MedicaidCoverageMedium impact
KMAP BULLETIN: Expansion of Providers for CBST, Mental Health Assessment, and Psychiatric Diagnostic Evaluation
Kansas Medicaid (KanCare)·KS · Psychiatry, Pediatrics·Specialty Services
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
Effective July 1, 2024, Kansas Medicaid expanded the list of providers who can bill for Community-Based Services Team meetings, Mental Health Assessments, and Psychiatric Diagnostic Evaluations required for Psychiatric Residential Treatment Facility admissions. These services must be provided together and the psychiatric evaluation must be conducted face-to-face with the child/youth.
Action Required
Immediately: Billing team must update system to allow expanded provider types to bill codes H0031, H0032HA, 90791, and 90792 for PRTF admissions. Ensure both CBST and Psychiatric Diagnostic Evaluation services are billed together as required. Verify providers meet supervision and licensing requirements per Kansas Medicaid provider manuals. Update encounter forms to remind providers that psychiatric evaluations must be conducted face-to-face.