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KMAP BULLETIN: UPDATED Expanding Peer Support Providers

Kansas Medicaid (KanCare)·KS · Psychiatry·Provider Bulletin
Effective date
Jul 1, 2023
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid now allows all enrolled behavioral health providers to bill for Peer Support services (codes H0038 and H0038 HQ) when supervised by licensed professionals, but services cannot be billed for members with acute/residential levels of care or in place of service 21. This change is retroactive to July 1, 2023.

Action Required

Action needed
Immediately: Behavioral health billing teams must verify that supervising licensed professionals complete required Peer Support Supervisor Training before billing H0038 codes. Update billing system to flag and prevent billing H0038 for members with disallowed Level of Care codes (100, 110, 120, 130, 131, 140, 141, 160, 170, 171, 230, 231, 990) or place of service 21. Maintain training records for all peer support staff and supervisors.

Affected Billing Codes

H0038