The Office of the Medicaid Inspector General (OIG) is charged with overseeing the entire Kansas Medicaid program, including but not limited to KanCare, MediKan, and the State Children’s Health Insurance Program (SCHIP). To accomplish this mission, the OIG conducts audits, investigations, and performance reviews to increase accountability, integrity, and oversight of Kansas Medicaid, assist in improving agency and program operations, and in deterring and identifying fraud, waste, abuse, and illegal acts.

The Medicaid Fraud Control Unit (MFCU) works to protect Kansas citizens and the Kansas Medicaid program by identifying, investigating and prosecuting Medicaid provider fraud, as well as physical abuse, neglect, and financial exploitation of dependent adults in residential care facilities and board and care facilities that receive Medicaid funding. 

To discuss Medicaid eligibility issues and/or concerns please visit the KanCare website, or contact the KanCare Clearinghouse by calling 1-800-792-4884, or 1-800-792-4292 (TTY).

Fraud is defined as the wrongful or criminal deception intended to result in financial or personal gain. Fraud includes false representation of fact, making false statements, or by concealment of information.

Waste is defined as the thoughtless or careless expenditure, mismanagement, or abuse of resources to the detriment (or potential detriment) of the State of Kansas government. Waste also includes incurring unnecessary costs resulting from inefficient or ineffective practices, systems, or controls.

Abuse is defined as excessive or improper use of a thing, or to use something in a manner contrary to the natural or legal rules for its use. Abuse can occur in financial or non-financial settings.

You can file a Medicare fraud complaint online at the U.S. Department of Health and Human Services Office of Inspector General (HHS/OIG) website HERE, or by calling 1-800-HHS-TIPS (1-800-447-8477).

KanCare

KanCare is the program through which the State of Kansas administers Medicaid. The program delivers care to more than 415,000 people across Kansas. 

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Ombudsman

What is KanCare?

Managed Care Organizations

Kansas has contracted with three health plans, or managed care organizations (MCOs), to coordinate health care for all people enrolled in Kansas Medicaid programs.

Aetna

United

Sunflower

Kansas Department of Health and Environment (KDHE)

KDHE works to protect and improve the health and environment of all Kansans, through licensing hospitals and child care facilities, monitoring air quality and regulating landfills, and operating the state’s Medicaid program.

Division of Health Care Finance

The Division of Health Care Finance's mission is to develop and maintain a coordinated health policy agenda that combines effective purchasing and administration of health care with health promotion-oriented public health strategies. The powers, duties, and functions of the Division are intended to be exercised to improve the health of the people of Kansas by increasing the quality, efficiency, and effectiveness of health services and public health programs.

Kansas Department for Aging and Disability Services (KDADS)

KDADS is the second largest agency in state government, and administers, manages, and/or directs:

Services to older adults;

Behavioral health, addiction and prevention programs;

The four state hospitals and institutions;

The state’s home- and community-based services waiver programs under KanCare; and

Health occupations credentialing. 

Medicare.gov

Medicare is health insurance for people 65 or older. Some people may be eligible to get Medicare earlier if they have a disability, End-Stage Renal Disease (ESRD), or ALS (also called Lou Gehrig’s disease). 

U.S. Department of Health & Human Services, Office of Inspector General (HHS/OIG)

The HHS/OIG's mission is to provide objective oversight to promote the economy, efficiency, effectiveness, and integrity of HHS programs, as well as the health and welfare of the people they serve.

Submit a Medicare Fraud Hotline Complaint

Center for Medicare Advocacy

The Center for Medicare Advocacy’s mission is to advance access to comprehensive Medicare coverage, health equity, and quality health care for older people and people with disabilities by providing exceptional legal analysis, education, and advocacy.

The Center for Medicare Advocacy (the Center) is a national, non-profit, law organization that works to advance access to comprehensive Medicare coverage, health equity, and quality health care for older people and people with disabilities. Founded in 1986, the Center focuses on the needs of people with longer-term and chronic conditions. The organization’s work includes legal assistance, advocacy, education, analysis, policy initiatives, and litigation of importance to Medicare beneficiaries nationwide. Our systemic advocacy is based on the experiences of the real people who contact the Center every day. Headquartered in Connecticut and Washington, DC, the Center also has attorneys in CA, MA and WI.

