Thursday, May 10, 2012

Provide your Feedback: KS 1115 Waiver Request to CMS


The State of Kansas submission for an 1115 waiver from CMS has, as of a few minutes ago, been posted the CMS website for public comment.  This public comment period will last for 30 days.  The link to submit comments to CMS is:


Please note that the CMS public comment forum is much like a “talk back” section for online media, which includes a social media component, i.e. you can ‘vote’ for or concur with others’ posted comments.  Please note that you can concur a maximum of ten times.  Further, please note that your comments are limited to 5,000 words.  It is important to be concise in sharing your concerns with CMS. 

If you would like to read the State of Kansas’ full 1115 Waiver Submission, it can be found at the following link:


Please feel free to share any concerns you may have.  However, concerns you may wish to express include:

·         There has been a noticeable lack of inclusiveness in the development process of the Kansas 1115 Waiver proposal, as well as the overall development of the KanCare managed care proposal.  
 
There is an unsettling absence stated outcomes for the Kansas I/DD population within the Brownback Administration’s KanCare proposal that would lead to an improved quality of life for these Kansans. 
 
A one-year period of delay for the inclusion of DD long-term care services within KanCare will not be long enough for the State to adequately fix issues that will arise from the implementation of such a sweeping overhaul to the Kansas Medicaid delivery system.
 
  The State of Kansas intends to engage in pilot testing of managed care for DD long-term care services during the one-year delay for implementation of DD long-term care within KanCare.  However, the DD community has not been engaged in the development of such pilot projects.  Further, serious concerns exist regarding whether the State of Kansas can adequately develop, implement and reasonably analyze outcomes from such pilot projects within the one-year delay period.
 
 There are serious general concerns within the Kansas DD community regarding the vulnerabilities of the Kansas I/DD population to the types of sweeping system changes embodied in the Brownback Administration’s KanCare managed care proposal.  

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