MedicaidAdministrativeMedium impact
KMAP BULLETIN: Kansas Medicaid Normal Daily Oral Nutrition Request Form
Kansas Medicaid (KanCare)·KS · Family Medicine, Internal Medicine, Pediatrics +2 more·Provider Bulletin
Effective date
Mar 1, 2026
We identified it
Jun 21, 2026
Summary
Kansas Medicaid is introducing a new Normal Daily Oral Nutrition Request Form effective March 1, 2026, that providers must use to request coverage for oral nutrition products. Providers must submit the completed form with a prescription directly to DME providers for processing.
Action Required
Before March 1, 2026: For Kansas Medicaid patients needing oral nutrition products, providers must obtain and complete the new Normal Daily Oral Nutrition Request Form from the KMAP website. Submit the completed form along with a valid prescription directly to the DME provider. If patient diagnosis codes are not pre-approved, use the EPSDT Medical Necessity Form instead.