Bulletins and Newsletters
See the bulletins below to stay up-to-date on news, policy changes, and other issues important to your practice.
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
2025 KMAP Alerts, Bulletins and Notices
Clicking on these links will direct you to the Kansas Medical Assistance Program (KMAP) website.
- 04.23.2025 - HCPCS Codes Update – April 2025
- 04.23.2025 - MCOs Retroactive Eligibility Procedures
- 04.23.2025 - Pharmaceutical Prior Authorization Updates – April 2025
- 04.23.2025 - Sleep Study Reimbursement Rates Clarification
- 04.23.2025 - Updated – NCCI/MUE Editing – April 2025
- 04.15.2025 - Partial Hospitalization Psychiatric Care/Intensive Outpatient Treatment: Eating Disorder Care – Enrollment and Coverage
- 04.15.2025 - CCBHC PPS Codes List Telehealth Clarifications and Code Updates
- 04.15.2025 - Coverage for 92622 and 92623 When Billed with an AB Modifier
- 04.15.2025 - Continuance of Blended ER Facility Rates
- 04.15.2025 - LCMFT/LCPC as Allowable Providers in RHCs/FQHCs
- 04.15.2025 - Preferred Drug List Update April 2025
- 04.04.2025 - Coverage for Drug Eluted Stents
- 04.04.2025 - Updated KanCare In Lieu of Services List
- 04.04.2025 - Healthy Blue Transitions of Care and Authorizations Extended through May 31, 2025
- 03.21.2025 - Pregnancy Related Services Previous MCO to Current MCO
- 03.21.2025 - High Dose Influenza Vaccine Coverage For 18 to 64-Year-Old Individuals
- 03.21.2025 - Preferred Drug List Update March 2025
- 03.21.2025 - Pharmaceutical Prior Authorization March 2025 Updates
- 03.21.2025 - UPDATED – Reminder of Guidance on Electronic Visit Verification (EVV) Requirements
- 03.21.2025 - Billing Guidelines and Required Documentation for Visit Complexity Add-on Code G2211
- 03.10.2025 - Reminder: Medicaid Payor of Last Resort
- 03.10.2025 - EVV March Town Hall Meeting
- 03.10.2025 - New DRG Grouper for April 2025
- 03.10.2025 - KanCare All MCO 1st Quarter 2025 Virtual Training Sessions Home Health
- 03.04.2025 - Updated – Crisis Intervention Services Coverage
- 03.04.2025 - HCBS Adverse Incident Reporting and Management
- 03.04.2025 - Kan Be Healthy (KBH) Allowed Provider Psychiatric APRN (09/096)
- 03.04.2025 - Rate Changes for Physician Administered Drugs – April 2025
- 03.04.2025 - Stand-Alone Vaccine Counseling and Pharmacists
- 03.04.2025 - Developmental Testing Codes
- 03.04.2025 - NCCI/MUE Editing – April 2025
- 03.04.2025 - Coverage for Add-on Code 99459 Pelvic Examination
- 02.17.2025 - Claims Billing Process for ABH Members with Inpatient Hospital Admissions Prior to
December 31, 2024 and Discharge after January 1, 2025 - 02.17.2025 - EVV February Town Hall Meeting
- 02.17.2025 - DRG Weights and Rates for January 2025 – Update
- 02.17.2025 - Collaborative Care Model
- 02.17.2025 - Updated – NCCI/MUE Editing – January 2025
- 02.17.2025 - KanCare All MCO 1st Quarter 2025 Virtual Training Sessions – Behavioral Health Non-CMHC/CCBHC
- 02.17.2025 - Codes E0561 and E0562 are Covered for Rental and Purchase
- 02.06.2025 - Pharmaceutical Prior Authorization Updates
- 02.06.2025 - Out-of-State (OOS) Provider Enrollment – Updates
- 02.06.2025 - JG and TB Claim Modifiers Update – 340B Drug Pricing Program Changes
- 02.06.2025 - Pharmaceuticals with DME Billing Allowance Updates
- 02.06.2025 - Pharmaceuticals with DME Billing Allowance – Vyjuvek® and Zolgensma®
- 02.06.2025 - Opticians Allowed to Enroll as a Facility
- 01.24.2025 - Pharmaceutical Prior Authorization Updates
- 01.24.2025 - Updates to Credentialing Requirements Required Documents
- 01.21.2025 - Updated Implementation of InterRAI-Based Care/Service Planning Instrument for HCBS Programs
