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MedicaidReimbursementMedium impact

KMAP BULLETIN: New DRG Grouper for April 2026

Kansas Medicaid (KanCare)·KS·Provider Bulletin
Effective date
Apr 1, 2026
We identified it
Jun 21, 2026
Days to comply
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Summary

Kansas Medicaid (KMAP) will implement MS-DRG Grouper version 43.1 for inpatient claims processing starting April 1, 2026. This affects how inpatient cases are grouped and potentially reimbursed for Kansas Medicaid patients.

Action Required

Action needed
Before April 1, 2026: Billing team must verify that billing software will be updated to MS-DRG Grouper version 43.1 for Kansas Medicaid inpatient claims. Contact software vendor to confirm compatibility and update timeline. Review neonatal DRG flowchart if practice handles neonatal cases. Monitor KanCare MCO implementation dates as they may vary from the April 1 effective date.

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