KDHE launches program to expedite Medicaid payments for long term care


The Kansas Department of Health and Environment (KDHE) and Prefix Health Technologies are launching a pilot program to speed up the process of determining Medicaid eligibility for Kansas older adults who seek coverage for long-term care (LTC).
KanCare is working to improve the customer experience for applicants, and the Prefix Health solution has the potential to be a key part of that effort to bring a data-driven, transparent approach to improving the determination process.

Delays in Medicaid eligibility determinations often leave LTC providers to bear the expense of a resident’s care for months before the facility can be paid.

Kansas LTC providers care for some of the most vulnerable members of our society. The state welcomes this step toward reducing these unnecessary delays in reimbursing them for doing so. Streamlining this process and identifying areas where more information is needed gives LTC facilities more control in the process, enabling them to sustain this vital work.

The Prefix Health solution leverages powerful data retrieval and machine learning technologies to quickly access and analyze data from secure, trusted third-party sources, such as banks and other financial institutions. This expedited digital approach reduces the information-gathering burden on residents and their families while providing additional usability and security

Derek Nester
Derek Nester
Derek Nester was born and raised in Blue Rapids and graduated from Valley Heights High School in 2000. He attended Cowley College in Arkansas City and Johnson County Community College in Overland Park studying Journalism & Media Communications. In 2002 Derek joined Taylor Communications, Inc. in Salina, Kansas working in digital media for 550 AM KFRM and 100.9 FM KCLY. Following that stop, he joined Dierking Communications, Inc. stations KNDY AM & FM as a board operator and fill-in sports play-by-play announcer. Starting in 2005 Derek joined the Kansas City Chiefs Radio Network as a Studio Coordinator at 101 The Fox in Kansas City, a role he would serve for 15 years culminating in the Super Bowl LIV Championship game broadcast. In 2021 he moved to Audacy, formerly known as Entercom Communications, Inc. and 106.5 The Wolf and 610 Sports Radio, the new flagship stations of the Kansas City Chiefs Radio Network, the largest radio network in the NFL. Through all of this, Derek continues to serve as the Digital Media Director for Sunflower State Radio, the digital and social media operations of Dierking Communications, Inc. and the 6 radio stations it owns and operates across Kansas.

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