MCO's http://wkms.org en State Auditor: Kentucky Isn't Ready for Expanded Medicaid Coverage http://wkms.org/post/state-auditor-kentucky-isnt-ready-expanded-medicaid-coverage <p>Kentucky’s State Auditor Adam Edelen is concerned about the Commonwealth’s ability support an added 300,000 resident’s to its Medicaid program. Expanded Medicaid coverage next year comes as part of the rollout of the Affordable Care Act. Wed, 31 Jul 2013 22:16:31 +0000 Chad Lampe 33586 at http://wkms.org State Auditor: Kentucky Isn't Ready for Expanded Medicaid Coverage Edelen Finds Lack of Oversight in Statewide Audit http://wkms.org/post/edelen-finds-lack-oversight-statewide-audit <p></p><p>Kentucky State Auditor Adam Edelen says there's a lack of oversight by the Cabinet for Health and Family Services over Medicaid Managed Care Organizations.</p><p>In the second part of the statewide audit released today, Edelen says the MCOs didn't provide enough information to ensure grievances from members and providers were handled timely or that federal compliance requirements were met. Fri, 22 Mar 2013 20:15:23 +0000 Whitney Jones 29652 at http://wkms.org Edelen Finds Lack of Oversight in Statewide Audit Bill Dealing With Medicaid Late Payments Has Support in Senate http://wkms.org/post/bill-dealing-medicaid-late-payments-has-support-senate <p style="margin:0px 0px 15px;padding:0px;border:0px;font-size:15px;vertical-align:baseline;color:rgb(51,51,51);font-family:Georgia,Times,serif;line-height:22px">A bill &nbsp;moving Medicaid late payment claims to the Department of Insurance appears to have some support in the state Senate.</p><p style="margin:0px 0px 15px;padding:0px;border:0px;font-size:15px;vertical-align:baseline;color:rgb(51,51,51);font-family:Georgia,Times,serif;line-height:22px">House Bill 5 would take prompt pay issues with the Medicaid managed care system and put it through the Insurance Department's current claims process. Currently, the Cabinet for Health and Family Services deal with late claims. Mon, 25 Feb 2013 16:09:15 +0000 Kenny Colston (KPR) 28494 at http://wkms.org Hospitals, Health Department Voice Concerns, but MCOs Say Groups Aren't Engaging With Them http://wkms.org/post/hospitals-health-department-voice-concerns-mcos-say-groups-arent-engaging-them <p></p><p><span style="color:rgb(51,51,51);font-family:Georgia,Times,serif;font-size:15px;line-height:22px">Representatives of the state's health department and various hospital executives say almost two years later they are still having payment issues with Medicaid managed care organizations.</span> Wed, 20 Feb 2013 20:48:10 +0000 Kenny Colston (KPR) 28315 at http://wkms.org Hospitals, Health Department Voice Concerns, but MCOs Say Groups Aren't Engaging With Them Passport Files Formal Complaint over Louisville Medicaid Contracts http://wkms.org/post/passport-files-formal-complaint-over-louisville-medicaid-contracts <p><font size="2">Kentucky officials are once again facing the prospect of lawsuits over efforts to expand managed health care within&nbsp; Medicaid.</font><br>&nbsp;</p><p><font size="2">This time, it's Passport Health Plan that is threatening to sue, based on what they call broken rules and promises made to them.</font> Fri, 02 Nov 2012 16:41:41 +0000 Kenny Colston (KPR) 24026 at http://wkms.org Passport Files Formal Complaint over Louisville Medicaid Contracts Kentucky Spirit Sues to Officially Break Its Medicaid Contract http://wkms.org/post/kentucky-spirit-sues-officially-break-its-medicaid-contract <p><font size="2">Struggling Medicaid operator Kentucky Spirit has followed through and is suing to end its contract with the state.<br><br>Kentucky Spirit announced last week it was leaving the commonwealth, because it could not operate without massive losses.&nbsp; Now, it is suing in Frankfort courts to make it official.</font> Tue, 23 Oct 2012 16:32:52 +0000 Kenny Colston (KPR) 23594 at http://wkms.org Kentucky Spirit Sues to Officially Break Its Medicaid Contract Life After Kentucky Spirit: Passport, Humana Ready to Expand? http://wkms.org/post/life-after-kentucky-spirit-passport-humana-ready-expand <p><font size="2">As the fallout continues from the announced departure of statewide Medicaid operator Kentucky Spirit, many other Medicaid operators are already looking to take their place.<font size="2"> </font></font></p><p><font size="2">Kentucky Spirit announced last week they would break their contract with the state early. State officials say they won’t re-open those statewide contracts to replace Kentucky Spirit until the current contracts expire.<font size="2"> </font></font> Fri, 19 Oct 2012 19:54:55 +0000 Kenny Colston (KPR) 23469 at http://wkms.org Life After Kentucky Spirit: Passport, Humana Ready to Expand? MCO's Address Billing Issues http://wkms.org/post/mcos-address-billing-issues <p><font>Officials with Kentucky&#39;s Medicaid managed care organizations say they&#39;re on track to resolve any problems with reimbursements to doctors and pharmacists.<br /> Wed, 15 Feb 2012 22:00:03 +0000 Kenny Colston (KPR) 16940 at http://wkms.org