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Kansas issues revised fish consumption advisories

Spotted bass
Spotted bass

KDHE

TOPEKA–The Kansas Department of Health and Environment (KDHE) and the Kansas Department of Wildlife, Parks and Tourism (KDWPT) are issuing revised fish consumption advisories for 2017. The advisories identify types of fish or other aquatic animals that should be eaten in limited quantities or, in some cases, avoided altogether because of contamination. General advice and internet resources are also provided to aid the public in making informed decisions regarding the benefits as well as the risks associated with eating locally caught fish from Kansas waters.

Definitions:
Bottom-feeding fish: buffalos, carp, carpsuckers, catfishes (except flathead catfish), sturgeons, and suckers.
Predatory fish: black basses, crappies, drum, flathead catfish, perches, sunfish, white bass, wiper, striper, walleye, saugeye, and sauger.
Shellfish: mussels, clams, and crayfish.
General Population: Men and women 18 years of age or older.
Sensitive Populations: Women who are pregnant, may become pregnant, or are nursing and children age 17 or younger.
Meal size (before cooking):
Adults and Children age 13 and older = 8 ounces
Children age 6 to 12 = 4 ounces
Children younger than 6 = 2 ounces

Statewide Advisories

Kansas recommends the following consumption restrictions because of mercury in fish:
1. Sensitive Populations should restrict consumption of all types of locally caught fish, from waters or species of fish not specifically covered by an advisory to one meal per week because of mercury.
2. Largemouth, smallmouth, and spotted bass (black basses):
A. Sensitive Populations should restrict consumption of these species to one meal per month because of mercury.
B. General Public should restrict consumption of these species to one meal per week because of mercury.

Waterbody specific advisories for all consumers

Kansas recommends not eating specified fish or aquatic life from the following locations:
The Kansas River from Lawrence (below Bowersock Dam) downstream to Eudora at the confluence of the Wakarusa River (Douglas and Leavenworth counties); bottom-feeding fish because of polychlorinated biphenyls (PCBs).
The Spring River from the confluence of Center Creek to the Kansas/Oklahoma border (Cherokee County); shellfish because of lead and cadmium.
Shoal Creek from the Missouri/Kansas border to Empire Lake (Cherokee County); shellfish because of lead and cadmium.
Cow Creek in Hutchinson and downstream to the confluence with the Arkansas River (Reno County); bottom-feeding fish because of PCBs.
The Arkansas River from the Lincoln Street dam in Wichita downstream to the confluence with Cowskin Creek near Belle Plaine (Sedgwick and Sumner counties); bottom-feeding fish because of PCBs.
Antioch Park Lake South in Antioch Park, Overland Park (Johnson County); all fish because of the pesticides dieldrin, heptachlor epoxide, chlordane, and dichlorophenyltrichloroethanes (DDTs).

Kansas recommends restricting consumption of bottom-feeding fish to one meal per month from the following location because of PCBs:
1. The Little Arkansas River from the Main Street Bridge immediately west of Valley Center to the confluence with the Arkansas River in Wichita (Sedgwick County).

General advice for eating locally caught fish in Kansas
1. Sensitive populations should consider restricting their total mercury intake for both supermarket fish and locally caught species. Concerned parents and other persons may wish to consult with a physician about eating fish and mercury exposure.
2. Mercury exposure can be reduced by limiting the consumption of large predatory fish. Larger/older fish of all types are more likely to have higher concentrations of mercury.
3. Avoid the consumption of fish parts other than fillets, especially when eating bottom-feeding fish. Fatty internal organs tend to accumulate higher levels of fat-soluble contaminants such as chlordane and PCBs than fillets.
4. Consumers can reduce their ingestion of fat-soluble contaminants such as chlordane and PCBs by trimming fat from fillets, and cooking in a manner in which fat drips away from the fillet.
5. Avoid subsistence level (relying on wild-caught fish for daily nutritional needs) fishing activities in large rivers within or immediately downstream of large urban/industrial areas and wastewater outfalls. Fish in these areas are more likely to contain traces of chemical contaminants.
6. In waterbodies where watches or warnings related to harmful algae blooms have been applied, fish should be consumed in moderation and care taken to only consume skinless fillets. Avoid cutting into internal organs and rinse fillets with clean water prior to cooking or freezing.

