← Back to list
KMAP BULLETIN: HCBS Brain Injury Waiver – Cognitive Therapy Code Update
Act
by Feb 1, 2026
Effective date
Feb 1, 2026
Identified
Jun 21, 2026
Summary
Kansas HCBS Brain Injury Waiver will revert from using CPT codes 97535/97537 to 97129/97130 for Cognitive Therapy services effective February 1, 2026. Providers can retroactively resubmit denied claims from February 2024-2026 using modifier 59 for same-day cognitive and other therapy services.
Get alerts when payers change rules like this one
We check Kansas Medicaid (KanCare) and other payers every day and email you when a change matches your specialty and state.
Get Kansas Medicaid (KanCare) alertsPolicy Monitoring is free. No card required.
What to do
by Feb 1, 2026 · 2 steps
01Billing team must update system to use CPT 97129 (initial 15 minutes) and 97130 (additional 15 minutes) instead of 97535/97537 for HCBS Brain Injury Waiver Cognitive Therapy services.
02Immediately: Review and resubmit denied claims from February 2024-2026 to MCO with modifier 59 on 97535/97537 when same-day cognitive therapy was provided with PT/OT/Speech services by different therapists.
Codes mentioned
97129971309753597537G0151G0152G0153
Original notice
KMAP BULLETIN: HCBS Brain Injury Waiver – Cognitive Therapy Code Update
portal.kmap-state-ks.us · Always check the source before changing claims.
Related changes
See all Kansas Medicaid (KanCare) changes →KMAP BULLETIN: Updated - HCBS Rate Increase for Fiscal Year 2026MediumEffective Jul 1, 2025 · Claims & BillingKMAP BULLETIN: Implementation of Virtual Delivery of Services Across All HCBS WaiversMediumEffective Jul 1, 2025 · Specialty ServicesKMAP BULLETIN: Cognitive Therapy Code Changes for the Brain Injury WaiverMediumEffective Feb 1, 2024 · CodingKMAP BULLETIN: Update to Cognitive Therapy Code Change on the BI WaiverMediumEffective Feb 1, 2024 · CodingBrowse every Kansas Medicaid (KanCare) change in the policy list