HealthWave


HealthWave is a managed care program through which two populations, HealthWave Title XIX (traditional Medicaid) and HealthWave Title XXI (State Children’s Health Insurance Program [SCHIP]) receive health care services. Approximately 75% of HealthWave participants receive services through the Title XIX component.   Although there are subtle differences in coverage, the HealthWave program is seamless to beneficiaries.  The HealthWave program provides capitated managed care through two MCOs: Children’s Mercy Family Health Partners (CMFHP) and UniCare.  Mental health services are provided by plans specializing in managing mental health care services.  Medicaid beneficiaries are primarily covered through a Prepaid Ambulatory Health Plan (Kansas Health Solutions) and a Prepaid Inpatient Health Plan (Value Options).  Mental health services for SCHIP are covered by Cenpatico, a private MCO providing separately capitated services.  Some HealthWave services such as dental care are still provided through fee-for-service (FFS).

HealthWave - Program Description and Evaluation

HealthWave - HEDIS Measures of Plan Performance and Health Outcomes

The Healthcare Effectiveness Data and Information Set (HEDIS) is an instrument used by more than 90 percent of health plans in the United States to measure performance on important dimensions of care and service.

  • For more information please visit the HEDIS website.
  • 2008 HEDIS Report Synopsis
  • If you would like a full version of the HEDIS Measures report please contact our Public Information Officer at 785.296.3981.

Cross Plan Comparison Tables

HealthWave - CAHPS Measures of Plan Performance and Satisfaction

The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program develops and supports the use of a comprehensive and evolving family of standardized surveys that ask consumers and patients to report on and evaluate their experiences with health care.

  • For more information please visit the CAHPS website.
  • If you would like a full version of the CAHPS report please contact our Public Information Officer at 785.296.3981.

Cross Plan Comparison Tables

Provider Survey

Annual Reports

Helpful Links and Definitions