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Bulletins and Newsletters

See the bulletins below to stay up-to-date on news, policy changes, and other issues important to your practice.

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Medical Policy Update Bulletins

For Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, Utilization Review Guidelines and corresponding update bulletins for UnitedHealthcare Community Plan, visit the Policies and Protocols section.

Payment Policy Notifications

Visit the Payment Policy Notifications page to view updates.

KMAP Alerts, Bulletins and Notices

Clicking on these links will direct you to the Kansas Medical Assistance Program (KMAP) website.

Current Alerts & Bulletins

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2024 KMAP Alerts, Bulletins and Notices

11.05.2024 - MAT Injectable Products Coverage Update
10.30.2024 - New Provider Specialty for Sedation Dental
10.30.2024 - EVV Claims Processing Guidance
10.30.2024 - Healthy Blue Option for Provider Enrollment
10.22.2024 - Coverage of Pneumococcal Conjugate Vaccine PCV21 (Capvaxive)
10.22.2024 - HCPCS Changes – October 2024
10.16.2024 - REMINDER – Provider Review of PDMP Annual Attestation Requirement - ONLINE Submission Only
10.16.2024 - High Dollar Rare Disease Drug List Q3 2024 Update
10.16.2024 - 2025 Updates to the Medicare Guidelines for Unacceptable Principal Diagnosis Codes
10.16.2024 - Pharmaceutical Prior Authorization Updates
10.07.2024 - KanCare All MCO 4th Quarter 2024 Virtual Training Sessions
10.07.2024 - Children’s Integrated Community Supports
10.07.2024 - EVV Town Hall: You’re invited to learn more about EVV claims processing
09.25.2024 - Preferred Drug List and Prior Authorization Updates
09.25.2024 - Registered Nurse Education Visits for Elevated Blood Lead Levels
09.25.2024 - Crisis Intervention Services Coverage
09.25.2024 - Certified Nurse Midwife Reimbursement Increase
09.25.2024 - Lead Hazard Risk Assessments – Local Health Departments Enrollment and Coverage
09.25.2024 - UPDATED - HCBS Quality Assurance Policy
09.25.2024 - Coverage of FDA-Authorized Imported Drugs During Shortages of FDA-Approved Drugs
09.25.2024 - KanCare All MCO 4th Quarter 2024 Virtual Training Sessions
09.12.2024 - State Institutional Alternative and Psychiatric Observation
09.12.2024 - OneCare Kansas Program Unwinding
09.12.2024 - KMAP Paper Check Separate Mailing
09.04.2024 - Expansion of Providers for CBST, Mental Health Assessment, and Psychiatric Diagnostic Evaluation
09.04.2024 - EVV Town Hall: You’re invited to learn more about EVV claims processing
09.04.2024 - NCCI/MUE Editing - October 2024
09.04.2024 - Coverage of Preventative Dental for Ages 21 and Older
09.04.2024 - Rate Changes for Physician Administered Drugs – October 2024
08.22.2024 - HCBS Adverse Incident Reporting and Management
08.22.2024 - HCBS Quality Assurance Policy
08.22.2024 - HCBS Transition Policy
08.16.2024 - CCBHC PPS Code Clarification for E&M Services
08.16.2024 - Coverage of Stand-Alone Counseling – LEA, ECI, and Podiatrist
08.16.2024 - Expansion of Mobile Crisis Intervention Services - Mobile Crisis Response
08.16.2024 - Unbundling Assistive Services for HCBS Waivers
08.16.2024 - Updated KanCare In Lieu of Services List
08.16.2024 - 2024 Medicaid Outpatient Rate Increase
08.16.2024 - 2024 Physician Rate Increase
08.12.2024 - Children’s Behavioral Interventionist Program
08.12.2024 - Vaccine Administration for VFC Vaccines
08.07.2024 - CMS PERM Program Review Process Reminder
08.07.2024 - Discontinue Applying Modifier TC to Base Code Billed by Hospitals
