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Kansas Medicaid (KanCare)Medicaid · Reimbursement · Claims & Billing · KS · Occupational Therapy, Physical Therapy, PM&R (Physical Medicine & Rehab)Medium impact

KMAP BULLETIN: Updated - HCBS Rate Increase for Fiscal Year 2026

Act
by Jul 1, 2025
Effective date
Jul 1, 2025
Identified
Jun 21, 2026

Summary

Kansas Medicaid (KMAP) is increasing reimbursement rates for Home and Community Based Services (HCBS) effective July 1, 2025, for fiscal year 2026. The policy includes updated rates for Brain Injury services, Technology Assisted services, and Intellectual/Development Disabilities services with specific dollar amounts per procedure code.

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What to do

by Jul 1, 2025 · 3 steps
01Billing team must update fee schedules in billing system with new Kansas Medicaid HCBS rates for all affected procedure codes.
02Update Brain Injury services (97535, 97537, G0151, G0152, G0153, H0004) to $25.00 per 15 minutes, Technology Assisted services (T1000) to $13.75 per 15 minutes, and all I/DD service rates as specified in the bulletin.
03Verify system applies correct rates for Kansas Medicaid claims with dates of service on or after July 1, 2025.

Codes mentioned

9753597537G0151G0152G0153H0004T1000H0045H2023S5125S5161S5190T1019T2016T2021T2025T2040

Original notice

KMAP BULLETIN: Updated - HCBS Rate Increase for Fiscal Year 2026
portal.kmap-state-ks.us · Always check the source before changing claims.
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Related changes

See all Kansas Medicaid (KanCare) changes →
KMAP BULLETIN: UPDATED: HCBS Rate Changes for Fiscal Year 2027HighEffective Jul 1, 2026 · Claims & BillingKMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2027HighEffective Jul 1, 2026 · Claims & BillingKMAP BULLETIN: Implementation of Virtual Delivery of Services Across All HCBS WaiversMediumEffective Jul 1, 2025 · Specialty ServicesKMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2025MediumEffective Jul 1, 2024 · Claims & BillingBrowse every Kansas Medicaid (KanCare) change in the policy list

Related policy hubs

Kansas Medicaid (KanCare) policiesKS policy changesOccupational TherapyPhysical TherapyPM&R (Physical Medicine & Rehab)Code 97535Code 97537Code G0151Code G0152Code G0153Code H0004Code T1000Code H0045Code H2023Code S5125Code S5161Code S5190Code T1019Code T2016Code T2021Code T2025Code T2040

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