KS MEDICAID MARKET
Kansas
monitoring
No current verified market signal.
Last verified: unavailable
Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 23
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| not reported | Via Christi | not reported | 327 (2024) | 31.3% calculated | not reported |
| not reported | Bluestem PACE | not reported | 29 (2017) | 5.3% calculated | not reported |
| not reported | Bluestem PACE Inc. | not reported | 73 (2019) | 12.5% calculated | not reported |
| not reported | Bluestem PACE, Inc. | not reported | 111 (2024) | 10.6% calculated | not reported |
| not reported | Bluestem Pace, Inc. | not reported | 109 (2022) | 12.5% calculated | not reported |
show all 23
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| CVS/Aetna | Aetna Better Health of Kansas | not reported | 129,722 (2022) | 29.3% calculated | not reported |
| Centene | Sunflower State Health Plan | not reported | 118,053 (2024) | 32.9% calculated | 2 sanctions, 10,794 appeals resolved |
| Elevance | Amerigroup Kansas, Inc. | not reported | 127,210 (2017) | 32.0% calculated | not reported |
| Elevance | Amerigroup Kansas, Inc. | not reported | 114,609 (2018) | 32.0% calculated | not reported |
| not reported | Aetna Better Health of Kansas | not reported | 112,495 (2024) | 31.4% calculated | 2 sanctions, 7,114 appeals resolved |
| not reported | Midland Care | not reported | 607 (2024) | 58.1% calculated | not reported |
| UnitedHealth | United HealthCare Community Plan of Kansas | not reported | 124,562 (2018) | 34.8% calculated | not reported |
| UnitedHealth | United HealthCare Community Plan of Kansas | not reported | 161,891 (2022) | 36.5% calculated | not reported |
| UnitedHealth | United Healthcare Community Plan of Kansas | not reported | 137,722 (2017) | 34.6% calculated | not reported |
| UnitedHealth | UnitedHealthcare Community Plan of Kansas | not reported | 127,984 (2024) | 35.7% calculated | 2 sanctions, 13,938 appeals resolved |
| not reported | Amerigroup Kansas, Inc. | not reported | 126,423 (2016) | 32.4% calculated | not reported |
| not reported | Bluestem Pace, Inc. | not reported | 53 (2018) | 9.8% calculated | not reported |
| not reported | Midland | not reported | 206 (2016) | 47.8% calculated | not reported |
| not reported | Midland Care | not reported | 264 (2018) | 48.7% calculated | not reported |
| not reported | Sunflower State Health Plan | not reported | 133,889 (2016) | 34.3% calculated | not reported |
| not reported | United HealthCare Community Plan of Kansas | not reported | 130,086 (2016) | 33.3% calculated | not reported |
| not reported | Via Christi | not reported | 225 (2016) | 52.2% calculated | not reported |
| not reported | Via Christi | not reported | 225 (2018) | 41.5% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
KanCare (Comprehensive MCO + MLTSS)
KanCare (Comprehensive MCO + MLTSS) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Kansas | Kansas Foundation for Medical Care | Kansas Foundation for Medical Care | Statewide | CMS reported 112,495 (2024) | 31.4% | -19,533 (-14.8%) | +1.0 pts | 2019: 91,927; 2020: 98,363; 2021: 111,569; 2022: 129,722; 2023: 132,028; 2024: 112,495 |
| Amerigroup Kansas, Inc. | Anthem Insurance Companies, Inc. | Elevance | Statewide | not reported | not reported | not reported | not reported | 2016: 126,423; 2017: 127,210; 2018: 114,609 |
| Sunflower State Health Plan | Centene Corporation | Centene | Statewide | CMS reported 118,053 (2024) | 32.9% | -28,092 (-19.2%) | -0.7 pts | 2016: 133,889; 2017: 133,081; 2018: 118,512; 2019: 122,878; 2020: 130,527; 2021: 143,099; 2022: 151,349; 2023: 146,145; 2024: 118,053 |