Internet resources from KDHE, KDWPT, EPA, FDA, and the American Heart Association
To view the advisories online and for information about KDHE’s Fish Tissue Contaminant Monitoring Program please visit our website at: https://www.kdheks.gov/befs/fish_tissue_monitoring.htm

For information about harmful algal blooms, including current watches and warnings, visit this KDHE website: https://www.kdheks.gov/algae-illness/index.htm

For information about fishing in Kansas including licensing, regulations, fishing reports and fishing forecasts please visit the KDWPT fishing website: http://ksoutdoors.com/Fishing

For general information about mercury in fish, national advisories, and advisories in other states please visit this EPA website: https://www2.epa.gov/choose-fish-and-shellfish-wisely

For information about sensitive populations and mercury in fish please visit this FDA website: https://www.fda.gov/food/resourcesforyou/consumers/ucm110591.htm

For information regarding personal care products and pharmaceuticals in fish please visit this EPA website: https://www.epa.gov/fish-tech/pilot-study-pharmaceuticals-and-personal-care-products-fish-tissue

For information about the health benefits vs. the risks of including fish in your diet please visit this American Heart Association website: https://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/Fish-101_UCM_305986_Article.jsp

For technical information regarding the EPA risk assessment methods used to determine advisory consumption limits please visit: https://www2.epa.gov/fish-tech

UPDATE: Multiple deaths after shooting at Ft. Lauderdale airport

 

FORT LAUDERDALE, Fla. (AP) — The Latest on the shooting at the Fort Lauderdale airport (all times local):
7:45 p.m.

A law enforcement official says the Florida airport gunman told the FBI in November that the government was controlling his mind and was forcing him to watch Islamic State group videos.

The official was not authorized to discuss an ongoing investigation by name and spoke Friday on condition of anonymity.

The official says agents in Anchorage completed their interview with 26-year-old Esteban Santiago and called the police, who took him for a mental health evaluation.

The FBI’s Anchorage field office said in a statement that it was aware Santiago was an Anchorage resident and that it was assisting in the investigation, but it declined to comment further.

___

Associated Press writer Eric Tucker contributed from Washington.

__

6:45 p.m.

An authority says the suspect in a deadly shooting at a Florida airport flew out of Anchorage, Alaska.

Jesse Davis is chief of police at Ted Stevens Anchorage International Airport. He told The Associated Press that 26-year-old Esteban Santiago flew out of Anchorage, Alaska, on a 9:52 p.m. Delta flight Thursday, and that a firearm was his only piece of checked luggage. He says Santiago flew from Anchorage to Minneapolis-St. Paul and on to Fort Lauderdale.

Davis said Santiago didn’t call attention to himself and “as far as we can tell” traveled alone, but he said the investigation is ongoing.

Authorities are trying to track Santiago’s movements through Alaska’s largest commercial airport using video footage.

Davis noted that it’s not usual for travelers at the Alaska airport to check firearms because many people hunt.

___

Associated Press writer Eric Tucker contributed to this report from Washington.

___

5:45 p.m.

A military spokeswoman says the suspect in a deadly shooting at the Fort Lauderdale, Florida, airport received a general discharge from the Alaska Army National Guard last year for unsatisfactory performance.

Lt. Col. Candis Olmstead did not release details about 26-year-old Esteban Santiago’s discharge in August 2016. Olmstead said that he joined the Guard in November 2014.

Puerto Rico National Guard spokesman Maj. Paul Dahlen said that Santiago was deployed to Iraq in 2010 and spent a year there with the 130th Engineer Battalion, the 1013th engineer company out of Aguadilla.

Olmstead also said that Santiago had served in the Army Reserves prior to joining the Alaska Army National Guard.

__

5:45 p.m.

Florida Gov. Rick Scott has arrived at the Fort Lauderdale airport and is asking people to pray for the families of those slain and wounded in a mass shooting at a baggage claim area.

Scott said Friday during a news conference that he had reached out and spoken several times to President-elect Donald Trump and Vice President-elect Mike Pence and they promised to help with whatever resources the state needs.

Trump doesn’t officially take over the White until later this month, so it’s not clear what sort of federal resources he could authorize.

Scott, a Republican like Trump and Pence, said he didn’t call President Barack Obama, a Democrat, and he hadn’t spoken with him.

White House National Security Council spokesman Ned Price says Obama was briefed about the shooting and will be kept updated.

Scott did not answer questions about gun rights, instead saying it was not the time to be political.

___

5:30 p.m.

The brother of the man who has been tentatively named as the suspect in a deadly shooting at a Florida airport says the suspect had been receiving psychological treatment while living in Alaska.

Bryan Santiago tells The Associated Press that his family got a call in recent months from 26-year-old Esteban Santiago’s girlfriend alerting them to the situation.

