Initial Medicaid Implementation: Kansas initially implemented their Medicaid program in 1967. In the early years of the Medicaid implementation, Kansas reported conditions of revoking medical licenses and reporting physicians for fraud because they received large sums of payment from the initial program’s implementation. Later providers were instructed by the state to limit the use of hospitalizations among Medicaid beneficiaries. Medicaid was administered at the county level until 1975 when the program was united under a new state agency, the Department of Social and Rehabilitation Services.
Key Medicaid Political Issues: In 2005 Kansas moved Medicaid into the newly created Health Policy Authority then again in 2011 the program was moved to the Department of Health and Environment. Kansas has maintained a modest Medicaid program. In recent years the state has taken reforms through an 1115 waiver under governor Brownback to move the program to managed care contracts. The waiver which transferred the existing population into the managed care KanCare program was under a great deal of scrutiny due to some business relationships between legislators and the managed care entities. Additionally, those receiving services through disability eligibility groups have reported significant access issues.
Medicaid Expansion Implementation: Kansas has wrestled with a shifting state government during the course of the Medicaid expansion debate. The state had moved to the far right under governor Brownback and made significant cuts in state funding of social services. The legislature has since moderated and in 2017 voted to expand Medicaid. The Governor ultimately vetoed the legislation and the current governor and GOP candidate have pledged to not expand Medicaid. It is possible that the state legislature could gain the votes to overrule a potential veto in the 2018 election. The state has proposed a work requirement as part of the renewal of its KanCare demonstration waiver. Since the state has yet to adopt the Medicaid expansion it is unclear whether the federal government would approve these changes for eligible adults with extreme circumstances and parents.
General facts about Kansas Medicaid:
Medicaid program name: Medicaid
CHIP Program name: Healthwave
Separate or combined CHIP: Separate CHIP
Medicaid Enrollment: 389,000 (estimate 2018)
Total Medicaid Spending: $3.27 billion (2017 estimate)
Share of total population covered by Medicaid: 14%
Share of Children covered by Medicaid: 29% (estimate)
Share of Medicaid that is Children and Adults: 71%
Share of Spending on Elderly and people with disabilities: 65%
Share of Nursing Facility Residents covered by Medicaid: 50% (estimate)
Expansion state: No
Number of people in expansion: NA
Work Requirement: No