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MedicaidReimbursementMedium impact

KMAP BULLETIN: Sleep Study Reimbursement Rates Clarification

Kansas Medicaid (KanCare)·KS · Sleep Medicine, Pulmonology·Claims & Billing
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid corrected sleep study reimbursement rates that were inadvertently reduced in 2024. The original rates from bulletin 24127 are restored, and impacted claims will be automatically reprocessed at the correct higher rates.

Action Required

Action needed
Immediately: Billing team should verify sleep study claims submitted after July 1, 2024 were reimbursed at correct rates ($434.08 for codes 95805/95807, $846.75 for codes 95808/95810/95811). Monitor for automatic reprocessing of underpaid claims. No action needed for future claims as rates are automatically corrected.

Affected Billing Codes

95805
95807
95808
95810
95811