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MedicaidReimbursementMedium impact

KMAP BULLETIN: 2026 Medicare Severity Diagnosis-Related Groups Weights and Rates

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

Summary

Kansas Medicaid (KMAP) has updated the Medicare Severity Diagnosis-Related Groups (MS-DRG) weights and rates for hospital services effective January 1, 2026. Billing teams must access the updated DRG weights, limits, and rates from the KMAP website and review the updated Hospital Fee-for-Service Provider Manual starting on page 97.

Action Required

Action needed
Before January 1, 2026: Billing team must access updated Hospital DRG Weights and Limits and Hospital Rates from the Interactive Tools section on the KMAP Provider website. Review updated Hospital Fee-for-Service Provider Manual starting on page 97. Monitor the KanCare Open Claims Resolution Log for MCO implementation status and reprocessing dates, as KanCare MCO implementation may vary from the effective date.