| United HealthCare Community Plan of Kansas | United Healthcare Services, Inc. | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2016: 130,086; 2018: 124,562; 2019: 126,492; 2020: 136,214; 2021: 151,225; 2022: 161,891 |
| United Healthcare Community Plan of Kansas | United Healthcare Services, Inc. | UnitedHealth | Statewide | not reported | not reported | not reported | not reported | 2017: 137,722 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| UnitedHealthcare Community Plan of Kansas | UnitedHealthcare Services, Inc. | UnitedHealth | Statewide | CMS reported 127,984 (2024) | 35.7% | -28,676 (-18.3%) | -0.3 pts | 2023: 156,660; 2024: 127,984 |
PACE (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Bluestem PACE, Inc. | Bluestem PACE, Inc. | Bluestem PACE, Inc. | McPherson, Ottawa, Lincoln, Ellsworth, Saline, Dickinson, Rice, Marion, Reno, and Harvey Counties | CMS reported 111 (2024) | 10.6% | -11 (-9.0%) | -1.7 pts | 2023: 122; 2024: 111 |
| Midland Care | Midland Care | Midland Care | Douglas, Jackson, Jefferson, Leavenworth, Lyon, Marshall, Nemaha, Osage, Shawnee, Pottawatomie, Wabaunsee, and Wyandotte Counties | CMS reported 607 (2024) | 58.1% | +69 (+12.8%) | +3.6 pts | 2023: 538; 2024: 607 |
| Via Christi | Ascension | Ascension | Sedgwick County | CMS reported 327 (2024) | 31.3% | 0 (0.0%) | -1.8 pts | 2023: 327; 2024: 327 |
PACE (Program of All-inclusive Care for the Elderly (PACE))
PACE (Program of All-inclusive Care for the Elderly (PACE)) 12
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Bluestem PACE, Inc. | Bluestem PACE, Inc. | Bluestem PACE, Inc. | Dickinson, Ellsworth, Harvey, Lincoln, Marion, McPherson, Ottawa, Reno, Rice, and Saline counties | not reported | not reported | not reported | not reported | 2021: 90 |
| Bluestem PACE, Inc. | Bluestem PACE, Inc. | Bluestem PACE, Inc. | McPherson, Ottawa, Lincoln, Ellsworth, Saline, Dickinson, Rice, Marion, Reno, and Harvey counties | not reported | not reported | not reported | not reported | 2020: 95 |
| Bluestem PACE | Bluestem PACE, Inc. | Bluestem PACE, Inc. | McPherson, Ottawa, Lincoln, Ellsworth, Saline, Dickinson, Rice, Marion, Reno and Harvey counties | not reported | not reported | not reported | not reported | 2017: 29 |
| Bluestem Pace, Inc. | PACE | unmatched | McPherson, Ottawa, Lincoln, Ellsworth, Saline, Dickinson, Rice, Marion, Reno and Harvey Counties | not reported | not reported | not reported | not reported | 2018: 53 |
| Midland Care | Midland Care | Midland Care | Douglas, Jackson, Jefferson, Leavenworth, Lyon, Marshall, Nemaha, Osage, Pottawatomie, Shawnee, Wabaunsee, and Wyandotte counties | not reported | not reported | not reported | not reported | 2021: 377 |
show all 12
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Midland Care | Midland Care | Midland Care | Douglas, Jackson, Jefferson, Leavenworth, Lyon, Marshall, Nemaha, Osage, Shawnee, Pottawatomie, Wabaunsee and Wyandotte counties | not reported | not reported | not reported | not reported | 2017: 249 |
| Midland Care | Midland Care | Midland Care | Douglas, Jackson, Jefferson, Leavenworth, Lyon, Marshall, Nemaha, Osage, Shawnee, Pottawatomie, Wabaunsee, and Wyandotte Counties | not reported | not reported | not reported | not reported | 2020: 267 |
| Midland Care | PACE | unmatched | Douglas, Jackson, Jefferson, Leavenworth, Lyon, Marshall, Nemaha, Osage, Shawnee, Pottawatomie, Wabaunsee and Wyandotte Counties | not reported | not reported | not reported | not reported | 2018: 264 |
| Midland | not reported | unmatched | Shawnee, Douglas, Jackson, Jefferson, Osage, Pottawatomie, Wabaunsee | not reported | not reported | not reported | not reported | 2016: 206 |
| Via Christi | Ascension | Ascension | Sedgwick County | not reported | not reported | not reported | not reported | 2017: 265; 2018: 225; 2020: 342 |
