KanCare Training for Providers - Ubhonline.com
KanCare Training for Providers - Ubhonline.com
KanCare Training for Providers - Ubhonline.com
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KCPC<br />
• KCPC – Kansas Client Placement Criteria<br />
• A system of assessment and placement based on the ASAM Criteria (American Society of<br />
Addiction Medicine)<br />
• ASAM and the KCPC system re<strong>com</strong>mend level of care based on 6 dimensions<br />
• All Substance Use Disorder (SUD) treatment providers in the state of Kansas utilize KCPC<br />
• The <strong>Providers</strong> submit requests <strong>for</strong> authorization of SUD Treatment to the client’s MCO<br />
• The <strong>Providers</strong> use KCPC as an assessment tool while determining the client’s appropriate level of<br />
care<br />
Provider<br />
per<strong>for</strong>ms<br />
assessment<br />
with Client<br />
Provider <strong>com</strong>pletes<br />
the KCPC<br />
assessment tool and<br />
documentation<br />
Based on assessments<br />
and ASAM criteria - Level of<br />
Care decision is made<br />
Provider submits a<br />
Service Request<br />
Voucher utilizing<br />
KCPC to Client’s<br />
MCO<br />
MCO Care<br />
Advocate reviews<br />
clinical ASAM<br />
criteria<br />
Care Advocate determines<br />
if level of care re<strong>com</strong>mended<br />
is appropriate based on the KCPC<br />
Service Request Voucher<br />
Submission<br />
Care Advocate<br />
<strong>com</strong>municates this<br />
decision back to the<br />
Provider (either<br />
approval or denial)<br />
through KCPC<br />
Care Advocate<br />
creates an<br />
authorization or<br />
denial in CareOne<br />
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 14
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