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MedicaidReimbursementMedium impact

KMAP BULLETIN: 2025 MS-DRG Weights and Rates

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

Summary

Kansas Medical Assistance Program (KMAP) has updated 2025 Medicare Severity Diagnosis-Related Groups (MS-DRG) weights and rates effective January 1, 2025. The updated Hospital DRG Weights, Limits, and Hospital Rates are available on the KMAP website under Interactive Tools.

Action Required

Action needed
Immediately: Billing team must access the updated Hospital DRG Weights and Limits and Hospital Rates from the KMAP website Interactive Tools section. Review updated Hospital Fee-For-Service Provider Manual pages 83-100 for specific changes. Monitor KanCare Open Claims Resolution Log for MCO implementation status and reprocessing dates as implementation may vary by managed care organization.