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OneCare Kansas Quick Facts

Date: 04/23/20

What is OneCare Kansas (OCK)?

OCK is a comprehensive and intense method of care coordination for Kansas Medicaid members who qualify. OCK integrates and coordinates all services and supports with the goal of treating the "whole person" across the lifespan. There are six core services:

  • Comprehensive care management: develop a plan to guide you and your doctors and other providers.
  • Care coordination: making sure members get the right services at the right time.
  • Health promotion: learn about your conditions and how you can help yourself be healthier.
  • Comprehensive transitional care: when you are discharged from a hospital or care facility.
  • Member and family supports: help members meet their health goals with the help of family or other helpers and caregivers.
  • Referral to community supports and services: making sure you get the other services and supports you need to stay in your home.

The program will be an opt-in program for members who have:

  • One serious and persistent mental illness, defined as having at least one of the following diagnoses:
    • Paranoid Schizophrenia
    • Severe Bipolar Disorder
  • Or one chronic condition defined as people who have asthma who also are at risk for developing:
    • Diabetes
    • Hypertension
    • Kidney Disease (not including Chronic Kidney Disease Stage 4 and ESRD)
    • Cardiovascular Disease
    • COPD
    • Metabolic Syndrome
    • Mental Illness (not including Paranoid Schizophrenia and Severe Bipolar Disorder)
    • Substance Use Disorder
    • Morbid Obesity (body weight 100lbs over normal body weight, BMI greater than 40, or BMI over 30 with obesity-related health problems)
    • Tobacco Use or exposure to second-hand smoke

All KanCare Managed Care Organizations (MCO) will contract with OCK partners to provide the six core services. OCK partners will work in collaboration with other providers to ensure that OCK members receive care that aims to treat the "whole-person."

How will I know if a member is participating with the OneCare Kansas program?

Providers will notice a new column when logging in to the Provider Portal. This new column will indicate the member status as a OneCare Kansas participant.

How can a member enroll in the OneCare Kansas program?

A referral requesting member participation can be submitted to the member’s MCO. The referral form can be found at: https://www.kancare.ks.gov/docs/default-source/providers/ock/ock-referral-form.pds?sfvrsn=f1924c1b_40.

Can I become a OneCare Kansas Partner?

Interested providers will complete an application to become an OCK partner. The application link can be found at: https://kancare.ks.gov/docs/default-source/providers/ock/onecare-kansas-provider-application---updated-3-25-2019266e2d54f5e56149804cff0000ec1706.pdf?sfvrsn=74ac4c1b_32

For more information visit https://www.kancare.ks.gov/ or email OneCareKansas@ks.gov.

If you have questions about this bulletin or other provider resources, please contact Customer Service at 1-877-644-4623 (TTY 711).