Program Improvements

Background: The Division of Health Care Finance maintains an ongoing process of reviewing elements of its programs and operations to identify opportunities for improvement, efficiencies and savings. The Program Improvements process began in 2008 with reviews of 14 major pieces of the Kansas Medicaid program. Those reviews led to the publication of the first Medicaid Transformation report in January 2009. That process is now being expanded to cover all programs and operations within DHCF, including the State Employee Health Benefits Program and DHCF internal operations. The overall purpose of the process is to produce and publish regular program reviews to monitor, assess, diagnose and address policy issues in each major program area within the agency. The presentation of these reviews is designed to serve as the basis for DHCF budget and policy initiatives on an ongoing basis.

Reviews/Evaluations Posted in 2011:

• Quality Improvement
• State Self Insurance Fund

Reviews/Evaluations Published in 2010:

• Growth in Spending on Medical Services for the Disabled
• Federally Qualified Health Centers (FQHC's)
• School-Based Services
• Quality Improvement2010
• Professional Services
• Third-Party Liability (TPL)
• Fee-for-Service Prior Authorization Processes
• Out-of-State Services - Updated 3-12-2010
• HealthConnect
• Surveillance and Utilization
• HealthWave Program
• Outpatient Therapy Services
• Overview and Analysis of Kansas Public Mental Health System

Reviews/Evaluations Published in 2009

• Medicaid Transformation
  • Medicaid Transformation Fact Sheet
  • Medicaid Transformation - Full Report
  • Chapter 1 - Executive Summary
  • Chapter 2 - Background, Motivation and Methodology
  • Chapter 3 - Dental Services
  • Chapter 4 - Durable Medical Equipment
  • Chapter 5 - Home Health Benefits
  • Chapter 6 - Hospice Services
  • Chapter 7 - Acute Care Inpatient/Outpatient Hospital Services
  • Chapter 8 - Independent Laboratory and Radiology
  • Chapter 9 - Medical Pharmacy Services
    • March 25, 2009, Update
  • Chapter 10 - Transportation Services
  • Chapter 11 - HealthWave
  • Chapter 12 - HealthConnect Kansas
  • Chapter 13 - Medical Services for the Aged and Disabled
  • Chapter 14 - Emergency Health Care for Undocumented Persons (SOBRA)
  • Chapter 15 - Eligibility Policy and Operations of Public Insurance Programs
  • Chapter 16 - Quality Improvement in KHPA 's Home Health Care Programs
  • Appendix A - Oral Health Plan