Now that Governor Brownback has resigned and Lt. Governor Jeff Colyer is going to take office, maybe the State of Kansas can pay attention to the problem that is a glaring issue with KanCare in Kansas.
KanCare is the "Managed Care" system for providing needed Medicaid services for the elderly, frail elderly, physically disabled and intellectually/developmentally disabled in Kansas.
KanCare is Administered by the Kansas Department of Aging and Disability Services, which in a confusing twist of inefficient bureaucracy, is a subsidiary of the Kansas Department of Health and Environment. It is ultimately under the Federal control of CMS (Centers For Medicaid/Medicare Services). The goal stated by CMS under the previous presidential administration was to move all Medicaid Services and 40 percent of Medicare Services to "Managed Care" by 2020.
There are over 3,600 Intellectually/Developmentally Disabled Kansas Citizens on a waiting list for Home and Community Based Services from Medicaid through KanCare. Those 3,600 Kansans have been waiting for up to eight years for needed services. In order to fund those 3,600 I/DD Kansans to have critically needed services, it will cost the taxpayers of Kansas over $300 Million per year or $3 billion over 10 years.
There is no "backup system" for KanCare as the old system has been totally dismantled and cannot be resurrected. Kansas Lawmakers will have to make KanCare work and taxpayers will have to foot the bill for doing so.
The proponents of expanding Medicaid in Kansas need to keep in mind that CMS Regulations require that "Waiting Lists" be eliminated at state expense in order to qualify for federal dollars to fund the expansion.
Remember, that in addition to this $300,000,000 per year that is needed, there is over $500,000,000 per year that is needed to be raised for "school finance."
That's an additional $800,000,000 per year that must be paid by taxpayers.
One ill-advised idea was to carve Targeted Case Management out and have the Managed Care Organizations do the Targeted Case Management. Thankfully, this idea has been scrapped, at least for now. It needs to be scrapped permanently.
Targeted Case Management should remain with the Community Developmental Disability Organizations, and in my opinion should be a separate service from day and residential services in order to avoid the conflict of interest that occurs when all services are combined under one provider.
Urge your State Lawmakers Rep. Don Schroeder and Sen. Carolyn McGinn to pay attention to this expensive problem that is in dire need of being solved.
— Kevin Henderson, Halstead