MedicaidAdministrativeMedium impact
KMAP BULLETIN: Third-Party Liability – Discontinue Pay and Chase for Prenatal Services
Kansas Medicaid (KanCare)·KS · OB-GYN, Family Medicine, General Practice·Provider Bulletin
Effective date
May 1, 2025
We identified it
Jun 21, 2026
Summary
Effective May 1, 2025, Kansas Medicaid will discontinue the Pay and Chase process for prenatal services, requiring providers to follow standard cost avoidance procedures instead. This means prenatal claims will no longer be paid first and recovered later from third-party insurers.
Action Required
Before May 1, 2025: Billing team must update procedures for Kansas Medicaid prenatal service claims to follow cost avoidance process instead of Pay and Chase. Verify third-party liability coverage before submitting prenatal claims to Kansas Medicaid. Monitor KanCare MCO implementation dates as they may vary from the May 1st effective date.