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MedicaidReimbursementMedium impact

KMAP BULLETIN: Medicaid Assisted Treatment Rate Update - January 2025

Kansas Medicaid (KanCare)·KS · Psychiatry, Pain Management, Internal Medicine +1 more·Claims & Billing
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid has updated reimbursement rates for Medication Assisted Treatment (MAT) G-codes effective January 1, 2025. Four new G-codes were added (G0532-G0536), existing rates were updated, and three codes (G2070-G2072) were deleted.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system with new Kansas Medicaid rates for MAT G-codes effective January 1, 2025. Remove deleted codes G2070, G2071, and G2072 from system. For G2216 claims, ensure dosage is entered in units field (box 24G on 1500 form or FL 46 on UB-04) rounded to nearest whole number with minimum 1mg. Monitor KMAP website for future rate updates as rates are subject to change.

Affected Billing Codes

G0532
G0533
G0534
G0535
G0536
G1028
G0137
G2067
G2068
G2069
G2070
G2071
G2072
G2073
G2074
G2075
G2076
G2077
G2078
G2079
G2080
G2215
G2216