KS HB2730

Managed care organizations providing KanCare (Medicaid) or CHIP services must provide an explanation of benefits to enrollees digitally or by postal mail after healthcare services are received, effective January 1, 2028

Required explanation of benefits must include enrollee name and member ID, healthcare provider/facility name, date of services, billed amount, allowed amount, and amount paid by the Kansas medical assistance program

Removes the expired requirement for independent auditor review of claims paid and denied by managed care organizations and their subcontractors (provision had expired January 1, 2020)

Secretary of Health and Environment must adopt rules and regulations to implement these provisions prior to January 1, 2028

Amends K.S.A. 39-709h and takes effect upon publication in the statute book