08.07.2024 - Reimbursement for Approved Dispense as Written (DAW) Pharmacy Claims
08.07.2024 - EVV Town Hall: You’re invited to learn more about EVV claims processing
07.30.2024 - Expansion of Providers for Community Psychiatric Support and Treatment
07.30.2024 - Allowance of POS 10 for T1017 use by ECI Providers
07.30.2024 - New Benefit Plan for Medically Needy Long Term Care Members
07.30.2024 - Updated Criteria Guidance for Coverage of Insulin Infusion Pumps and Supplies
07.23.2024 - Expansion of Providers for Psychosocial Rehabilitation (PSR)
07.23.2024 - UPDATED - KBH Provider Payment Increase - Select Providers and Codes
07.17.2024 - Coverage of Attended and Unattended Sleep Studies
07.17.2024 - HCPCS Changes – July 2024
07.17.2024 - UPDATED - Place of Service Codes for Use in AuthentiCare
07.09.2024 - Append Modifier U1 to S0315, FE Telemonitoring Installation
07.09.2024 - Coverage of Individualized Custom Bath/Shower Chairs
07.09.2024 - KanCare All MCO HCBS 2024 Virtual Training Sessions
07.09.2024 - Rate Increase for Family Training and Counseling Services
07.01.2024 - Hospice Room and Board Reimbursed at 100 percent of Nursing Facility Rate
07.01.2024 - Upcoming EVV Town Hall MeetingsUpcoming EVV Town Hall Meetings
06.27.2024 - Autism Codes - CCTS/IIS Coverage
06.27.2024 - Coverage of CPAP and BiPAP
06.27.2024 - HCBS Settings Ongoing Monitoring and Compliance
06.27.2024 - KBH-EPSDT Blood Lead Screening Questionnaire Form
06.19.2024 - Annual Durable Medical Equipment Rate Adjustment and Medicare Fee Schedule Update – Fiscal Year 2025
06.19.2024 - HCBS Rate Changes for Fiscal Year 2025
06.19.2024 - KBH Provider Payment Increase - Select Providers and Codes
06.19.2024 - Place of Service Codes for Use in AuthentiCare
06.19.2024 - Preferred Drug List Update
06.19.2024 - Prior Authorization Updates
06.19.2024 - Supportive Housing Services: Operation Community Integration Behavioral Health Programming Provider Expansion
06.19.2024 - WARNING: Potential Fraud Alert Reminder - Solicitation by Medical Equipment Suppliers
06.19.2024 - Wheelchair Cushion Coverage
06.13.2024 - Community Health Worker Services Rate Increase
06.13.2024 - Global Pregnancy Services Rate Increase
06.13.2024 - KDHE Announces KanCare Managed Care Organizations Contracts
06.13.2024 - Immunization Administration by Pharmacy Providers
06.13.2024 - Updated Criteria Guidance for Coverage of Insulin Infusion Pumps and Supplies
06.05.2024 - CCBHC Specialty Designation for PPS – Service Code Additions - Supported Housing
06.05.2024 - NCCI/MUE Editing – July 2024
06.05.2024 - Rate Changes for Physician Administered Drugs – July 2024
05.29.2024 - Coming Soon: KMMS Stage 2.1 Go-Live
05.29.2024 - Coverage of Diabetes Devices, Accessories, and Supplies Update
05.29.2024 - Doulas Enrollment and Coverage
05.29.2024 - New KMAP Portals and KMMS System Now Live
05.29.2024 - Ordering or Referring NPI – Enrollment Type Requirements
05.29.2024 - Pentavalent Meningococcal Penbraya Vaccine Coverage
05.29.2024 - UPDATED - Anesthesia Modifier Coverage
04.29.2024 - Electronic Visit Verification Compliance Requirements
04.29.2024 - Electronic Visit Verification for the STEPS Program
04.29.2024 - HCPCS Changes – April 2024
04.29.2024 - Revised Anesthesia Conversion Factors for Calendar Year 2024
04.29.2024 - UPDATED - Reminder of Guidance on Electronic Visit Verification (EVV) Requirements
04.22.2024 - Code B9998 to be Manually Priced
04.22.2024 - Immunization Administration by Pharmacy Providers
04.22.2024 - Preferred Drug List Update
04.22.2024 - KanCare All MCO 2nd Quarter 2024 Virtual Training Sessions
