Journal of the Kansas Dental AssociationISSN# 08887063
PUBLISHED QUARTERLY BY
Kansas Dental Association5200 SW HuntoonTopeka, KS 66604-2398
Eugene F. McGill, D.D.S.
Kevin J. Robertson, CAE
Jostens4000 SE AdamsTopeka, KS 66609
KDA Executive CommitteePRESIDENT
Dr. Hal Hale
Dr. Craig Herre
Dr. Jason Wagle
Dr. Steven Hechler
Dr. Cynthia Sherwood
IMM. PAST PRESIDENT
Dr. David Hamel
Although the KDA publishes authoratative news,
commiee reports, articles and essays, it is in no
respect responsible for contents or opinions of thewriters. Advertising rates and circulation data will befurnished by request.Annual subscription price is $5.00 for member den-tists, $25.00 for non-members, and $40.00 for Canadaand foreign mailings. Single issue price is $10.00.
11 Dental Lifeline Network Board Mtg, Wichita7-9 ADA Washington Leader Conference, Wash. D.C.18-19 South Central States Meeting, New Orleans
7-9 KDA Annual Session, Hotel at Old Town, Wichita
16-19 ADA Management Conference, Chicago
Mid States Dental Leaders Conference, Kansas City, MO
25-26 ADA District 12 Caucus, Dallas
With Medicaid currently making up a thirdof the total state budget at $2.8 billion andfederal matching funds likely to dry up asthe U.S. government tightens its belt, thestate of Kansas is in the process of imple-
menting signicant Medicaid reforms known as Kan
-Care geared to cut costs while also improving healthoutcomes.
Kansas faces major challenges in its Medicaid pro
gram that require swift and eective policy changes
to continue serving vulnerable Kansans. The Gover-nor’s FY 2012 budget sustained Medicaid through the
current scal year and provided Kansas the time toreinvent its Medicaid program to beer serve Kansansin need and maintain scal responsibility.
Kansas Medicaid costs have grown at an annual rateof 7.4 percent over the last decade. Long-run trends inMedicaid are driven by widespread increases in en-rollment and spending per person. While exacerbated by the economic downturn, Medicaid growth is not
just tied to the economy. Kansas is in the midst of a
sustained period of accelerated growth as baby boom-ers reach the age of acquired disability. Yet the cost
drivers in Medicaid are not conned to one servicearea or population; the projected sources of growth
in Kansas Medicaid spending cut across populations.
Tackling the structural decit facing Medicaid cannot
be accomplished by excluding or focusing solely onone population or service.Kansas will implement reforms in the current Medic-aid program to improve outcomes and reduce costs.
As highlighted in the Deloie report on the public
input and stakeholder consultation process, the Kansas approach will
be based on the themes of:
Integrated, whole-person care,
Preserving or creating a path to independence,
Alternative access models and an emphasis on home and com-
munity based services.
The reform process will align the nancial incentives for the payers,
providers and consumers to best serve the needs of the whole personand the taxpayer, without adding to the administrative burden of theprogram.The idea is to leverage private sector innovation to achieve public goals
by selecting three statewide KanCare contracts which guarantee:Population-specic and statewide outcome measures will be•
integral to the contracts and will be paired with meaningful
The reforms explicitly call for creation of health homes, with an
initial focus on individuals with a mental illness, diabetes, or both.Contractors are encouraged to use established community part-
ners, including hospitals, physicians, community mental health
centers (CMHCs), primary care and safety net clinics, centers forindependent living (CILs), area agencies on aging (AAAs), andcommunity developmental disability organizations (CDDOs).
Safeguards for provider reimbursement and quality are included.
Noticeable activity during this leg-islative session regarding the Regis-tered Dental Practitioner non-dentistprovider proposal has been slow. In
January, the House Commiee on
Health and Human Services, Chair-person Rep Brenda Landwehr, heldan informal roundtable discussionon the mid-level concept. Opposingthe concept at the roundtable were,Dr. Hal Hale, Dr. Cindi Sherwood,
Dr. Paul Kile, Dr. Je Stasch, Dr.
Richard McFadden, Dental BoardPresident Dr. Glenn Hemberger andKansas Dental Association ExecutiveDirector Kevin Robertson. The Reg-istered Dental Practitioner support-
continued on page 11
ers included representatives from the Kansas Actionfor Children, Kansas Association of Medically Under-served, Kansas Dental Hygienists Association, FortHays State University President Dr. Ed Hammond,United Methodist Health Ministries Fund Executive
Director Kim Moore, Pisburg dentist Dr. Dan Minnis
and Hays dentist Dr. Melinda Miner.The four-hour roundtable discussion was essentially astalemate, but Chairman Brenda Landwehr pushed for
some common ground, eventually geing the mid-lev
-el proponents to agree that the KDA-backed extendedcare permit III concept was “a step in the right direc-
HB 2631 was introduced following the roundtable
discussion and the House Commiee on Health and
continued on page 9