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MedicaidBilling CodesMedium impact

KMAP BULLETIN: Implementation of Virtual Delivery of Services Across All HCBS Waivers

Kansas Medicaid (KanCare)·KS · Occupational Therapy, Physical Therapy, Speech Therapy·Specialty Services
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Starting July 1, 2025, Kansas Medicaid will allow virtual delivery of HCBS waiver services using HIPAA-compliant audiovisual platforms. Billing teams must use new place of service codes (02 for outside home, 10 for within home) when services are delivered virtually.

Action Required

Action needed
Before July 1, 2025: Billing team must update billing system to include place of service codes 02 (virtual services outside home) and 10 (virtual services within home) for HCBS waiver services. Train staff on virtual delivery requirements including HIPAA-compliant audiovisual platform documentation. Update encounter forms to capture virtual service delivery method and location.

Affected Billing Codes

S9482
T1027
H0004
97535
97537
G0152
S5125
G0151
G0153
S0317
R6889
S5130
T2021
T1019
T2016
H1023