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MedicaidAdministrativeMedium impact

KMAP BULLETIN: Healthy Blue Transitions of Care and Authorizations

Kansas Medicaid (KanCare)·KS·Provider Bulletin
Effective date
May 31, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Healthy Blue has extended their Transition of Care period through May 31, 2025, continuing to honor existing service authorizations from previous MCOs and paying providers at 100% of the Medicaid fee schedule. This gives providers additional time to complete contracting and credentialing processes with Healthy Blue.

Action Required

Action needed
By May 31, 2025: Billing team should complete contracting and credentialing processes with Healthy Blue if serving their members. Verify that existing authorizations from previous MCOs are being honored and claims are being paid at 100% of Medicaid fee schedule rates. Contact Healthy Blue for any questions about Single Case Agreements or contract negotiations before the transition period ends.