Kansas Department for Children and Families (DCF)

Economic and Employment Services

Economic and Employment Support provides a variety of services that may help you, including cash, food, energy, child care assistance; and Early Head Start. It also helps individuals to find and keep a job along with other employment support services.

Cash Assistance

Child Care and Early Education

Energy Assistance

Food Assistance

DCF Fraud Investigation Unit

The mission of the Fraud Investigations Unit is to aggressively investigate, detect, prevent, and prosecute welfare recipient fraud in all public assistance programs administered by the Department for Children and Families including cash assistance, food assistance, child care assistance, medical assistance, and utility LIEAP assistance.

 Disability Services

Social Security Administration OIG

The Cooperative Disability Investigations (CDI) program is a key anti-fraud initiative that combats fraud within Social Security disability programs. The CDI program accomplishes its mission by reviewing questionable disability claims and investigating cases of suspected disability fraud in order to stop payment before it occurs, or as soon as fraud is suspected.

Disability Rights Center of Kansas (DRC)

The Disability Rights Center of Kansas (DRC) is a private non-profit agency. We are not a part of the state or federal government. We are also not a disability service provider. DRC has attorneys and advocates who provide free advocacy and legal services for disability rights.

Kansas Statutes Annotated (K.S.A.)

Note: To access the Kansas Statutes Annotated which have been authenticated in accordance with the law, see the current printed bound volumes of the Kansas Statutes Annotated and the current printed volumes of the Cumulative Supplement to the Kansas Statues Annotated as published by the Office of Revisor of Statutes.

All statutes via the Kansas Legislature webpage.

All statutes via the Kansas Revisor of Statutes webpage. 

Office of Inspector General Powers and Authority 

K.S.A. 75-7427. Same; office of inspector general; definitions; duties and powers; investigation of fraud, waste, abuse and illegal acts; reports and records. 

K.S.A. 75-726. Access to records by the attorney general.

The Kansas Medicaid Fraud Control Act

K.S.A. 21-5925. Citation of act. K.S.A. 21-5925 through 21-5934 and K.S.A. 75-725 and 75-726, and amendments thereto, shall be known and may be cited as the Kansas medicaid fraud control act.

K.S.A. 21-5926. Definitions. As used in the Kansas medicaid fraud control act.

K.S.A. 21-5927. Making false claim, statement or representation to the medicaid program. 

K.S.A. 21-5928. Unlawful acts relating to the medicaid program.

K.S.A. 21-5929. Obstruction of a medicaid fraud investigation.

K.S.A. 21-5930. Failure to maintain adequate records.

K.S.A. 21-5931. Destruction or concealment of records.

K.S.A. 21-5932. Defense of actions.

K.S.A. 21-5933. Penalties; medicaid fraud reimbursement fund; medicaid fraud prosecution revolving fund.

K.S.A. 21-5934. Other remedies available as provided by law. 

The provisions of K.S.A. 21-5925 through 21-5934 and K.S.A. 75-725 and 75-726, and amendments thereto, are not intended to be exclusive remedies and do not preclude the use of any other criminal or civil remedy.

Human Trafficking

K.S.A. 75-756. Authorizing coordination of training regarding human trafficking.

K.S.A. 75-757. Human trafficking advisory board.

K.S.A. 75-758. Human trafficking victim assistance fund established; expenditures. 

K.S.A. 75-759. Notice offering help to victims of human trafficking; posting required in certain locations; coordination with secretary for children and families and secretary of labor; report.

Other Kansas Statutes

K.S.A. 75-712i. Criminal history record checks; certain qualified entities that provide care to children, the elderly or individuals with disabilities.

K.S.A. 75-712j. Criminal history records check; retention of fingerprints; limitations on disclosure of records; disclosure in violation of act, criminal penalty; enrollment in rap back program.

K.S.A. 75-727. Payment of reward for persons providing certain information.

Kansas Administrative Regulations (K.A.R.) 

