MedData Regulatory and Governmental Affairs has continued to monitor the Section 1115 waivers pending with CMS, including Kansas’ KanCare waiver renewal application filed on December 20, 2017. Included in this waiver was the request to update the Medicaid program, to be called KanCare 2.0, in order to “accomplish the goal of helping Kansans achieve healthier, more independent lives by coordinating services and supports for social determinants of health and independence in addition to traditional Medicaid benefits.” Changes in the waiver include work requirements, a cap on lifetime benefits and better incorporation with Medicaid Managed Care Organizations.
On May 7, 2018, CMS notified Kansas officials that the requested 36-month cap on Medicaid eligibility would not be approved. Following the denial, further emphasis was made by CMS Administrator Seema Verma, stating at an event that “We’ve indicated that we would not approve lifetime limits and I think we’ve made that pretty clear to states.”
In the denial letter, CMS stated it was committed to supporting Kansas in its goal of approving its Medicaid program and that well-designed community engagement programs may help reach this goal. CMS acknowledged its recent approval of work requirements in waivers from Arkansas, Kentucky and Indiana, and invited Kansas review the approved waivers in an effort to identify an appropriate approach of incorporating community engagement requirements. In the meantime, CMS will continue to review the remaining portions of Kansas’ waiver, including the work requirement provisions.
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