04.03.2024 - Documentation for Dressings and Supplies
03.25.2024 - E/M Modifier 25 Use with KBH Vision Code 99173
03.25.2024 - Preferred Drug List Update
03.25.2024 - UPDATED - Rate Changes for Physician Administered Drugs – April 2024
03.22.2024 - Updated ADA Dental Claim Form Guidance
03.22.2024 - Prior Authorization Updates
03.22.2024 - Rate Changes for Physician Administered Drugs – April 2024
03.22.2024 - PD Waiver – PCS in Congregate Settings
03.13.2024 - Change Healthcare Outage Continues
03.13.2024 - 2024 AuthentiCare Training Sessions
03.07.2024 - PRTF Clinical Requirements
03.07.2024 - Residential Services IDD Married Couples
03.06.2024 - Coverage Change for Injectable Triamcinolone Acetonide
03.06.2024 - HCBS PCS in Congregate Settings Exempt from EVV Requirement
03.06.2024 - MS-DRG Update for April 2024
03.06.2024 - NCCI/MUE Editing - April 2024
03.06.2024 - UPDATED - Reminder of Guidance on Electronic Visit Verification (EVV) Requirements
02.28.2024 - ADAPD Claims Processing Point of Contact
02.28.2024 - Adjunctive Subcutaneous Continuous Glucose Monitors
02.28.2024 - EVV Town Hall: Update and Open Forum
02.27.2024 - All MCO 1st Quarter Virtual Training - Home Health
02.26.2024 - UPDATED - Change Healthcare Outage
02.26.2024 - UPDATED - Reminder of Guidance on Electronic Visit Verification (EVV) Requirements
02.26.2024 - Change Healthcare Outage
02.26.2024 - Deactivation of MUE Editing for BI Waiver Codes 97535 and 97537
02.26.2024 - Preferred Drug List Update
02.19.2024 - EVV Town Hall Update and Open Forum
02.19.2024 - KanCare All MCO 1st Quarter 2024 Virtual Training Sessions
02.19.2024 - Update to Cognitive Therapy Code Change on the BI Waiver
02.01.2024 - Specialized Wheelchair Seating Assessment Centers Criteria and Application
01.25.2024 - HCPCS Changes – January 2024
01.25.2024 - Home Administration Code M0201 Reimbursement
01.25.2024 - MediKan Claim Clarification - CCBHCs
01.25.2024 - Preferred Drug List Update
01.25.2024 - Stay Enrolled as a KanCare Provider –Don’t Forget to Revalidate
01.25.2024 - TA Home Modification Limit Increase
01.19.2024 - Extension for Re-designation of Indian Health Centers as Tribal Facilities as Federally Qualified Health Centers (TFQHCs)
01.19.2024 - High Dollar Rare Disease Drug List February 2024 - Updated
01.16.2024 - High Dollar Rare Disease Drug List February 2024
01.16.2024 - Provider Specialty Updates for CCBHC
01.11.2024 - Private Rooms in Nursing Facilities and Intermediate Care Facilities
01.08.2024 - Cognitive Therapy Code Changes for the Brain Injury Waiver
01.08.2024 - Electronic Visit Verification for In Lieu of Services
01.08.2024 - EVV Town Hall: Update and Open Forum
01.08.2024 - POA Indicators on Swing Bed Nursing Facility Claims
01.08.2024 - Prior Authorization Updates
01.08.2024 - Testing/Scoring Service Codes for CMHCs
01.04.2024 - Adding New Provider Types and Specialties to PET Scans
01.04.2024 - Clarification of Allergy Immunotherapy Billing
01.04.2024 - Drug Shortage Protocol
01.04.2024 - Updates to the HCBS Provider Qualifications Audit Process
01.02.2024 - Adding AuthentiCare Coverage for EPSDT Services
01.02.2024 - REMINDER: Community Health Worker Services - RHC/FQHC/IHC Providers
01.02.2024 - Management of Self-monitoring Blood Pressure (SMBP) Treatment Plans
01.02.2024 - Home Delivered Meals Services Update
01.02.2024 - Rate Changes for Physician Administered Drugs - January 2024
01.02.2024 - Reminder of Guidance on Electronic Visit Verification (EVV) Requirements
01.02.2024 - COVID-19 Test Kit Coverage Update - MCOs

