Kan. Admin. Regs. § 129-9-2

Current through Register Vol. 44, No. 2, January 9, 2025

Section 129-9-2 - FFS provider grievance

(a) Any provider rendering services to a beneficiary of the FFS medical assistance program may submit a grievance about any FFS matter, including an action.

(b) Any provider rendering services to a beneficiary of the FFS medical assistance program may submit an oral or written grievance to the secretary or the secretary's designee at any time. Any provider may submit a grievance involving an FFS matter in person, by telephone, by U.S. mail, or by facsimile. Each written grievance delivered by the postal service or submitted by facsimile to the secretary or the secretary's designee shall be date-stamped when received as proof of receipt.

(c) Each grievance involving an FFS matter shall be resolved by the secretary or the secretary's designee within 30 days from the date the secretary receives the grievance from the provider. The resolution of the grievance shall be communicated by the secretary or the secretary's designee to the provider by telephone or letter.

(d) A provider's right to submit a grievance involving an FFS matter shall not be limited or interfered with by the secretary or the secretary's designee.

(e) If the secretary delegates the tracking and resolution of grievances involving an FFS matter to a contractor, that contractor shall cooperate with the state, the state's fiscal agent, or representatives of either, to resolve all provider grievances. Cooperation may include providing internal provider grievance information to the state.

Kan. Admin. Regs. § 129-9-2

Authorized by and implementing K.S.A. 65-1,254 and 75-7403; adopted by Kansas Register Volume 43, No. 50; effective 12/27/2024.