All regulations via the Kansas Secretary of State webpage 

Kansas Department for Aging and Disability Services (KDADS)

Kansas Department of Health and Environment (KDHE) 

KDHE - Division of Health Care Finance

Kansas Department for Children and Families (DCF) 

Federal Medicaid Statutes

Kansas Legislature

The Kansas Legislature consists of a 125-member House of Representatives and a 40-member Senate. Representatives are elected for a two-year term and Senators are elected for a four-year term. The Legislature convenes on the second Monday in January for an annual session and generally adjourns in early May. The Kansas Legislature is supported by five non-partisan staff agencies:

Revisor of Statutes

The Revisor's office provides legislative legal expertise to the Kansas Legislature. Attorneys in the office are responsible for drafting bills and other legislation, staffing legislative committees, publishing the Kansas Statutes Annotated and offering legal consultation to members of the Kansas Legislature. The Kansas Statutes Annotated and certain legislative documents prepared by the office can be found on their website.

Kansas Legislative Division of Post Audit

The Kansas Legislative Division of Post Audit is the non-partisan audit arm of the Kansas Legislature. The office's mission is to inform policy makers by providing accurate, unbiased information through their audit reports. Their audits help the Legislature by focusing on three core areas – oversight, insight, and foresight. They help the Legislature by providing oversight of state government by evaluating whether agencies are following laws, achieving intended results, and operating efficiently. They also help legislators develop a better understanding of state government by providing insight into how agencies and programs actually work. Finally, in some cases, they provide legislators with foresight by predicting how changing current government structures and systems might affect state costs and program outcomes.

Kansas Legislative Research Department

The Kansas Legislative Research Department (KLRD) is one of four nonpartisan agencies that provide support services for the Kansas Legislature. The Department has provided nonpartisan, objective research and fiscal analysis for the Kansas Legislature since 1934.

Kansas Legislative Administrative Services

Legislative Administrative Services provides administrative and technical support for the Kansas Legislature and general public, as directed by the Legislative Coordinating Council.

Kansas Office of Information Services

This office provides non-partisan IT support to Legislators and Legislative support staff.

Kansas Legislative Broadcast (YouTube)

The official broadcast of the Kansas Legislature. We are dedicated to providing a resource for constituents to follow their elected officials on widely accessible platforms.

Kansas Legislative Committees

Most legislative business is conducted in committees. The committee system allows legislators to spend more time studying specific issues and bills, so they are able to make better informed recommendations about such issues and bills. To learn more about committees in the Kansas Legislature, please visit the Kansas Legislative Research Department’s Role of Committees in the Kansas Legislature webpage.

Robert G. (Bob) Bethell Joint Committee on Home and Community Based Services and KanCare Oversight (Bethell Committee)

The Bethell Committee is charged with overseeing long-term care services and Medicaid programs in Kansas by KSA 2022 Supp. 39-7,160. They monitor and study the implementation and operation of the services and programs, including financial information, budgetary issues, and access to and quality of services provided. These services and programs include home and community-based services (HCBS), the State Children’s Health Insurance Program (SCHIP), the Program for All-Inclusive Care for the Elderly (PACE), and the Kansas Medicaid program (KanCare).

The Bethell Committee meets quarterly to discuss issues relating to the services and programs they oversee. Testimony is provided to the committee members during the quarterly meetings by private citizens, stakeholders, and government entities.

The Inspector General also provides testimony to the Bethell Committee at each of these meetings. Electronic versions of the Inspector General’s Bethell Committee testimony can be found HERE. 

Kansas Department for Aging and Disability Services (KDADS)

Aging Services

Aging Services administers a variety of community-based programs for the aging population through contracts and grants of state and federal funds. The programs administered include Older Americans Act, congregate and home-delivered meals, caregiver programs, in-home services, Senior Care Act services, and the Program of All-Inclusive Care for the Elderly (PACE).

Long Term Services & Supports (LTSS)

The LTSS Commission manages a system of supports and services for the aging population and persons with disabilities, which are delivered through the KanCare system in partnership with organized networks. These services include programs for individuals with physical disabilities, intellectual/developmental disabilities, seniors and children.

State Long-Term Care Ombudsman (Long-Term Care Advocacy Office)

An Ombudsman (awm-budz-man) is an advocate for people who live in long-term care facilities. This includes people residing in nursing homes, assisted living facilities, board and care homes, home plus facilities, adult day care centers, and residential health care facilities. Kansas' Long-Term Care Ombudsman Program is a resident-centered program designed to advocate for resident's civil and human rights and give a voice to those who might otherwise go unheard.

