MedicaidReimbursementMedium impact
KMAP BULLETIN: Continuance of Blended ER Facility Rates
Kansas Medicaid (KanCare)·KS · Emergency Medicine·Provider Bulletin
Effective date
May 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) will continue using a single blended reimbursement rate of $105 for all Emergency Room facility claims regardless of complexity level. This applies to all ER visit codes 99281-99285 effective May 1, 2025.
Action Required
Before May 1, 2025: Billing team must update ER facility fee schedules in billing system to reflect $105 flat rate for CPT codes 99281-99285 for Kansas Medicaid patients. Monitor KMAP website for future rate changes as rates may be updated.