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Kansas officials brief Committee on Welfare Reform on Medicaid enrollment, funding and managed care

2389948 · February 25, 2025
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Summary

State Medicaid officials and the Kansas Health Institute reviewed how KanCare is funded, enrollment trends and managed care operations, telling lawmakers that federal rules, state plan amendments and capitation rates shape provider reimbursements and program changes.

Bobbi Graff Hendrickson, deputy Medicaid director at the Kansas Department of Health and Environment, and Sheena Schmidt, senior analyst and strategy team leader for access to care at the Kansas Health Institute, told the Committee on Welfare Reform that Kansas’ Medicaid program (KanCare) serves hundreds of thousands of residents and is governed by federal and state rules that determine funding and benefits.

Hendrickson told lawmakers that Medicaid is an entitlement and that any person who meets eligibility rules must be served. “Medicaid is an entitlement program,” she said. She detailed statutory and regulatory steps required for structural changes, saying state reorganizations and rate changes require state plan amendments filed with the Centers for Medicare & Medicaid Services (CMS).

The presentation summarized enrollment and funding figures current to December 2024 and fiscal 2023 data in the Kansas Health Institute primer. Hendrickson said Kansas covered “over 363,000 people on Medicaid,…

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