Bryan Santiago said he didn’t know what his brother was being treated for and that they never talked about it over the phone.

He said Esteban Santiago was born in New Jersey but moved to the U.S. territory of Puerto Rico when he was 2 years old. He said Esteban Santiago grew up in the southern coastal town of Penuelas and served with the island’s National Guard for a couple of years. Puerto Rico National Guard spokesman Maj. Paul Dahlen said that Santiago was deployed to Iraq in 2010 and spent a year there with the 130th Engineer Battalion, the 1013th engineer company out of Aguadilla.

Sen. Bill Nelson of Florida said that the gunman was carrying a military ID that identified him as Esteban Santiago, but that it was unclear whether the ID was his. Nelson gave no further information on the suspect.

___

5 p.m.

A spokeswoman from the Canadian Embassy says the suspect in the shooting at the international airport in Fort Lauderdale has no connection to the country and did not fly to Florida from there.

Embassy spokeswoman Christine Constantin said in an email to The Associated Press that the suspect did not travel from Canada and was not on an Air Canada flight. She says the suspect has no connection to Canada.

The shooting happened at the airport’s terminal 2, where Air Canada and Delta operate flights. Five were killed and eight wounded.

Constantin’s email says, “We understand from officials he was on a flight originating in Anchorage, transiting through Minneapolis and landing in Ft. Lauderdale.”

___

3:35 p.m.

A county official says the Fort Lauderdale airport shooter pulled a gun out of a checked bag, loaded in a bathroom and started shooting, killing five people and wounding at least eight.

Chip LaMarca, a Broward County commissioner, was briefed on the airport shooting by Broward Sheriff’s office. He told The Associated Press by phone that the shooter was a passenger on a Canadian flight and had checked a gun.

LaMarca says the shooter pulled out the gun in the bathroom after claiming his bag.

Sheriff Scott Israel says the gunman was not harmed and that law enforcement did not fire any shots. He says it is not yet known if the shooting was an act of terror.

Israel also says there was nothing to substantiate reports of a second shooting at the airport.

___

3:15 p.m.

A passenger says he heard the first gunshots as he picked up his luggage from a baggage claim carousel in a shooting at a Florida airport that left five dead and eight wounded.

John Schilcher told Fox News the person next to him fell to the ground Friday. He says other people started falling, and he then dropped to the ground with his wife and mother-in-law. Schilcher says “the firing just went on and on.”

He says the shooter emptied his weapon and reloaded during an eerily quiet lull in the gunfire. Schilcher says he didn’t assume it was safe until he saw a police officer standing over him at the Fort Lauderdale international airport.

He says he remained on the ground and was told not to move as authorities investigated unconfirmed reports of a second shooting.

___

3:35 p.m.

A county official says the Fort Lauderdale airport shooter pulled a gun out of a checked bag, loaded in a bathroom and started shooting, killing five people and wounding at least eight.

Chip LaMarca, a Broward County commissioner, was briefed on the airport shooting by Broward Sheriff’s office. He told The Associated Press by phone that the shooter was a passenger on a Canadian flight and had checked a gun.

LaMarca says the shooter pulled out the gun in the bathroom after claiming his bag.

Sheriff Scott Israel says the gunman was not harmed and that law enforcement did not fire any shots. He says it is not yet known if the shooting was an act of terror.

Israel also says there was nothing to substantiate reports of a second shooting at the airport.

___

3:15 p.m.

A passenger says he heard the first gunshots as he picked up his luggage from a baggage claim carousel in a shooting at a Florida airport that left five dead and eight wounded.

John Schilcher told Fox News the person next to him fell to the ground Friday. He says other people started falling, and he then dropped to the ground with his wife and mother-in-law. Schilcher says “the firing just went on and on.”

He says the shooter emptied his weapon and reloaded during an eerily quiet lull in the gunfire. Schilcher says he didn’t assume it was safe until he saw a police officer standing over him at the Fort Lauderdale international airport.

He says he remained on the ground and was told not to move as authorities investigated unconfirmed reports of a second shooting.

___
2:50 p.m.

U.S. Sen. Bill Nelson says the Fort Lauderdale airport gunman was carrying a military ID with the name Esteban Santiago, though it’s not clear if it belonged to him or to someone else.

Nelson did not spell the name for reporters during a news conference Friday. Nelson says the baggage claim area is a “soft target.” The airport had initially reported an “incident” in the baggage claim area.

Authorities say five people were killed and eight wounded in the shooting.

Nelson says a motive still hasn’t been determined.