- 01.21.2025 - Swing Bed Rate for 2025
- 01.21.2025 - EVV January Town Hall Meeting
- 01.21.2025 - UPDATED EVV Claims Processing Guidance
- 01.21.2025 - HCPCS Code Update – January 2025
- 01.21.2025 - Continuity of Care and Authorizations for January 1, 2025
- 01.21.2025 - UPDATED Medicare Part D Copayment Assistance for Calendar Year 2025
- 01.14.2025 - Updated KanCare Paper Claims and MCO Checks
- 01.14.2025 - Updated Electronic Visit Verification for In Lieu of Services
- 01.14.2025 - Updated Reminder of Guidance on Electronic Visit Verification (EVV) Requirements
- 01.14.2025 - Updated Implementation of InterRAI Based Care/Service Planning Instrument for HCBS Programs
- 01.14.2025 - Updated Electronic Visit Verification for Frail Elderly Services
- 01.08.2025 - EVV Town Hall Meetings
- 01.08.2025 - 2025 HCBS Provider Qualifications Audit
- 01.08.2025 - Annual Attestation Requirement
- 01.08.2025 - 2025 MS-DRG Weights and Rates
2024 KMAP Alerts, Bulletins and Notices
Clicking on these links will direct you to the Kansas Medical Assistance Program (KMAP) website.
- 12.31.2024 - Medicaid Assisted Treatment Rate Update - January 2025
- 12.19.2024 - Applications of Topical Fluoride Benefit Limits
- 12.19.2024 - Provider Application Fee Change - 2025
- 12.17.2024 - CCBHC Specialty Designation for Demonstration Grant Implementation
- 12.17.2024 - Anesthesia Conversion Factor for Calendar Year 2025
- 12.17.2024 - Medicare Part D Copayment Assistance for Calendar Year 2025
- 12.17.2024 - Coverage of MenACW-TT (Menquadfi) Vaccine for Adults
- 12.17.2024 - Allowance for Pulmonary Rehabilitation Services Update
- 12.10.2024 - Comprehensive Guidance for Specialized Wheelchair Seating Assessments
- 12.10.2024 - Rate Changes for Physician Administered Drugs – January 2025
- 12.10.2024 - REMINDER - OneCare Kansas Program Unwinding
- 12.05.2024 - Individual within a Group Provider Enrollment
- 12.05.2024 - Diagnosis Restrictions Do Not Apply to DME Repair Code K0739
- 12.05.2024 - EVV Claims Processing Guidance
- 12.05.2024 - NCCI/MUE Editing – January 2025
- 12.05.2024 - Implementation of Inter RAI-Based Care/Service Planning Instrument for HCBS Programs
- 12.05.2024 - MS-DRG Update for January 2025
- 12.02.2024 - Coverage of Additional Sleep Study Diagnoses for Children
- 12.02.2024 - EVV Town Hall Meetings
- 12.02.2024 - UPDATED - High Dollar Rare Disease Drug List Q3 2024 Update
- 11.25.2024 - Code A9276 May be Dispensed 30 Units per 30 Days
- 11.25.2024 - Fiscal Year 2025 Hospice Reimbursement Rates
- 11.25.2024 - Preferred Drug List Update
- 11.05.2024 - MAT Injectable Products Coverage Update
- 10.30.2024 - EVV Claims Processing Guidance
- 10.30.2024 - Healthy Blue Option for Provider Enrollment
- 10.30.2024 - New Provider Specialty for Sedation Dental
- 10.22.2024 - Coverage of Pneumococcal Conjugate Vaccine PCV21 (Capvaxive)
- 10.22.2024 - HCPCS Changes – October 2024
- 10.16.2024 - High Dollar Rare Disease Drug List Q3 2024 Update
- 10.16.2024 - Pharmaceutical Prior Authorization Updates
- 10.16.2024 - REMINDER – Provider Review of PDMP Annual Attestation Requirement - ONLINE Submission Only
- 10.16.2024 - 2025 Updates to the Medicare Guidelines for Unacceptable Principal Diagnosis Codes
- 10.07.2024 - Children’s Integrated Community Supports
- 10.07.2024 - EVV Town Hall: You’re invited to learn more about EVV claims processing
- 10.07.2024 - KanCare All MCO 4th Quarter 2024 Virtual Training Sessions
- 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
Clicking on these links will direct you to the Kansas Medical Assistance Program (KMAP) website.
- 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