A request by Kansas to prolong KanCare, its privatized Medicaid program, through 2018 was rejected by federal officials, The Kansas City Star reported Jan. 19.

The state has "substantively" failed to comply with federal statutes and regulations, as well as with its Medicaid State Plan, the Centers for Medicare and Medicaid Services wrote in a letter to Kansas officials dated Jan. 13. In issuing its decision, CMS expressed concerns about the program's effectiveness and transparency. Kansas privatized its Medicaid program in 2012.

Kansas Lt. Gov. Jeff Colyer said the state expects the issue to be settled under the Trump administration, according to the report.

Authorization for the state's privatized system from the federal government is set to expire at the end of 2017. Founded in January 2013, KanCare provides Medicaid services to more than 415,000 enrollees across the state, according to the program's website.