1. Long Term Services and Supports (LTSS) Quality in KanCare
Brad Ridley, Director of Operations
August 1, 2018

2. LTSS in Managed Care
2013
State transitions almost all Medicaid Fee-For-Service populations and services into a managed care program, KanCare
2014
I/DD Waiver services included in KanCare as of February 2014
State is implementing new contracts with MCOs to deliver services, including LTSS
State revised KanCare Quality Strategy to include a greater focus on LTSS
August 1, 2018

3. Implementation Challenges
Lack of established standardized and meaningful managed care focused LTSS performance measures nationally and within KanCare.
KanCare program evaluation and outcomes heavily focused on physical health
Limited meaningful stakeholder engagement related to quality monitoring and performance improvement
August 1, 2018

4. Changes to MLTSS Quality Process
Effective 1/1/19: Changes to KanCare1115 Waiver quality strategy to ensure appropriate emphasis on LTSS
Effective 1/1/19: Added new LTSS focused measures to Managed Care Organization (MCO) Contracts
Engaging LTSS Stakeholders over past year to identify priority quality metrics from existing data sources including NCI and NCI-AD
Focus on external reporting to stakeholders, legislature and public to include meaningful LTSS measures
August 1, 2018

5. Planned Annual Cycle for LTSS Quality Improvement
Annual Goal Setting
MCO Operational Monitoring
Performance Measurement (Including NCI and NCI-AD)
MCO Quality Improvement Initiatives
Updates to Provider Licensing and Certification Criteria
Stakeholder Reporting
August 1, 2018

6. Planned Quality Measurement and Improvement Process
Define Performance Metrics and MCO Quality Improvement Initiatives
Implement Quality Improvement Initiatives
Review and Analyze Quality Initiatives
Develop and Implement Changes for Subsequent Period
August 1, 2018

7. Questions?
August 1, 2018