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MedicaidBilling CodesMedium impact

KMAP BULLETIN: NCCI/MUE Editing - October 2024

Kansas Medicaid (KanCare)·KS·Provider Bulletin
Effective date
Oct 1, 2024
We identified it
Jun 21, 2026
Days to comply
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Summary

Kansas Medicaid has implemented third quarter 2024 updates to National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUEs) effective October 1, 2024. These changes affect code bundling rules and quantity limits for services billed to Kansas Medicaid and KanCare MCOs.

Action Required

Action needed
Immediately: Billing team should review the NCCI page on the Kansas Medicaid website to identify specific code edit changes affecting your practice's commonly billed procedures. Update billing software rules to reflect new bundling edits and quantity limits. Monitor the KanCare Open Claims Resolution Log on the KMAP Bulletins page for MCO implementation dates and reprocessing information.

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