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Committee reviews CMS-driven conflict-of-interest concerns in targeted case management
Summary
Dayton Lamonian, senior fiscal analyst with the Kansas Legislative Research Department, told the Committee on Social Services Budget that the Special Committee on Targeted Case Management recommended a set of steps after CMS raised conflict-of-interest concerns about targeted case management providers who also supply waiver services.
Dayton Lamonian, senior fiscal analyst with the Kansas Legislative Research Department, told the Committee on Social Services Budget that the Special Committee on Targeted Case Management recommended a set of steps after CMS raised conflict-of-interest concerns about targeted case management (TCM) providers who also supply waiver services.
The special committee recommended KDADS distribute a survey to waiver enrollees and other stakeholders, develop a Kansas-specific response to the federal requirement to prevent conflicts of interest in TCM, allow both agency-based and independent case managers indefinitely while using available flexibilities (including clear firewalls for agency-based providers), build a robust monitoring system, allow exemptions in rural areas, and ask the House and Senate health committees to review TCM provider capacity and reimbursement rates.
The committee also voted to request — and the transcript shows a letter…
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