MedicaidReimbursementMedium impact
KMAP BULLETIN: Opioid Use Disorder Rate Updates January 2026
Kansas Medicaid (KanCare)·KS · Psychiatry, Pain Management, Family Medicine +1 more·Claims & Billing
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) has updated reimbursement rates for Opioid Use Disorder treatment codes effective January 1, 2026. The bulletin provides specific payment amounts for 17 different HCPCS codes used for OUD services, with rates ranging from $16.50 to $1,979.58.
Action Required
Immediately: Billing team must update fee schedules in billing software with the new KMAP reimbursement rates for all listed OUD treatment codes retroactive to January 1, 2026. For G2216 claims, ensure dosage is documented in units field (box 24G on CMS-1500) rounded to nearest whole number with minimum 1 mg. Monitor KMAP website for additional rate updates and check KanCare Open Claims Resolution Log for MCO implementation timing.