___

 

Miami area television stations reported that at least six people were shot. News stations showed video of medics taking care of a bleeding victim outside the airport. News helicopters hovering over the scene showed hundreds of people standing on the tarmac as an ambulance drove by and numerous law enforcement officers, including tactical units, rushed to the scene.

 

 

Former White House spokesman Ari Fleischer tweeted that he was at the airport when shots were fired and “everyone is running.”

 

—————-

2:30 p.m.

Authorities say five people were killed and eight were wounded after a lone suspect opened fire at the Fort Lauderdale, Florida, international airport.

The Broward County Sheriff’s Office tweeted the information following Friday afternoon’s shooting.

Broward County Mayor Barbara Sharief told CNN that authorities “have an active crime scene investigation involving terminal 2.”

News stations showed video of medics taking care of a bleeding victim outside the airport. Helicopters hovering over the scene showed hundreds of people standing on the tarmac as an ambulance drove by and numerous law enforcement officers, including tactical units, rushed to the scene.

 

Video shows Kansas jail tussle between ICE agents, Kenyan immigrant

Still image from jail surveillance video of the incident in January of 2014 courtesy attorney Matthew Hoppock

ROXANA HEGEMAN, Associated Press

WICHITA, Kan. (AP) — A judge has granted a civil trial for a Kenyan man who alleges immigration agents violently attacked him at a Kansas jail for refusing to be fingerprinted before deportation. The incident was captured on jailhouse surveillance video.

The civil lawsuit filed by Justine Mochama, an international student who overstayed his visa, has languished in federal court in Kansas for almost three years.

But on Tuesday U.S. District Judge Kathryn Vratil refused to throw out his claims that two agents from U.S. Immigration and Customs Enforcement used excessive force during the January 2014 altercation.

His attorney provided the jailhouse video to The Associated Press. It shows Mochama being lifted in the air, punched in the stomach and pinned on the ground.

Police: Numerous medications taken in Kansas pharmacy burglary

DICKINSON COUNTY – Law enforcement authorities in Dickinson County continue to investigate a burglary and asking the public for help.

During the early morning hours of January 1, Kay’s Pharmacy at 2 West Main in Herington was burglarized, according to a social media report.

The suspects forcibly entered the business and removed several different types of medications, some of which were: Oxycodone, Phentermine, Thiothixene, Pioglitazone, Tirosint, Tizanidine, Quetiap, Lorazepam, Haloperidol and Codeine.

If you have any information about this or any other crime, or if you know the whereabouts of stolen property, information about underage drinking, or information concerning illegal drugs, please call Crime Stoppers of Dickinson County toll free at 1-888-5DK-Tips (1-888-535-8477).

You can also text your tip to Crime Stoppers. Text your tip to DKTIPS at 274637. Text DKTIPS, all one word, followed by your tip information, to number 274637.

Kan. man accused in 5 sexual assaults seeks mental exam for accuser

Ewing-photo Jackson Co.

HOLTON, Kan. (AP) — An attorney for a Kansas man accused of sexually assaulting five women and a teenager is requesting that the teen undergo a mental health examination.

The Topeka Capital-Journal reports that attorney Kathleen Ambrosio wrote in a motion filed Wednesday that there are “concerns regarding mental stability.”

Prosecutors allege that her client, 22-year-old Jacob Ewing, assaulted the teen at a rural cemetery when she was 13. The girl, now 15, went to authorities in August, after other women accused the Holton man of similar crimes.

Court documents say the girl described herself as a “cutter” during interviews with police.

Prosecutors didn’t immediately respond to the motion. Ewing is scheduled to go on trial in March in the case involving the teen. He’s entered not guilty pleas in all the cases.

Female Kansas firefighter files sexual harassment lawsuit

OLATHE, Kan. (AP) — An Olathe firefighter has filed a federal lawsuit alleging that she has been the victim of years of sexual harassment and discrimination.

The Kansas City Star reports that Elizabeth Hinton filed lawsuit against the city in U.S. District Court in Kansas City.

She says she was the city’s only woman firefighter for years after she was hired in 2006, and that the harassment got worse after she became pregnant.

Hinton filed a complaint with the Equal Employment Opportunity Commission last May. She alleges she was retaliated against as a result, including being given an unfavorable review for the first time.

A city spokeswoman declined to comment but said in a written statement that it “takes matters like this seriously.”

Brownback Unveils Plan To Increase State’s Doctors, Improve Rural Health

From left: Kansas Farm Bureau CEO Terry Holdren, Gov. Sam Brownback and Overland Park Regional Medical Center CEO Kevin Hicks.

