Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Kansas Medicaid (KanCare)Medicaid · Reimbursement · Claims & Billing · KS · Occupational Therapy, Physical Therapy, General PracticeHigh impact

KMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2027

Effective date
Jul 1, 2026
Identified
Jun 21, 2026

Summary

Kansas Medicaid HCBS reimbursement rates are increasing for fiscal year 2027, affecting multiple procedure codes across Frail Elderly, Physical Disability, and Intellectual/Developmental Disability services. The new rates take effect July 1, 2026 and include significant increases for residential and day services.

Get alerts when payers change rules like this one

We check Kansas Medicaid (KanCare) and other payers every day and email you when a change matches your specialty and state.

Get Kansas Medicaid (KanCare) alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Before July 1, 2026: Billing team must update fee schedules in billing system with new HCBS reimbursement rates for all affected procedure codes (S5130, S5125, H0045, T1019, T2025, T1000, H2023, S5161, T2040, S5190, T2016, T2021).
02Update encounter forms and verify proper unit definitions (15 minutes, 1 day, 1 month, 1 visit) are configured.
03Review contracts with HCBS providers to ensure rate increases are properly reflected.

Codes mentioned

S5130S5125H0045T1019T2025T1000H2023S5161T2040S5190T2016T2021

Original notice

KMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2027
portal.kmap-state-ks.us · Always check the source before changing claims.
View original ↗

Related changes

See all Kansas Medicaid (KanCare) changes →
KMAP BULLETIN: UPDATED: HCBS Rate Changes for Fiscal Year 2027HighEffective Jul 1, 2026 · Claims & BillingKMAP BULLETIN: Updated - HCBS Rate Increase for Fiscal Year 2026MediumEffective Jul 1, 2025 · Claims & BillingKMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2025MediumEffective Jul 1, 2024 · Claims & BillingKMAP BULLETIN: HCBS Settings Ongoing Monitoring and ComplianceMediumEffective Jun 1, 2024 · Specialty ServicesBrowse every Kansas Medicaid (KanCare) change in the policy list

Related policy hubs

Kansas Medicaid (KanCare) policiesKS policy changesOccupational TherapyPhysical TherapyGeneral PracticeCode S5130Code S5125Code H0045Code T1019Code T2025Code T1000Code H2023Code S5161Code T2040Code S5190Code T2016Code T2021

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account