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MedicaidBilling CodesMedium impact

KMAP BULLETIN: CCBHC PPS Codes List Telehealth Clarifications and Code Updates

Kansas Medicaid (KanCare)·KS · Psychiatry·Coding
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Effective January 1, 2025, telephone evaluation and management codes 99441, 99442, and 99443 will be discontinued from the Kansas Certified Community Behavioral Health Clinic (CCBHC) program and removed as PPS trigger codes. These codes remain valid for dates of service prior to January 1, 2025.

Action Required

Action needed
Before January 1, 2025: Billing teams for CCBHC providers in Kansas must update billing systems to discontinue use of CPT codes 99441, 99442, and 99443 for dates of service on or after January 1, 2025. Update encounter forms and provider documentation to reflect these codes are no longer valid PPS trigger codes. Verify KanCare MCO implementation status via the Open Claims Resolution Log before processing claims.

Affected Billing Codes

99441
99442
99443