Find the answers to the most common questions about KanCare

What is KanCare?

  • KanCare is the name for the the state of Kansas’ Medicaid program. KanCare is managed care that combines health care (like doctor’s visits) with community long-term services and support (like help in your home). You choose a KanCare health plan that provides you services. KDHE oversees the KanCare program

How can I apply for KanCare?

The application is confusing, can I get help?

How do I change my address or phone number for my KanCare benefits?

  • You can change or update your information by calling 1-800-792-4884

What if I don’t agree with a decision about my health care?

  • You may file a grievance if:
    • You are concerned about the type of care you are getting
    • You are concerned about the quality of the care you are getting or
    • You have other concerns about your health plan or your provider
  • You may ask for a fair hearing or an appeal if:
    • You do not agree with an action such as a denial or limit on service,
    • You feel you had to wait too long to get services, or
    • Your Kancare plan is not paying for a service you got.

Will consumers have any say in how Kancare operates?

  • Each KanCare health plan must have a Member Advisory Council made up of people who receive services or their families. People who receive services are also represented on the Governor’s KanCare Advisory Council.

What if I have a complaint?

  • You should call the Kancare health plan’s customer service number, talk to your care manager or file a written grievance.

Will I be able to see special doctors?

  • You will be able to see special doctors or other providers for treatment or follow-up if you need to.

What if I don’t want to be in a Kancare Health plan?

  • Every Medicaid member is in a KanCare health plan

What is managed care?

  • Managed care is a way of providing health care, long-term services and supports through a health plan. Under managed care, your services are coordinated by your primary care doctor and a service coordinator.

Are dental services available as part of Kancare?

  • Children are eligible to receive dental services. Adults are able to receive dental exams and cleanings at least once per year.

Will I have to pay anything for services?

  • You may have a client obligation based on your family’s income. If the service you receive is a covered service, you will not have to pay anything for it.

What if I don’t need community long-term services and supports?

  • You don’t have to use them. If you need community long-term services and supports in the future, contact your health plan and ask to speak to your care manager.

Does KanCare offer rides to see my doctor?

  • Each Kancare health plan will help you get to your doctor and other health care providers. They will give a you a phone number to call to get a ride.

Can I change doctors?

  • You can choose to go to any doctor on the provider list for the KanCare plan you have chosen. You can change doctors any time, as long as the new doctor is on the health plan’s provider list. Call your health plan if you want to choose a different doctor.

Can I change my health plan after the enrollment period ends?

  • You will be in the health plan you have chosen for one year. You will have a chance to change plans again each year. There are few reasons that you can change plans in the middle of the year. To change in the middle of the year you need to have what is called a “good cause” reason to change.

How do I choose a KanCare health plan?

  • There are three KanCare health plans you can choose from. You are asked to choose a health plan at the time you complete your initial application. If approved, you will have 90 days after approval date to choose or change health plans.

Are all three Kancare health plans the same?

  • The all cover the same basic Medicaid services, but some of the extra services they provide are different. They also have to provide service statewide.