MedicaidBilling CodesMedium impact
KMAP BULLETIN: HCBS Assistive Services: Home & Environmental Modification Services, Vehicle Modification Services, Specialized Medical Equipment and Supplies Policy
Kansas Medicaid (KanCare)·KS · Occupational Therapy, Physical Therapy, PM&R (Physical Medicine & Rehab)·Specialty Services
Effective date
Apr 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid has unbundled Assistive Services into three distinct HCBS waiver services with new billing codes: Home & Environmental Modification Services (S5165), Vehicle Modification Services (T2039), and Specialized Medical Equipment and Supplies (T2029). Changes are retroactive to April 1, 2024, with a combined $10,000 lifetime spending cap per waiver and specific timing requirements for assessments and bids.
Action Required
Immediately: Billing team must update system to use new HCBS waiver codes S5165 (HEMS), T2039 (VMS), and T2029 (SMES) for Kansas Medicaid HCBS waiver participants retroactive to April 1, 2024. Ensure all services are authorized by MCO and documented in Person-Centered Service Plan before billing. Track combined spending toward $10,000 lifetime cap per waiver. Submit assessments within 14 business days and HEMS bids within 10 business days.