MedicaidCoverageMedium impact
KMAP BULLETIN: Schedule II Drug Prescription Fills Limitations Update
Kansas Medicaid (KanCare)·KS · Pain Management, Family Medicine, Internal Medicine +2 more·Pharmacy
Effective date
Aug 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) is updating Schedule II controlled substance prescription fill limitations effective August 1, 2025. New rules include 90-day prescription expiration limits, 30-day partial fill restrictions for retail patients, and 60-day limits for terminally ill or nursing home patients.
Action Required
By August 1, 2025: Billing team must update systems to verify Schedule II prescription dates before claim submission. Ensure dispense dates are within 90 days of prescription date for standard patients, 60 days for terminally ill/nursing home patients, and partial fills are within 30 days for retail patients. Claims not meeting these timeframes will be denied by Kansas Medicaid.