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MedicaidReimbursementMedium impact

KMAP BULLETIN: UPDATED - Adolescent SUD Residential Treatment Rate Increase

Kansas Medicaid (KanCare)·KS · Psychiatry, Pediatrics·Claims & Billing
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid (KMAP) is increasing the daily reimbursement rate for Adolescent SUD Residential Treatment (H0018) from $205.92 to $375.00 for patients 17 years and younger. The rate for patients 18+ remains unchanged at $205.92.

Action Required

Action needed
Before July 1, 2025: Billing team must update system to apply the new $375.00 daily rate for procedure code H0018 when treating adolescent SUD patients (17 years and younger). Verify patient age before billing to ensure correct rate application. Continue using $205.92 rate for patients 18+. Monitor KMAP website for any additional updates.

Affected Billing Codes

H0018