MedicaidAdministrativeMedium impact
KMAP BULLETIN: Clarification – Spenddown Claims Submissions – CCBHC vs. CMHC NPI
Kansas Medicaid (KanCare)·KS · Psychiatry·Provider Bulletin
Effective date
May 1, 2022
We identified it
Jun 21, 2026
Summary
For Kansas Medicaid spenddown patients receiving services at Certified Community Behavioral Health Clinics (CCBHCs), all claims must be submitted under the Community Mental Health Center (CMHC) NPI when spenddown has not been met or is met during the visit. Claims should not be split for the same date of service and T1040 claims should not be submitted on dates when spenddown requirements are met.
Action Required
Immediately: Billing team must update procedures for Kansas Medicaid spenddown patients at CCBHCs. Submit all claims under CMHC NPI when spenddown is not met or is met during visit. Do not split claims for same date of service. Do not submit T1040 claims on dates when spenddown requirement is met. Update billing system rules to prevent T1040 submission on spenddown completion dates.