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Provider Resources - Kansas
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Announcements:
03-08-10: New Care Management Quick Guide available
12-15-09: Update on KHPA Provider Rate Reduction
11-24-09: Statement on KHPA Provider Rate Reduction
KS providers: At this point we do not know what impact the Governor's announced 10% provider rate cut will have on our provider reimbursement rates. We are awaiting more information from the state and will determine the impact on our provider reimbursement rates based on the information we receive. Once we receive more guidance we will communicate any potential impact as soon as possible with all participating providers.
10-26-09: 2009-2010 Influenza Season Triage Algorithm for Children from AAP
10-15-09: Tamiflu (oseltamivir) for Oral Suspension: Potential Medication Errors
H1N1 - KS providers
KS VAERS information
additional H1N1 links:
www.flu.gov www.cdc.gov/H1N1flu/
03-08-10: New Care Management Quick Guide available
12-15-09: Update on KHPA Provider Rate Reduction
- Any reductions made to our payment levels to providers as a result of the Governor's November 23rd mandate for a 10% reduction in Medicaid reimbursement will be made after we receive formal notification from KHPA regarding the effective date of the "pass through" of the cut and its impact on our payments from KHPA.
- Any reductions to our payment levels will be made based on date of service.
- The effective date of the reductions will be communicated as soon as possible, but it at this point it is anticipated to be either March 1 or April 1 based on information we have received from KHPA.
- Any reductions made will be done through adjustments to the applicable fee schedule(s) and not through a "payment reduction". As such, providers will be able to reconcile the applicable fee paid for each specific claim line.
11-24-09: Statement on KHPA Provider Rate Reduction
KS providers: At this point we do not know what impact the Governor's announced 10% provider rate cut will have on our provider reimbursement rates. We are awaiting more information from the state and will determine the impact on our provider reimbursement rates based on the information we receive. Once we receive more guidance we will communicate any potential impact as soon as possible with all participating providers.
10-26-09: 2009-2010 Influenza Season Triage Algorithm for Children from AAP
10-15-09: Tamiflu (oseltamivir) for Oral Suspension: Potential Medication Errors
H1N1 - KS providers
KS VAERS information
additional H1N1 links:
www.flu.gov www.cdc.gov/H1N1flu/
| Claims Address | Children's Mercy Family Health Partners P.O. Box 411806, Kansas City, MO 64141-1806 |
| Electronic Payer ID |
Emdeon: 31472 Gateway EDI: 31472 SSI: 31472 ASK / EDI Midwest: 31472 |
Companion Guide KS 837I PDF Word
| Forms | Claim Adjustment Form/ Corrected Claim Form |
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To request a correction or adjustment to a claim |
| Beneficiary Bank Info For EFT | |
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| Prior Authorization Form | |
For services requiring a pre-auth | |
| Abortion Consent Form | |||
| Hysterectomy Consent Form | |||
| Pregnancy Risk Screening Form | |||
| Sterilization Consent Form | |||
| PCP Change Form | |
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| Practice Change Form | For providers who need to update address, contact information, NPI, personnel, etc. | ||
| Resources | Provider Administration Manual | ||
| Prior Authorization Quick Guide
Case Management Quick Guide |
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| Companion Guide KS 837P PDF Word | |||
| Companion Guide KS 837I PDF Word | |||
| Pharmacy Resources | CMFHP Specialty Drug List and Approval Process, Medication Exception Request, PA fax forms and more | ||
| 2009 Preferred Drug List | |||
| UM Plan | |||
| Other Helpful Information |
Asthma Management Program | CMFHP's comprehensive asthma health improvement program is available to eligible provider offices. CMFHP's Asthma Management Program earned the Leadership award from the U.S. Environmental Protection Agency. | |
| HeLP Program | CMFHP's Healthy Lifestyles Program (HeLP) focuses on childhood obesity and related co-morbidities. This health improvement program is available to eligible provider offices. | ||
| Lead Posioning Prevention Care Management | CMFHP's Lead Posioning Prevention Care Management health improvement program is available for members with elevated blood lead levels. The care management program includes education and coordination of services and resources. | ||
| Special Health Care Needs | CMFHP Special Health Care Needs (SHCN) Outreach Coordinators work with Kansas Special Health Services Program (SHS) program staff to assist in providing care for members that are enrolled in the program. | ||
| CMFHP Eligibility | Information for patients interested in becoming members of Children's Mercy Family Health Partners. | ||
| Child Health Library | Child health information from Children's Mercy Hospitals and Clinics: Care Cards, Well Child Cards, Healthy Kids University classes, podcasts, video and much more. | ||
| KHPA | Kansas Health Policy Authority | ||
| KMAP | Kansas Medical Assistance Program | ||
| Kansas HealthWave | SCHIP/Medicaid Program for the state of Kansas | ||
| CMS | Centers for Medicare and Medicaid Services | ||
| Minority Vendors | Minority Vendors - Children's Mercy Family Health Partners is interested in doing business with you. For more information please click on the following links: | ||
