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KMAP BULLETIN: UPDATED Medicare Part D Copayment Assistance for Calendar Year 2026

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

Medicare Part D copayment assistance amounts are changing for 2026, increasing to up to $12.65 per 30-day supply and up to $37.95 for 90-day supply. This affects Kansas Medicaid patients who also have Medicare Part D coverage.

Action Required

Action needed
Before January 1, 2026: Billing team must update pharmacy copayment assistance calculations in billing system to reflect new amounts ($12.65 for 30-day supply, $37.95 for 90-day supply) for Kansas Medicaid patients with Medicare Part D coverage. Monitor KanCare Open Claims Resolution Log for MCO implementation dates which may vary from state effective date.

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