By ANDY MARSO

Kansas Gov. Sam Brownback unveiled a two-part plan Friday to bring more doctors to the state and quell health care shortages that he said threaten to kill rural communities.

Brownback, flanked by Lt. Gov. Jeff Colyer, a hospital executive and the head of the Kansas Farm Bureau, harkened back to his days growing up in Parker — population 250 — to personalize the push for more rural doctors.

“Essential to every healthy and thriving community is professional medical care,” Brownback said. “The long term sustainability of communities, particularly in our rural areas, depends on citizens access to local health care.”

Brownback proposed that the state put forth $5 million in “seed money” to increase medical residency slots throughout the state.

The hope is to use the state funds to draw down more dollars from the federal government and non-profits and potentially bring in as many as 100 additional medical residents every year starting in 2018.

Colyer said that would be critically important in a state in which 92 of 105 counties are medically underserved.

“The key to this is people who are trained in Kansas stay in Kansas,” Colyer said.

Brownback promised more details on where the cash-strapped state would get the seed money next week when he releases his budget proposal.

Brownback also announced Friday that he’s establishing a task force to lure a private osteopathy school to the state and named Kansas Farm Bureau CEO Terry Holdren to chair it.

Doctors of osteopathic medicine have to meet the same standards of training and care as medical doctors, but generally are more focused on primary care.

Leaders of the Kansas City University of Medicine and Biosciences, an osteopathic medical school in Kansas City, Mo., released a statement Friday saying they would lend their expertise to the task force.

“We look forward to the opportunity to work with Gov. Brownback, the state of Kansas and colleagues on the task force to explore the feasibility of developing an osteopathic medical school within the state of Kansas,” Marc Hahn, the president and CEO of KCU, said in the statement.

David Jordan leads a coalition of groups advocating for Medicaid expansion under the federal Affordable Care Act, commonly known as Obamacare, which Brownback opposes.

Jordan applauded Friday’s moves, but said Brownback’s continued resistance to Medicaid expansion hurts the cause of recruiting rural health providers.

He said a hospital administrator in Garden City told him that doctors in that part of the state tend to choose Colorado over Kansas because they can spend more time practicing there, and less time chasing payments or trying to get expenses written off for uninsured patients.

“Medicaid expansion certainly is critical to benefiting these rural communities — the (health care) practices and recruitment of health professionals to rural communities,” Jordan said.

Colyer, a plastic surgeon from Overland Park who also opposes Medicaid expansion, headed a rural health task force last year. He said he plans to unveil recommendations based on that group’s work once the legislative session begins.

 

Brownback noted that Kansas has had a shortage of medical personnel in rural areas for decades and that 92 of the state’s 105 counties are considered medically underserved.

Andy Marso is a reporter for KCUR’s Kansas News Service, a collaboration of KCUR, Kansas Public Radio and KMUW covering health, education and politics in Kansas. You can reach him on Twitter @andymarso

Older Dodge Ram trucks, SUVs recalled to fix air bags

DETROIT (AP) — Fiat Chrysler is recalling more than 100,000 older trucks and SUVs worldwide to replace potentially dangerous Takata air bag inflators.

The recall includes driver or passenger air bags in certain 2009 Chrysler Aspen and Dodge Durango SUVs, some 2010 Ram 3500 chassis cabs, and certain 2005-2009 Ram 2500 pickups.

Takata inflators can explode with too much force and hurl shrapnel into vehicles. As many as 16 people have been killed worldwide and about 180 have been injured.

Dealers will replace the inflators. Fiat Chrysler says parts are now available. Owners will get letters starting Jan. 12.

So far more than 42 million vehicles in the U.S. have been recalled to replace Takata inflators in what’s the largest auto recall in U.S. history. About 100 million inflators have been recalled worldwide.

Police: 2 Kansas teens stole pickup, used guns to damage vehicles

SALINE COUNTY – Law enforcement authorities are investigating two teen suspects on theft and criminal damage charges.

Gavin Miller, 14, and Johnathan Hulse, 15, both of Salina, were arrested by Herington Police on New Year’s Day in a stolen 2016 Ford F350 pickup while it was parked in the 1400 block of Pershing Street in Herington, according to Police Captain Paul Forrester.

The teens reportedly found an extra set of keys for the pickup in the glove box.

The two are also alleged to have used the shotguns in the pickup to shoot and damage two vehicles, in the 300 block of S. Oakdale and the 100 block of W. Hillside.

