KanCare Unwinding By Age Group and County as of April 30, 2024

5 Min Read

Jun 03, 2024

By

Alex Ferguson,

Wen-Chieh Lin, Ph.D.
A Kansas Twist Logo

Medicaid continuous enrollment associated with the federal Public Health Emergency ended on March 31, 2023. In a process called “unwinding,” states restarted the renewal process and were to complete it within 12 months. The Kansas 12-month window began with April 2023 reviews. The Centers for Medicare and Medicaid Services has extended unwinding through June 30, 2025. Kansas has completed its unwinding process as of May 31, 2024, but will still use available waiver flexibilities granted under the guidance. Learn more about this federal guidance.

KanCare posted renewal data that are broken down into renewals approved and discontinued, those in the reinstatement window and those for whom a new application is required. Members in the reinstatement window have 90 days to submit their renewal for review. If they are determined eligible, they may have their coverage backdated. Members are placed in the new application required category if the reinstatement window has passed. As of April 30, 2024, there were 75,420 individuals for whom new applications are required.

In our latest edition of A Kansas Twist, the Kansas Health Institute analyzed KanCare renewal data as of April 30, 2024, the most recent available, and developed an interactive map to show unwinding status by age group and county. A User Guide is included for reference. See the “Related Content” on the right for previous data on KanCare unwinding.

Interactive Map

User Guide

Purpose

This map displays county quintiles for the number and rate of individuals in the KanCare unwinding reinstatement window. Members in the reinstatement window have 90 days to submit their renewal for review. If they are determined eligible, they may have their coverage backdated.

Using the Tableau Map

Two “base” layers can be viewed for this map – 1) quintiles by number, or count, and 2) quintiles by rate for individuals in the reinstatement window. To change the view, select the “View” filter at the top right and click the drop-down arrow. There are four age categories: 0-18, 19-64, 65+ and total which can be changed by using the “Age” filter below the “View” filter at the top right. As you change the age group, the quintile ranges change (as shown by the ranges detailed in the “Reinstatement Window Quintiles” box), and the counties will update accordingly. If you click on one of the five color squares in the “Reinstatement Window Quintiles” box, the map will highlight the counties that fall into that specific quintile.  Similarly, the “Peer County” filter can be used to highlight counties in a specific peer county group, which are based on population density.

If you hover over a county on the map, you can see breakdowns of the count and rate for the three categories of unwinding data – renewals approved, renewals discontinued, and renewals in the reinstatement window. These bars will update to show different values as you change the Age group that is shown for the entire map.

KanCare Unwinding Data

On February 15, 2023, KDHE’s Division of Health Care Finance submitted their plan for the unwinding of continuous enrollment to the Centers for the Medicare & Medicaid Services (CMS), referred to from here on as KanCare unwinding. KanCare reports renewal updates to CMS, including call center data and the number of renewals mailed.

The number of mailed renewals are broken down into renewals approved and discontinued, those in the reinstatement window and those for whom a new application is required.  The “renewals approved” label refers to all individuals with renewals that were returned to the KanCare Clearinghouse and have been processed and found to be eligible. The “renewals discontinued” category refers to all individuals who had a renewal processed and were found not to be eligible. The “reinstatement window” category refers to individuals who have had their coverage ended but are in a window of time where they have 90 days to return their renewal for review. If they are found eligible, their coverage may be backdated to the date they were discontinued. Members are placed in the new application required category if the reinstatement window has passed. As of April 30, 2024, there were 75,420 individuals for whom new applications are required. More information can be found on the KanCare website.

Rates were calculated by taking the counts for a specific category (for example, approved for age 0-18 in Shawnee County) and dividing it by the total number of KanCare enrollees for that age group in that county in March of 2023.

Peer County Groups

Kansas Information for Communities (KIC) divides counties into peer county groups based on their population density. Kansas counties can be grouped into five categories – urban (150.0 or more persons per square mile), semi-urban (40.0 – 149.9 persons per square mile), densely-settled rural (20.0 – 39.9 persons per square mile), rural (6.0 – 19.9 persons per square mile), and frontier (less than 6.0 persons per square mile). Six counties in Kansas are urban, 10 are semi-urban, 21 are densely-settled rural, 32 are rural, and 36 are frontier. Information about Kansas peer county groups can be found on the KIC website.

About Kansas Health Institute

The Kansas Health Institute supports effective policymaking through nonpartisan research, education and engagement. KHI believes evidence-based information, objective analysis and civil dialogue enable policy leaders to be champions for a healthier Kansas. Established in 1995 with a multiyear grant from the Kansas Health Foundation, KHI is a nonprofit, nonpartisan educational organization based in Topeka.

Learn More About KHI