MedicaidAdministrativeLow impact
KMAP BULLETIN: Reminder: Any Willing Pharmacy Provider – No Steering
Kansas Medicaid (KanCare)·KS·Pharmacy
We identified it
Jun 21, 2026
Summary
KMAP (Kansas Medicaid) has issued a reminder that managed care organizations and their pharmacy benefit managers cannot steer members to specific pharmacy providers. Members have the right to use any willing network pharmacy for covered services, except in limited circumstances like restricted distribution drugs or lock-in programs.
Action Required
Immediately: Billing and front desk staff should ensure patients are informed they can use any willing network pharmacy provider for prescription services. Do not direct patients to specific pharmacies unless medically necessary (limited distribution drugs, lock-in programs). Update patient education materials if they currently suggest preferred pharmacies.