2023 KMAP Alerts, Bulletins and Notices

12.20.2023 - 2024 MS-DRG Weights and Rates
12.20.2023 - Coverage of Bath and Toilet Aids
12.20.2023 - Medicare Part D Copayment Assistance for 2024
12.19.2023 - Incontinence Supplies in Quantities to Meet Members’ Needs
12.19.2023 - Medication Assisted Treatment Rate Update – January 2024
12.19.2023 - MS-DRG Update for January 2024
12.19.2023 - Subcutaneous Continuous Glucose Monitors
12.19.2023 - UPDATED - Mental Health Medication Emergency Supply
12.15.2023 - Radiology Rate Leveling
12.11.2023 - Coverage for RSV Vaccines for Ages 60 and Older
12.11.2023 - Coverage for RSV Vaccines for Pregnant Women
12.11.2023 - EVV Town Hall: Update on Go-Live and Open Forum
12.11.2023 - Preferred Drug List and Prior Authorization Updates
12.11.2023 - Sequestration Reduction – Certified Community Behavioral Health Clinics
12.11.2023 - Swing Bed Rate for 2024
12.05.2023 - NCCI/MUE Editing - January 2024
12.05.2023 - Non-Waiver Mental Health Attendant Care Service Code – EVV Implementation Resuming
12.05.2023 - UPDATED High Dollar Rare Disease Drug List Q3 2023
11.20.2023 - Continued Stay Screen for Individuals Residing in NF/MH Denial Code
11.20.2023 - Coverage for Nirsevimab (Beyfortus)
11.20.2023 - Novavax COVID-19 Vaccine
11.20.2023 - UPDATED - High Dollar Rare Disease Drug Reimbursement
11.16.2023 - Anesthesia Modifier Coverage
11.16.2023 - HCBS Appendix K - COVID Measure Rescinding (PHE Changes Ending)
11.16.2023 - HCPCS Code Update – October 2023
11.16.2023 - REMINDER – Provider Review of PDMP Annual Attestation Requirement - ONLINE Submission Only
11.16.2023 - WORK ILC and STEPS CSC Rate Change January 2024
11.06.2023 - 2024 Updates to the Medicare Guidelines for Unacceptable Principal Diagnosis Codes
11.06.2023 - COVID-19 Vaccines and Bivalent Discontinuation
11.06.2023 - Expanding Peer Support Providers
11.01.2023 - Countdown to HHCS EVV Go-Live: One Town Hall Remaining
11.01.2023 - RESCINDED: Ordering or Referring NPI vs. Performing and/or Billing NPI
10.31.2023 - Pharmacy Billing of Vaccines and Vaccine Administration Fees
10.31.2023 - Prevnar 20 Vaccine Coverage for VFC
10.31.2023 - Removal of Code Combinations for EVV HHCS Home Health Visits
10.20.2023 - Eligibility Reinstatement
10.30.2023 - Non-Waiver Mental Health Attendant Care Service Code
10.24.2023 - Annual Attestation Requirement
10.24.2023 - High Dollar Rare Disease Drug List Update
10.24.2023 - Ordering or Referring NPI vs. Performing and/or Billing NPI
10.24.2023 - Fiscal Year 2024 Hospice Reimbursement Rates
10.19.2023 - Over the Counter Rebate Eligible Naloxone
10.12.2023 - Addition of Place of Service Code 27
10.12.2023 - KanCare All MCO 4th Quarter 2023 Virtual Training Sessions
10.12.2023 - WORK ILC and STEPS CSC Rate Change
10.09.2023 - Anti-Obesity Medication Coverage
10.09.2023 - EPSDT Medical Necessity Form
10.09.2023 - KDHE to Hold KanCare Re-Procurement Public Meetings
10.05.2023 - Children’s Behavioral Interventionist Program
10.02.2023 - Peri-partum Optimization - Postpartum Visit Tag from OB Global Code
10.02.2023 - Prior Authorization Updates
09.29.2023 - Rate Changes for Physician Administered Drugs - October 2023
09.25.2023 - Diabetes Self-Management Training
09.25.2023 - Hospice Recertification Documentation
09.25.2023 - MCO Pharmacy Point-of-Sale Contractual Write-off Pricing
09.25.2023 - Physical Disability Waiver Crisis Exception Policy
