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KDHE outlines new KanCare oversight 'hub' and utilization-management reforms to speed medical review
Summary
KDHE told the Bethell committee it has created a multi-agency 'hub' to coordinate KanCare oversight across KDHE, KDADS and DCF and to strengthen data-driven utilization management and prior-authorization reviews with MCOs.
KDHE officials told the Bethell committee on July 9 that the agency has launched a cross-agency coordination initiative — called the "One Kansas hub" — to centralize oversight of the state’s managed care program (KanCare) and improve how the state monitors MCO performance.
Christine Osterlund, KDHE deputy secretary and state Medicaid director, described a multi-agency working group that includes KDHE, KDADS and the Department for Children and Families to share data, align policy reviews and prioritize corrective action. The stated goals are to identify where state policies create barriers for members, to improve real-time monitoring and…
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