MedicaidCoverageMedium impact
KMAP BULLETIN: Partial Hospitalization Psychiatric Care/Intensive Outpatient Treatment: Eating Disorder Care – Enrollment and Coverage
Kansas Medicaid (KanCare)·KS · Psychiatry·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) now covers Partial Hospitalization Psychiatric (PHP) and Intensive Outpatient Treatment (IOP) for eating disorders, effective retroactive to January 1, 2025. PHP services bill at $750/day using H0035, and IOP services bill at $550/day using S9480, both requiring specific eating disorder diagnoses F50.00-F50.9.
Action Required
Immediately: Billing team must update system to include new rates for eating disorder PHP (H0035 at $750/day) and IOP (S9480 at $550/day) services for KMAP patients. Configure billing limits: maximum one unit per day, five days per week for PHP with minimum 20 hours weekly. Verify eating disorder diagnosis codes F50.00-F50.9 are linked to these services. Update encounter forms for psychiatric hospitals and mental health providers treating eating disorders.