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MedicaidCoverageMedium impact

KMAP BULLETIN: Updated KanCare In Lieu of Services List

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

Summary

Kansas KanCare has updated their In Lieu of Services (ILOS) list effective January 1, 2025, which defines specific services that can be provided to targeted populations to avoid institutionalization. Only services on the new CMS-approved KanCare ILOS-2025 list are allowable, and MCO implementation dates may vary from the policy effective date.

Action Required

Action needed
By January 1, 2025: Billing teams serving Kansas KanCare members must review the new CMS-approved KanCare ILOS-2025 list and update billing procedures to only submit claims for allowable ILOS services. Monitor the KanCare Open Claims Resolution Log for MCO-specific implementation dates and reprocessing information, as implementation timing may vary by managed care organization.