MedicaidBilling CodesMedium impact
KMAP BULLETIN: CCBHC Specialty Designation for Demonstration Grant Implementation
Kansas Medicaid (KanCare)·KS · Psychiatry·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid has added new HCPCS codes H0015, H0036 U3, and H2017 as PPS trigger codes for Certified Community Behavioral Health Clinics (CCBHC), and added codes 98960, 98961, and 98962 for CCBHC services with modifier U7 required. This change enhances federal matching rates for CCBHC demonstration services.
Action Required
By January 1, 2025: Billing team must update Kansas Medicaid billing system to include new CCBHC codes H0015, H0036 U3, and H2017 as PPS trigger codes, and codes 98960, 98961, and 98962 with mandatory modifier U7 for certification attestation. Verify KanCare MCO implementation dates before billing as MCO system updates may vary from state policy effective date.