MedicaidCoverageMedium impact
KMAP BULLETIN: Coverage of Cognitive Assessment and Care Plan Service
Kansas Medicaid (KanCare)·KS · Family Medicine, Internal Medicine, Geriatrics +3 more·Medical Policy
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid will begin covering CPT code 99483 for cognitive assessment and care plan services for members aged 21+ starting July 1, 2025. This comprehensive service reimburses $208.22 for a minimum 50-minute cognitive evaluation that includes functional assessment, medication review, and creation of a written care plan.
Action Required
Before July 1, 2025: Billing team must add CPT code 99483 to billing system for Kansas Medicaid patients aged 21+ with cognitive impairment. Set reimbursement rate at $208.22 and configure system to require minimum 50-minute duration. Providers must ensure documentation includes all required components: cognition-focused evaluation, functional assessment, standardized dementia staging tools, medication reconciliation, neuropsychiatric evaluation, safety assessment, caregiver identification, and written care plan shared with patient/caregiver.