09.25.2023 - Physician Services in a Hospital Setting
09.25.2023 - UPDATED - Further Guidance on Electronic Visit Verification
09.25.2023 - Vision Allowable Places of Service
09.05.2023 - EVV Vendor and Town Hall Opportunities
09.05.2023 - Prior Authorization Updates
09.05.2023 - Rate Increase for Lactation Counseling
08.29.2023 - Brand Product Exemptions
08.29.2023 - Injection Coverage
08.25.2023 - HCBS Appendix K Unwinding Notice
08.24.2023 - Dental Procedure Code Update
08.24.2023 - NCCI/MUE Editing - October 2023
08.24.2023 - REMINDER - Adding Services for AuthentiCare Coverage – Non-Waiver Mental Health Attendant Care
08.24.2023 - UPDATED - Pharmacist as Provider – Approved Billable Services
08.16.2023 - Allowance of POS Code for IIS Providers
08.16.2023 - Autism Waiver Self-Directed Respite Services and EVV
08.16.2023 - HCPCS Code Update – July 2023
08.16.2023 - JG Modifier Reimbursement Rate
08.09.2023 - EP Modifier for EPSDT Medically Necessary Non-Covered Services
08.04.2023 - Pharmacist as Provider – Approved Billable Services
07.25.2023 - EVV Vendor and Town Hall Opportunity
07.19.2023 - KanCare All MCO HCBS 2023 Virtual Training
07.19.2023 - Discontinuation of Janssen COVID-19 Vaccine
07.19.2023 - Dental Providers Under Locum Tenens Agreements
07.19.2023 - UPDATED - Community Health Worker Services
07.19.2023 - Pharmacy Immunization Administration
07.10.2023 - Adding Services for AuthentiCare Coverage – Non-Waiver Mental Health Attendant Care
07.10.2023 - Preferred Drug List Update
07.10.2023 - COVID-19 Monovalent and Bivalent Vaccine Updates
07.05.2023 - EVV Vendor and Town Hall Opportunity
07.05.2023 - I/DD Screening Providers
07.05.2023 - Community Health Worker Services
06.29.2023 - Coverage of Denture and Partial Prosthetics for Ages 21 and Older
06.29.2023 - Rate Increase for Physician Services per Legislative Allocation
06.27.2023 - Discontinuation of Evusheld Coverage
06.27.2023 - Self-monitoring Blood Pressure Devices Coverage
06.27.2023 - Laboratory Rate Leveling
06.27.2023 - UPDATED - Provider Review of PDMP – Attestation Requirement
06.27.2023 - Global Pregnancy Services Rate Increase
06.27.2023 - TPL Pay and Chase for Claims Billed by Certified Community Behavioral Health Centers
06.22.2023 - WARNING: Potential Fraud Alert: Reminder - Solicitation by Medical Equipment Suppliers
06.22.2023 - UPDATED - Further Guidance on Electronic Visit Verification
06.21.2023 - Brain Injury Rehabilitation Facility FY24 Rate Change
06.21.2023 - HCBS Rate Changes for Fiscal Year 2024
06.19.2023 - Annual DME Rate Adjustment and Medicare Fee Schedule Update
06.19.2023 - Appeals of Administrative Denials of Payment
06.14.2023 - I/DD TCM Rate Change
06.07.2023 - State Institution Alternative Hospitals Update
06.07.2023 - Reminders Regarding Provider Appeals and External Independent Third-Party Review Requests
06.02.2023 - Prior Authorization Update
06.02.2023 - NCCI/MUE Editing - July 2023
05.25.2023 - Ambulance Service and Ground Mileage Rate Increase
05.25.2023 - CCBHC Specialty Designation for Prospective Payment System - Code Clarification
05.25.2023 - Discontinuance of Pharmacy Related COVID-19 Policies
05.25.2023 - Family Psychotherapy Without Patient Present
05.25.2023 - MCO Only – 90-Day Supply Maintenance Drug List
05.25.2023 - Rate Change for Physician Administered Drugs – July 2023
05.11.2023 - Application of Topical Fluoride Billing Claims Change
05.11.2023 - Preferred Drug List Update
