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Legislators press KDHE on provider payments, network adequacy and MCO oversight
Summary
Committee members raised concerns about slow provider payments, network adequacy in rural areas and how the state holds managed care organizations accountable. KDHE described auto-assignment, network adequacy standards and planned public performance reporting.
Legislators questioned state Medicaid officials on Oct. 27 about delays in provider payments, network adequacy in rural counties and what tools the state uses to hold managed care organizations accountable.
Christine Osterlund, Deputy Secretary of Agency Integration and state Medicaid director with the Kansas Department of Health and Environment, described how members choose or are assigned to MCOs and what oversight the state exercises. "The members self select, so they can select the MCO that they prefer to work with," Osterlund said, adding that if a member does not choose, KDHE uses an auto-assignment process that prioritizes continuity of care and family unity. "And then once either you self select an MCO or you're auto assigned, you automatically get a 90 day…
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