Both teens are in the juvenile detention center in Junction City

Forrester said investigators talked with the two teens in Junction City Wednesday and one additional arrest is possible.

Kansas streamlines process for your provider to join KanCare

Kansas Lt. Gov. Jeff Colyer says the KanCare credentialing process has been streamlined to make the system ‘more user-friendly.’
CREDIT FILE PHOTO

By ANDY MARSO

After four years of filling out four different sets of paperwork to join Kansas Medicaid, or KanCare, health care providers will soon only have to fill out one.

State officials announced that they are standardizing the credentialing process for the three private insurance companies that administer KanCare, as well as the state’s own provider forms.

The move comes after a raft of providers told a legislative oversight committee last month that the current process is tedious and duplicative.

“We have listened to providers’ comments and the direction we received from the KanCare oversight committee and are making the system more user-friendly for the providers,” said Lt. Gov. Jeff Colyer.

Sen. Laura Kelly, the top Democrat on the oversight committee, said the credentialing process could have been streamlined earlier, but the Republican-led committee didn’t have the political will to demand it of the Gov. Sam Brownback’s administration and the KanCare companies.

She said the committee served as “more of a cheerleader” for KanCare until members saw Democrats and moderate Republicans make election-year gains on discontent with Brownback.

“I don’t think we performed as an oversight committee the first few years since we were in place,” Kelly said. “I think that has just come, quite honestly, since the primary when I think a lot of folks got the message that this is important and we want it to work right.”

Andy Marso is a reporter for KCUR’s Kansas News Service, a collaboration of KCUR, Kansas Public Radio and KMUW covering health, education and politics in Kansas. You can reach him on Twitter @andymarso
————

KDADS

TOPEKA — Lt. Governor Dr. Jeff Colyer has announced an agreement between the KanCare managed care organizations (MCOs) and the state to standardize the credentialing process for KanCare providers.

“We have listened to providers’ comments and the direction we received from the KanCare oversight committee, and are making the system more user-friendly for the providers,” Dr. Colyer said. “We are going to see a simpler, more efficient, cost-effective process with a central enrollment point for providers. It’s good for providers, good for the MCOs and ultimately good for Kansans. We are again leading the way in Medicaid reform.”

Currently each KanCare MCO and KMAP (the Kansas Medical Assistance Program which tracks providers) use similar application forms, but enroll and credential providers differently. Providers have to supply the same pieces of information multiple times in order to sign on with each MCO and be entered into KMAP. Additionally, without a central enrollment point, KDHE has no effective way to monitor the KanCare provider network.

“Kansas’ strategy is to simplify the steps providers must go through to become credentialed and enrolled, and make it less cumbersome,” KDHE Secretary Dr. Susan Mosier said. “The agreement Dr. Colyer announced will relieve KanCare providers of a redundant administrative burden.”

The state’s plan to revamp and standardize its credentialing process includes:

· KDHE and the department’s Division of Health Care Finance (DHCF) created a workgroup comprised of state staff and provider groups such as the Kansas Hospital Association and Kansas Medical Society. Members of those organizations participated in planning sessions, reviewed credentialing forms and provided feedback on the on the way the online portal functions. This workgroup successfully standardized the Disclosure of Ownership (DOO) form and is working to standardize the additional application forms.

· Providers will be able to post credentialing and enrollment information in one location, eliminating the need to supply information multiple times. The providers upload their documents and the MCOs are able to view those documents as needed. The new credentialing process will include standardized forms posted to KDHE’s Provider Enrollment portal or to the national CAQH repository (whichever the provider prefers).

· Providers will be able to enroll through one central portal in KDHE’s new Kansas Modular Medicaid Management Information System (KMMS). All providers are to enroll through this portal, which will fulfill the Federal Managed Care Regulations requirement.

· The process will be streamlined through the use of automated workflows. Providers will be able to direct the path of their application to one or more MCOs at the time of application.

· KDHE/DHCF is working with its fiscal agent, HPE, on these provider enrollment changes, as we implement Kansas’ new KMMS.

The new process will be in place by January 1, 2018.

President Obama prepares for farewell address, writes Americans a letter

Since George Washington, U.S. presidents have often delivered a final address to the American people as a way to share both their reflections on their time in office and their outlook on the future of our country, according to the White House web site.

As his time in office comes to a close, President Obama will return to Chicago to deliver his Farewell Address on January 10, 2017 at 8 p.m. CST.

This week, the President also wrote a farewell letter to you. Read it below.

To my fellow Americans,

Eight years ago, America faced a moment of peril unlike any we’d seen in decades. 