One of the principal purposes of the ombudsman program is to investigate and resolve complaints made by residents or on behalf of residents in long-term care facilities. Certified ombudsman staff and volunteers investigate and work to resolve complaints while focusing resolutions on the resident's wishes. Ombudsmen regularly visit long-term care facilities to be accessible to residents and monitor conditions.

In addition, ombudsmen provide education regarding long-term care issues for residents, facility staff, and the community; identify long-term care concerns, and advocate for needed changes in policies, laws, and regulations. 

U.S. Department of Justice - Elder Justice Initiative (EJI)

The mission of the Elder Justice Initiative is to support and coordinate the Department’s enforcement and programmatic efforts to combat elder abuse, neglect and financial fraud and scams that target our nation’s older adults.

National Center on Elder Abuse

National Center on Elder Abuse (NCEA) provides the latest information and resources on research, training, policy, and best practices on preventing and responding to elder mistreatment.

Kansas Advocates for Better Care (KABC)

Kansas Advocates for Better Care is dedicated to improving the quality of long-term care for older Kansans, at home and in residential care settings.

Founded in 1975 as Kansans for Improvement of Nursing Homes, our mission continues to be “Advocating for Quality Long-Term Care for residents of licensed adult care homes.” KABC is a 501(c) (3) non-profit organization, funded by members, contributors and grants for special purposes.

PEAK: Quality Improvement through Person-Centered Care

PEAK (Promoting Excellent Alternatives in Kansas) started in as a recognition and education program to encourage providers in Kansas to adopt culture change. The program focuses on five domains essential to person-centered care: The Foundation, Resident Choice, Staff Empowerment, Home Environment, and Meaningful Life.

KDADS contracted with Kansas State University to administer the program in 2012. KDADS continues to oversee the program and apply the incentive to Medicaid reimbursement, but Kansas State University handles administrative functions of the program, such as application, training, and evaluation of participants. In addition, the Center on Aging strives to be a support to homes as they navigate the program. The program is open to all long-term care providers in the state of Kansas.

Alzheimer's Association

The Alzheimer's Association leads the way to end Alzheimer's and all other dementia — by accelerating global research, driving risk reduction and early detection, and maximizing quality care and support.

The Administration for Community Living

The Administration for Community Living was created around the fundamental principle that older adults and people of all ages with disabilities should be able to live where they choose, with the people they choose, and with the ability to participate fully in their communities.

By funding services and supports provided primarily by networks of community-based organizations, and with investments in research, education, and innovation, ACL helps make this principle a reality for millions of Americans.

Justice in Aging

Justice in Aging is a national organization that uses the power of law to fight senior poverty by securing access to affordable health care, economic security, and the courts for older adults with limited resources.

National Human Trafficking Resource Center

1-888-373-7888         

Human trafficking is a situation in which an individual is compelled to work or engage in commercial sex through the use of force, fraud or coercion. If the individual is under the age of 18 and engaging in commercial sex they are experiencing trafficking regardless of whether force, fraud, or coercion is also taking place.

If you believe you may have information about a trafficking situation:

• Call the National Human Trafficking Hotline toll-free hotline at 1-888-373-7888: Anti-Trafficking Hotline Advocates are available 24/7 to take reports of potential human trafficking.
• Text the National Human Trafficking Hotline at 233733. Message and data rates may apply.
• Chat the National Human Trafficking Hotline via humantraffickinghotline.org/chat.

Kansas Insurance Department

Consumer Assistance Division - File a consumer complaint or make a consumer inquiry:

Consumer Assistance Hotline: 800-432-2484 (in Kansas only)

Telephone: 785-296-3071 (out-of-state caller)

Fax: 785-296-5806 TTY/TTD: 877-235-3151

Email: KDOI.Complaints@ks.gov

Oversight.gov

Oversight.gov is a publicly accessible, searchable website containing the latest public reports from Federal Inspectors General who are members of the Council of the Inspectors General on Integrity and Efficiency (CIGIE).

The site is operated and maintained by CIGIE. The reports and information are uploaded to this site by the IGs.

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