| Via Christi | Ascension | Ascension | Sedgwick county | not reported | not reported | not reported | not reported | 2021: 274 |
| Via Christi | not reported | unmatched | Sedgwick | not reported | not reported | not reported | not reported | 2016: 225 |
Program of All-Inclusive Care for the Elderly (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Bluestem Pace, Inc. | Bluestem Pace, Inc. | Bluestem PACE, Inc. | McPherson, Ottawa, Lincoln, Ellsworth, Saline, Dickinson, Rice, Marion, Reno, and Harvey Counties | not reported | not reported | not reported | not reported | 2022: 109 |
| Midland Care | Midland Care | Midland Care | Douglas, Jackson, Jefferson, Leavenworth, Lyon, Marshall, Nemaha, Osage, Shawnee, Pottawatomie, Wabaunsee, and Wyandotte Counties | not reported | not reported | not reported | not reported | 2022: 458 |
| Via Christi | Ascension | Ascension | Sedgwick County | not reported | not reported | not reported | not reported | 2022: 306 |
Program of All-Inclusive Care for the Elderly (PACE) (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Bluestem PACE Inc. | Bluestem PACE Inc. | Bluestem PACE, Inc. | McPherson, Ottawa, Lincoln, Ellsworth, Saline, Dickinson, Rice, Marion, Reno and Harvey Counties | not reported | not reported | not reported | not reported | 2019: 73 |
| Midland Care | Midland Care | Midland Care | Douglas, Jackson, Jefferson, Leavenworth, Lyon, Marshall, Nemaha, Osage, Shawnee, Pottawatomie, Wabaunsee and Wyandotte Counties | not reported | not reported | not reported | not reported | 2019: 288 |
| Via Christi | Ascension | Ascension | Sedgwick County | not reported | not reported | not reported | not reported | 2019: 221 |
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
National plan operations · Federal compliance deadlines
Appeals, grievances, and enrollment share (2024)
| Plan | Parent | Program | Appeals resolved | In favor of enrollee | Appeal rate | Grievances resolved | Medicaid enrollment share | Managed care enrollment share |
|---|---|---|---|---|---|---|---|---|
| Aetna Better Health of Kansas | Kansas Foundation for Medical Care | KanCare | 3,813 | 887 | 23.3% calculated | 422 | 33% | 35.5% |
| Sunflower Health Plan | Centene | KanCare | 4,348 | 1,257 | 28.9% calculated | 473 | 31.1% | 33.4% |
| UnitedHealthcare Community Plan of Kansas | UnitedHealth | KanCare | 7,110 | 1,793 | 25.2% calculated | 693 | 28.9% | 31.1% |
Sanctions (2024)
| Plan | Parent | Topic | Date | Corrective action plan | Remediation status |
|---|---|---|---|---|---|
| Aetna Better Health of Kansas | Kansas Foundation for Medical Care | Performance improvement | 2021-10-01 | Yes | Remediation in progress |
| Sunflower Health Plan | Centene | Performance improvement | 2021-10-01 | Yes | Remediation in progress |
| UnitedHealthcare Community Plan of Kansas | UnitedHealth | Performance improvement | 2021-10-01 | Yes | Remediation in progress |
Award history
- KanCare EVT0009267: protested. Kansas Department of Administration contract awards dated May 7, 2024, event EVT0009267, name Sunflower State Health Plan Inc, Community Care Health Plan of Kansas, Inc. dba Healthy Blue, and United Healthcare of the Midwest Inc for KanCare Medicaid and CHIP capitated managed care. Each cover states a period of January 1, 2025 through December 30, 2027, with an option to renew for two additional twelve-month periods. The covers do not print evaluation scores. A June 4, 2024 letter from CareSource Kansas, LLC protests that award and says no notice of intent to award was released before the May 14 announcement. The letter also writes RFP number EVT0005464. It does not contain the Department's decision.
Retrieved 2026-11-03. Sources and scores
Early procurement signals
No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.