05.09.2023 - Discontinued Telephonic Coverage of CCTS and IIS Codes
05.09.2023 - Discontinued Telephonic Coverage of Select Speech Therapy Code
05.09.2023 - REMINDER: Mental Health Medication Emergency Supply
05.09.2023 - UPDATED: Adding Services for AuthentiCare Coverage – HCBS/SED Attendant Care
05.03.2023 - MAT Injectable Products Coverage Update
05.03.2023 - TC Rates for PET Scans
05.01.2023 - Working Healthy Premium Recommendations
04.26.2023 - National Childhood Lead Poisoning Prevention Education Webinar for Pediatricians
04.26.2023 - Pharmacist Counseling Signature Log Retention Requirement
04.26.2023 - PRTF Clinical Requirements
04.26.2023 - REMINDER - Provider Review of PDMP – Attestation Requirement
04.26.2023 - KanCare All MCO 2nd Quarter 2023 Virtual Training Sessions
04.24.2023 - Revision to January 2022 MUE DME and OPH Files
04.17.2023 - ICD-10 Diagnosis Code Updates April 2023
04.17.2023 - Re-Evaluation Coverage for Rehabilitative Physical and Occupational Therapy
04.17.2023 - Adding Services for AuthentiCare Coverage – HCBS/SED Attendant Care
04.17.2023 - HCPCS Code Update – April 2023
04.13.2023 - Deactivation of NCCI PTP Edits Update – April 2023
04.13.2023 - Pfizer COVID-19 Bivalent Boosters Update
04.12.2023 - Preferred Drug List Update
04.10.2023 - Coverage of Stand-Alone Vaccine Counseling
04.05.2023 - Services Not Covered When Billed by an RHC or FQHC
04.04.2023 - Provider Review of PDMP – Attestation Requirement
04.04.2023 - Certified Community Behavioral Health Center Codes Update
04.03.2023 - Medication Assisted Treatment (MAT) and Office Based Opioid Treatment (OBOT) Programs Update
03.27.2023 - KDHE to Hold KanCare Request for Proposal Public Meetings
03.22.2023 - Prenatal Care At Risk Enhanced Care Coordination Allowable via Telemedicine
03.20.2023 - MS-DRG Update for April 2023
03.17.2023 - Prior Authorization Updates
03.09.2023 - Preferred Drug List Update
03.08.2023 - Licensed Mental Health Practitioner Reimbursement Guidelines
03.01.2023 - Adding Place of Service Code 10 to Home Telehealth Nursing Services
03.01.2023 - Provider Application Fee Collection Resumes
02.27.2023 - Discontinuation of Evusheld Coverage
02.27.2023 - Lactation Counseling Allowable Via Telemedicine
02.21.2023 - HCBS Final Rule Monitoring and Compliance
02.21.2023 - Ordering, Referring, Prescribing NPI Requirements
02.20.2023 - Age Restriction Removal on Influenza Vaccine
02.20.2023 - High Dollar Rare Disease Drug List Update
02.20.2023 - KanCare All MCO 1st Quarter 2023 Virtual Training Sessions Behavioral Health: Non-CMHC or CCBHC
02.07.2023 - Discontinuation of Coverage for Bebtelovimab
02.07.2023 - UPDATED - Positron Emission Tomography (PET) Scan
02.03.2023 - KanCare All MCO First Quarter 2023 Virtual Training
02.03.2023 - Peer Support Services Coverage Update
02.01.2023 - Rate Changes for Physician Administered Drugs – April 2023
01.27.2023 - COVID-19 Test Kit Additions
01.26.2023 - Updates to the HCBS Provider Qualifications Audit Process
01.24.2023 - Sterilization Consent Form Signatures
01.23.2023 - COVID-19 Bivalent Vaccine Boosters Update
01.23.2023 - HCPCS 2023 Updates
01.19.2023 - New Place of Service Code 15
01.17.2023 - 2023 MS-DRG Weights and Rates
01.17.2023 - Annual Attestation Requirement
01.17.2023 - Dental HCPCS 2023 Updates
01.03.2023 - 2023 Anesthesia Conversion Factor
01.03.2023 - C-Code HCPCS 2023 Updates
01.03.2023 - HCPCS E&M Code Update 2023

