MedicaidReimbursementHigh impact
KMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2027
Kansas Medicaid (KanCare)·KS · Occupational Therapy, Physical Therapy, General Practice·Claims & Billing
Effective date
Jul 1, 2026
We identified it
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.
Action Required
Before 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). Update encounter forms and verify proper unit definitions (15 minutes, 1 day, 1 month, 1 visit) are configured. Review contracts with HCBS providers to ensure rate increases are properly reflected.