As a follow up to our query of members, we would like to pass along contact information for the KanCare Ombudsman. For any complications experienced due to implementation of KanCare, it is recommended that all affected persons contact the KanCare Ombudsman as well as the responsible MCO. The Ombudsman’s contact information is:
James Bart, KanCare Ombudsman
It should be noted that in the CMS “Special Terms and Conditions” document regarding approval of the KanCare 1115 Demonstration Waiver, CMS states that, “For the lifetime of the demonstration, a qualified independent, conflict-free entity will assist KanCare enrollees in the resolution of problems and conflicts between MCOs and participants regarding services, coverage, access and rights. The Ombudsman should help participants understand the fair hearing, grievance, and appeal rights and processes at each MCO and proactively assist them through the process if needed. Ombudsman activities are available to all demonstration eligible populations, but specific focus and outreach activities will be directed towards KanCare enrollees utilizing LTSS (institutional, residential and community based). The state will report on the Ombudsman program and activities in the quarterly and annual reports per STCs 79 and 80. The state will share with CMS copies of any Ombudsman reports submitted to the state legislature within 2 weeks of submission to the legislature.”
It has come to our attention that KanCare officials are using Ombudsman contacts to gauge the effectiveness of KanCare’s rollout. Based upon the number of contacts thus far, officials apparently feel that the rollout has been successful.
We hope this contact information will be helpful for those who are experiencing complications from the implementation of KanCare. As always, if you have any questions, please don’t hesitate to contact us.