MedicaidAdministrativeMedium impact
KMAP BULLETIN: New DRG Grouper for January 2026
Kansas Medicaid (KanCare)·KS·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) is implementing MS-DRG Grouper version 43.0 for processing inpatient claims with discharge dates on or after January 1, 2026. This update affects how inpatient stays are categorized and reimbursed for Kansas Medicaid patients.
Action Required
Before January 1, 2026: Billing team must verify that billing software and systems are updated to use MS-DRG Grouper version 43.0 for all Kansas Medicaid inpatient claims. Contact software vendor to confirm compatibility and implementation timeline. Monitor the KanCare Open Claims Resolution Log on the KMAP Bulletins page for MCO system status updates and any reprocessing requirements.