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Market Intelligence Resource | August 28, 2019

Kansas Department Of Administration KanCare 2.0 Medicaid & CHIP Capitated Managed Care: Aetna – Contract Compliance Concerns

On July 24, 2019, the Kansas Department of Administration KanCare 2.0 Medicaid and Children's Health Insurance Program (CHIP) Capitated Managed Care released a set of contract compliance concerns with Aetna. The concerns address person-centered service plans; credentialing and provider organization networks; report and geo access report; encounters; authorizations that include client obligation; claims with client obligation; Aetna website update; portals, document and contract submissions; contract reviews; and problem notifications . . .

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