State’s KanCare Providers Miss Benchmarks

Health officials say none of the state’s KanCare providers met benchmarks for timeliness in claims processing during 2013.

The Wichita Eagle reports the state set a goal to have all claims without mistakes processed in 20 days and all claims processed in 60 days.

An August report from the Kansas Department of Health and Environment said the state’s three KanCare providers – Amerigroup, Sunflower Health and United Healthcare – failed to meet that benchmark in any month last year.

KDHE spokeswoman Sara Belfry says part of the companies’ payments for the year were withheld, and the state continues to work with the providers.

The companies did meet a goal of resolving 98 percent of all inquiries within two business days in each month of 2013.