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KMAP BULLETIN: Medicaid as Primary Payor of Exempt Formulas

Kansas Medicaid (KanCare)·KS · Pediatrics, Gastroenterology, Genetics +1 more·Provider Bulletin
Effective date
May 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Starting May 1, 2025, Kansas Medicaid (KMAP) will become the primary payer for specialized oral nutrition formulas for children aged 0-4 with metabolic disorders, with WIC becoming secondary. DME providers must submit supplemental billing forms with product invoices and use modifier BO for eligible members.

Action Required

Action needed
Before May 1, 2025: DME billing team must update procedures to bill KMAP as primary payer for codes B4153, B4157, B4161, B4162 when patients have covered IEM diagnoses and are aged 0-4. Update billing system to add modifier BO for oral nutrition claims. Ensure enteral product supplemental billing forms are submitted with all product invoices for these claims. Claims will be manually priced at provider cost plus 35%.

Affected Billing Codes

B4153
B4157
B4161
B4162
E70.0
E70.1
E70.20
E70.21
E70.29
E70.30
E70.310
E70.311
E70.318
E70.319
E70.320
E70.321
E70.328
E70.329
E70.330
E70.331
E70.338
E70.339
E70.39
E70.40
E70.41
E70.49
E70.5
E70.8
E70.81
E70.89
E70.9
E71.0
E71.110
E71.111
E71.118
E71.120
E71.121
E71.128
E71.19
E71.2
E71.30
E71.310
E71.311
E71.312
E71.313
E71.314
E71.318
E71.32
E71.39
E71.40
E71.41
E71.42
E71.43
E71.440
E71.448
E71.50
E71.510
E71.511
E71.518
E71.520
E71.521
E71.522
E71.528
E71.529
E71.53
E71.540
E71.541
E71.542
E71.548
E72.00
E72.01
E72.02
E72.03
E72.04
E72.09
E72.10
E72.11
E72.12
E72.19
E72.20
E72.21
E72.22
E72.23
E72.29
E72.3
E72.4
E72.50
E72.51
E72.52
E72.53
E72.59
E72.8
E72.81
E72.89
E72.9
K20.0
K52.2
K52.21
K52.22
K52.81
K52.82
K90.0
K90.49
K90.82
K90.821
K90.822
K90.829
K90.83