A spiraling financial crisis threatened to plunge an economy in recession into a deep depression.  The very heartbeat of American manufacturing – the American auto industry – was on the brink of collapse.  In some communities, nearly one in five Americans were out of work.  Nearly 180,000 American troops were serving in harm’s way in Iraq and Afghanistan, and the mastermind of the worst terror attack on American soil remained at large.  And on challenges from health care to climate change, we’d been kicking the can down the road for way too long.

But in the depths of that winter, on January 20, 2009, I stood before you and swore a sacred oath.  I told you that day that the challenges we faced would not be met easily or in a short span of time – but they would be met.  And after eight busy years, we’ve met them – because of you.

Eight years later, an economy that was shrinking at more than eight percent is now growing at more than three percent.  Businesses that were bleeding jobs unleashed the longest streak of job creation on record.  The auto industry has roared its way back, saving one million jobs across the country and fueling a manufacturing sector that, after a decade of decline, has added new jobs for the first time since the 1990s.  And wages have grown faster over the past few years than at any time in the past forty.

Today, thanks to the Affordable Care Act, another 20 million American adults know the financial security and peace of mind that comes with health insurance.  Another three million children have gained health insurance.  For the first time ever, more than ninety percent of Americans are insured – the highest rate ever.  We’ve seen the slowest growth in the price of health care in fifty years, along with improvements in patient safety that have prevented an estimated 87,000 deaths.  Every American with insurance is covered by the strongest set of consumer protections in history – a true Patients’ Bill of Rights – and free from the fear that illness or accident will derail your dreams, because America is now a place where discrimination against preexisting conditions is a relic of the past.  And the new health insurance marketplace means that if you lose your job, change your job, or start that new business, you’ll finally be able to purchase quality, affordable care and the security and peace of mind that comes with it – and that’s one reason why entrepreneurship is growing for the second straight year.

Our dependence on foreign oil has been cut by more than half, and our production of renewable energy has more than doubled.  In many places across the country, clean energy from the wind is now cheaper than dirtier sources of energy, and solar now employs more Americans than coal mining in jobs that pay better than average and can’t be outsourced.  We also enacted the most sweeping reforms since the Great Depression to protect consumers and prevent a crisis on Wall Street from punishing Main Street ever again.   These actions didn’t stifle growth, as critics predicted.  Instead, the stock market has nearly tripled.  Since I signed Obamacare into law, America’s businesses have added more than 15 million new jobs.  And the economy is undoubtedly more durable than it was in the days when we relied on oil from unstable nations and banks took risky bets with your money.

The high school graduation rate is now 83 percent – the highest on record – and we’ve helped more young people graduate from college than ever before.  At the same time, we’ve worked to offer more options for Americans who decide not to pursue college, from expanding apprenticeships, to launching high-tech manufacturing institutes, to revamping the job training system and creating programs like TechHire to help people train for higher-paying jobs in months, not years.  We’ve connected more schools across the country to broadband internet, and supported more teachers to bring coding, hands-on making, and computational thinking into our classrooms to prepare all our children for a 21st century economy.

Add it all up, and last year, the poverty rate fell at the fastest rate in almost fifty years while the median household income grew at the fastest rate on record.  And we’ve done it all while cutting our deficits by nearly two-thirds even as we protected investments that grow the middle class.

Meanwhile, over the past eight years, no foreign terrorist organization has successfully planned and executed an attack on our homeland.  Plots have been disrupted.  Terrorists like Osama bin Laden have been taken off the battlefield.  We’ve drawn down from nearly 180,000 troops in harm’s way in Iraq and Afghanistan to just 15,000.  With a coalition of more than 70 nations and a relentless campaign of more than 16,000 airstrikes so far, we are breaking the back of ISIL and taking away its safe havens, and we’ve accomplished this at a cost of $10 billion over two years – the same amount that we spent in one month at the height of the Iraq War.

At the same time, America has led the world to meet a set of global challenges.  Through diplomacy, we shut down Iran’s nuclear weapons program, opened up a new chapter with the people of Cuba, and brought nearly 200 nations together around a climate agreement that could save this planet for our kids.  With new models for development, American assistance is helping people around the world feed themselves, care for their sick, and power communities across Africa.  And almost every country on Earth sees America as stronger and more respected today than they did eight years ago.  All of this progress is due to the service of millions of Americans in intelligence, law enforcement, homeland security, diplomacy, and the brave men and women of our Armed Forces – the most diverse institution in America.

