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KDHE rate study finds MCOs sometimes pay above fee schedule; state wins 10‑year $17M maternal health grant
Summary
KDHE described an ongoing Medicaid fee‑schedule rate study that shows managed care plans are paying above state fee schedules in some codes and reported that Kansas won a 10‑year, $17 million federal maternal health grant to pilot reforms in 30 counties.
KDHE updated the committee on two program analyses with near‑term policy implications: a fee‑schedule rate study and a newly awarded federal maternal health (T‑MH) grant.
On the rate study, KDHE said analysts compared Kansas Medicaid fee‑for‑service rates to neighboring states and Medicare for a broad set of codes. The preliminary finding is that some managed‑care organizations are routinely paying providers above…
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