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MedicaidPrior AuthMedium impact

KMAP BULLETIN: Centers for Medicare and Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule

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

Summary

Starting January 1, 2026, providers can request expedited prior authorization reviews for urgent cases where standard timeframes could jeopardize patient health. Expedited requests must be submitted via a new dedicated email address to KSExpeditedPriorAuthorizationRequest@gainwelltechnologies.com.

Action Required

Action needed
Before January 1, 2026: Train prior authorization staff on new expedited review process. Add KSExpeditedPriorAuthorizationRequest@gainwelltechnologies.com to contact database. Create workflow to identify cases where standard PA timeframes could jeopardize patient life, health, or function. Update PA request procedures to include expedited option for qualifying cases.