We’ve also worked to make the changing face of America more fair and more just – including by making strides towards criminal justice reform, making progress towards equal pay, repealing Don’t Ask, Don’t Tell, and advancing the cause of civil rights, women’s rights, and LGBT rights.  I appointed two extraordinary women to the Supreme Court, marking the first time in history that three women sit on the bench, including the first Latina.  And today in America, marriage equality is finally a reality across all fifty states.

This is where America stands after eight years of progress.  By so many measures, our country is stronger and more prosperous than it was when we started – a situation I’m proud to leave for my successor.  And it’s thanks to you – to the hard work you’ve put in; the sacrifices you’ve made for your families and communities; the way you’ve looked out for one another. 

Still, through every victory and every setback, I’ve insisted that change is never easy, and never quick; that we wouldn’t meet all of our challenges in one term, or one presidency, or even in one lifetime.  And for all that we’ve achieved, there’s still so much I wish we’d been able to do, from enacting gun safety measures to protect more of our kids and our cops from mass shootings like Newtown, to passing commonsense immigration reform that encourages the best and brightest from around the world to study, stay, and create jobs in America. 

And for all the incredible progress our economy has made in just eight years, we still have more work to do for every American still in need of a good job or a raise, paid leave or a dignified retirement.  We have to acknowledge the inequality that has come from an increasingly globalized economy while committing ourselves to making it work better for everyone, not just those at the top, and give everyone who works hard a fair shot at success. 

And here’s the thing – over the past eight years, we’ve shown that we can.  Last year, income gains were actually larger for households at the bottom and the middle than for those at the top.  We’ve also made the tax code fairer.  The tax changes enacted over the past eight years have ensured that the top one percent of Americans pay more of their fair share, increasing the share of income received by all other families by more than the tax changes in any previous administration since at least 1960.  Simply put, we’ve actually begun the long task of reversing inequality.  But as the global economy changes, we’ll have to do more to accelerate these trends, from strengthening unions that speak for workers, to preventing colleges from pricing out hardworking students, to making sure that minimum wage workers get a raise and women finally get paid the same as men for doing the same job.  What won’t help is taking health care away from 30 million Americans, most of them white and working class; denying overtime pay to workers, most of whom have more than earned it; or privatizing Medicare and Social Security and letting Wall Street regulate itself again – none of which middle-class Americans voted for.

We will have to move forward as we always have – together.  As a people who believe that out of many, we are one; that we are bound not by any one race or religion, but rather an adherence to a common creed; that all of us are created equal in the eyes of God.  And I’m confident we will.  Because the change we’ve brought about these past eight years was never about me.  It was about you.  It is you, the American people, who have made the progress of the last eight years possible.  It is you who will make our future progress possible.  That, after all, is the story of America – a story of progress.  However halting, however incomplete, however harshly challenged at each point on our journey – the story of America is a story of progress. 

Recently, I asked each member of my talented and dedicated Cabinet to prepare a detailed report on the progress we’ve made across the board these past eight years, and the work that remains to make this country we love even stronger.  Today, I’m sharing them with you.  And I hope you’ll share them with others, and do your part to build on the progress we’ve made across the board. 

It has been the privilege of my life to serve as your President.  And as I prepare to pass the baton and do my part as a private citizen, I’m proud to say that we have laid a new foundation for America.  A new future is ours to write.  And I’m as confident as ever that it will be led by the United States of America – and that our best days are still ahead. 

Sincerely,

BARACK OBAMA

 

Police seek Kansas suspect in deadly Christmas Eve shooting

Hamilton-photo Wyandotte Co.

KANSAS CITY, Kan. (AP) — Authorities are searching for a suspect in a deadly December shooting in Kansas City, Kansas.

The Wyandotte County district attorney’s office has issued a first-degree murder warrant for 24-year-old Tyrone Hamilton. The Kansas City Star reports that he is accused of killing Mario Sanders on Dec. 24.

Hamilton also is charged with being a felon in possession of a firearm.

Police said in a news release that Hamilton should be considered armed and dangerous.

Fire destroys Kansas home; 2 pets perish

Photo courtesy El Dorado Fire Department

BUTLER COUNTY –Officials in Butler County are investigating the cause of a fire that destroyed a home on Douglas Street in Eldorado on Thursday evening.

The homeowner reported seeing smoke and found a fire in a bedroom, according to media release.

Firefighters arrived to find flames coming from the entire front of home as well as the roof.

They were on scene for over an hour and a half getting the entire fire in the multilayer roof extinguished. The home was a complete loss.

Neither the owners nor the occupants had insurance. A church is helping the family.

Two pet dogs perished in the fire.

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