MedicaidCoverageMedium impact
KMAP BULLETIN: Coverage of Preventative Dental for Ages 21 and Older
Kansas Medicaid (KanCare)·KS · Dentistry, Family Medicine, General Practice·Medical Policy
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) now covers preventative dental services for members 21 years and older effective July 1, 2024. This expands dental coverage to include 24 specific dental codes with set reimbursement rates, some with frequency limits (once per year, twice per year, or once per lifetime).
Action Required
Immediately: Billing team must update billing system to include the 24 newly covered preventative dental codes for Kansas Medicaid members 21 and older. Update encounter forms and EMR templates to include frequency limits (D0470 once per lifetime, D1310/D1330 once per year, D1320 twice per year). Verify provider type/specialty codes are correctly mapped for proper reimbursement rates. Monitor KMAP website for rate updates as rates are subject to future changes.