2022 KMAP Alerts, Bulletins and Notices

Clicking on these links will direct you to the Kansas Medical Assistance Program (KMAP) website.

12.28.2022 - CCBHC Provider Type/Provider Specialty Designation and Place of Service
12.28.2022 - Coverage Related to Weight Loss
12.27.2022 - CCBHC Provider Type/Provider Specialty Designation and Place of Service
12.20.2022 - Provider Application Fee Change - 2023
12.20.2022 - Long-Acting Reversible Contraceptives Billing by an RHC/FQHC
12.13.2022 - Parent Peer Support
12.13.2022 - Rate Changes for Physician Administered Drugs – January 2023
12.08.2022 - Positron Emission Tomography (PET) Scan
12.08.2022 - Coverage of Outpatient Pulmonary Rehabilitation
12.07.2022 - Coverage of Shingrix for Immunocompromised Ages 19 and Older
12.05.2022 - Long-Acting Reversible Contraceptive Billing Allowance – Post Partum
12.05.2022 - HRSA Medicaid Exclusions
12.02.2022 - Bebtelovimab Rate Change
12.02.2022 - Certificate of Medical Necessity Form for Oxygen is Discontinued
12.02.2022 - NCCI/MUE Editing - January 2023
12.02.2022 - Medication Assisted Treatment Drugs/Biologicals - Rate Update - January 2023
12.02.2022 - Medicare Part D Copayment Assistance for 2023
12.02.2022 - Ostomy Products Coverage Update
12.02.2022 - Preferred Drug List Update
12.02.2022 - RHC/FQHC Rate Changes – January 2023
12.02.2022 - UPDATED - High Dollar Rare Disease Drug Reimbursement
12.02.2022 - Assurance of PRTF Per Diem Rate
12.02.2022 - Swing Bed Rate for 2023
11.22.2022 - CCBHC Specialty Designation Service Code Update
11.22.2022 - COVID-19 Novavax Vaccine Booster Update
11.22.2022 - Corrected Fee Schedules Available
11.22.2022 - Medicaid Rates for Physician Administered Drugs
11.22.2022 - SFY 2022 Kansas Single State Audit Announcement
11.21.2022 - Coverage of Pneumococcal Conjugate Vaccine for Persons Under 19 Years of Age
11.21.2022 - Section 1115 Demonstration
11.16.2022 - MS-DRG Revisions for 2023
11.11.2022 - Prior Authorization Updates
11.10.2022 - 2023 MCO Enrollment Guide
11.10.2022 - Important KMMS Update – Patient Liability Display
11.07.2022 - HCAIP Adjustment Factor Removal
11.02.2022 - KMMS/KMAP System Down Time
11.02.2022 - COVID-19 Bivalent Vaccine Boosters Update
11.02.2022 - 90-Day Supply 11.02.2022 - Maintenance Drug List
11.02.2022 - Fiscal Year 2023 Hospice Reimbursement Rates
10.27.2022 - UPDATED - External Independent Third-Party Review
10.25.2022 - UPDATED - Lactation Counseling
10.13.2022 - Update: KanCare All MCO 3rd Quarter 2022 Training Now All Virtual
10.11.2022 - Billing Guidance for Spravato®
10.11.2022 - New Consent for Sterilization Form
10.11.2022 - REMINDER Effective Oct. 9, 2022 - NCPDP Validation and Translation Errors
10.04.2022 - HCPCS C-Code Update
10.04.2022 - HCPCS October 2022
10.04.2022 - Prior Authorization Updates
09.28.2022 - CCBHC Specialty Designation for Prospective Payment System Updates
09.28.2022 - COVID-19 Bivalent Vaccine Booster
09.28.2022 - Monkeypox Laboratory and Vaccine Coverage
09.28.2022 - Novavax COVID-19 Vaccine Coverage
09.28.2022 - Ending the COVID-19 Public Health Emergency Temporary Waivers
09.28.2022 - KanCare All MCO 3rd Quarter 2022 In-Person Training
09.13.2022 - Preferred Drug List Update
09.13.2022 - POS 10 Allowance Update
09.13.2022 - Prior Authorization Updates
09.09.2022 - Addendum to NEMT Services for Dental Procedures
09.09.2022 - Low Profile G-Tube Coverage Update
09.09.2022 - Medical Attestation Form Required for Clinical Trials
09.09.2022 - Medicare Guidelines for Unacceptable Diagnosis Codes Update
09.09.2022 - Revisions to October 2022 NCCI PTP Editing
08.26.2022 - Additional Moderna COVID-19 Vaccines for Children
08.26.2022 - HCAIP OPS Adjustment Factor Update
08.26.2022 - Hospice Service Provider Update
08.22.2022 - HCAIP Inpatient Claims Update
08.22.2022 - KMAP Portal Training Videos
08.22.2022 - Nursing Facility Provider Revalidation Notification Process
08.15.2022 - DME Guidelines for Diabetic Supplies
08.15.2022 - UPDATED - NCPDP Validation and Translation Errors