MedicaidBilling CodesMedium impact
KMAP BULLETIN: HCBS Self-Directed Enhanced Care Services
Kansas Medicaid (KanCare)·KS · Geriatrics, Physical Therapy, Occupational Therapy·Specialty Services
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Summary
Effective July 1, 2026, Kansas Medicaid (KMAP) will require all self-directed Home and Community Based Services (HCBS) Enhanced Care Services to be billed using code T2025 with specific modifiers (U1, U2, U3, U5) based on the patient's condition category. Providers must also enroll under Provider Type 55 with Specialty 530 to deliver these services.
Action Required
By July 1, 2026: Providers delivering self-directed HCBS Enhanced Care Services must enroll under Provider Type 55 with Provider Specialty 530. Billing team must update systems to use code T2025 with appropriate modifiers: U1 for Intellectual/Developmentally Disabled, U2 for Frail and Elderly, U3 for Brain Injury, U5 for Physical Disability. Existing providers must align with this specialty at revalidation or when submitting enrollment updates. Monitor the KanCare Open Claims Resolution Log for MCO implementation dates as these may vary from the July 1, 2026 effective date.