Beneficiaries are restricted to their assigned case manager and may not receive select medical services from other providers without case manager referral.
Eligible beneficiaries choose a case manager from the list of enrolled providers.
Beneficiaries are not restricted to receive services from their primary care provider or case manager until their blue medical I.D. card specifies a primary care provider. Each case manager may accept up to 1,800 consumers and must accept at least 10 consumers. If a group provider enrolls, the group's maximum number of consumers is equal to the number of eligible case managers in the group multiplied by 1,800. The provider contract may be canceled at any time by either the case manager or SRS with 60 days'written notice. The PrimeCare Kansas program uses a capitated payment model of managed care implemented in December 1995.