Kansas
LLC
Website link to register:
https://sos.ks.gov/businesses/register-a-business.html
Naming conventions
Certain words like “University” or “College” require Board of Regents approval. Must include “Limited Liability Company,” “LLC,” or “L.L.C.” Medical practices require “PLLC.”
Licensing Requirements
PLLCs require member licenses from the Kansas State Board of Healing Arts. Malpractice insurance is mandatory. Must meet Kansas State Board of Healing Arts facility requirements.
Required documentation for medical practices
Articles of Organization, Operating Agreement, Pharmacy Permits, Professional Licenses, Malpractice Insurance
Filing Fee: $160
Annual/Biennial Fee: $50
Additional Notes: Annual report due 15th day of 4th month following the end of LLC’s tax year.
Medicaid
Program Name: KanCare
Official Website: https://www.kancare.ks.gov/
Legislation: Kansas does not have specific DPC legislation; practices operate under general healthcare and insurance laws.
Private Contracting
Permitted; DPC practices should ensure compliance with state insurance regulations to avoid classification as insurers.
Restrictions
No explicit restrictions for DPC providers; compliance with federal and state regulations is necessary.
Medicaid Program
Kansas Medicaid (KanCare) provides health coverage to eligible low-income residents, including children.
Notification Requirements
Notification strongly recommended to ensure clarity for Medicaid patients.
Provider Enrollment Requirements
Providers must enroll with KanCare to serve beneficiaries directly or offer reimbursable services.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face challenges with Medicaid recognition for orders and referrals.
Designated PCP Restrictions
DPC physicians cannot act as designated Medicaid PCPs.
Billing and Reimbursement
DPC practices typically do not bill Medicaid for services covered under private agreements.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless explicitly outlined.
CMS Guidance
CMS provides guidance on enabling "Ordering and Referring Only" roles.
Opportunities for Collaboration
Opportunities may exist to collaborate with Medicaid Managed Care Organizations (MCOs) or state healthcare programs.
State-Specific Notes
Collaboration possible with KanCare, the state’s Medicaid Managed Care Program, for primary care innovations.
Dispensing Medication
Board of Pharmacy Official Link: https://pharmacy.ks.gov/
State Licensing
Physicians must register with the Kansas State Board of Pharmacy for dispensing controlled substances.
Scope of Practice
Dispensing is allowed within the scope of the physician’s practice; additional rules apply to controlled substances.
Inventory Management
Maintain detailed inventory logs and secure storage for all medications.
Record-Keeping
Records must comply with state and federal standards and be available for audits.
Dispensing Standards
Labels must include required information such as patient details, dosage, and prescribing physician information.
Controlled Substances
DEA registration and reporting to the Kansas Prescription Drug Monitoring Program (K-TRACS) are mandatory.
Billing and Reimbursement
Billing practices must comply with Kansas state and federal regulations, including Stark Law.
Federal Compliance
Adhere to federal compliance regulations, including DEA and FDA guidelines.
State Pharmacy Laws
Kansas physicians must comply with state-specific pharmacy board regulations for dispensing.
Patient Consent
Informed patient consent is required for dispensing medications.
Insurance and Liability
Liability insurance must cover all risks associated with dispensing medications.
Training Requirements
Continuing education specific to Kansas’s dispensing and controlled substances laws is recommended.
Audits and Inspections
Inspections are conducted by the Kansas State Board of Pharmacy, with strict penalties for violations.