advances the state's focus on quality improvement activities by utilizing SMART goals and objectives. The QMS is informed by the missions of KDHE, KDADS, and DCF to provide quality care to the KanCare population. The current demonstration is effective from January 1, 2024, through December 31, 2028.