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MedicaidBilling CodesMedium impact

KMAP BULLETIN: Mental Health Crisis Intervention

Kansas Medicaid (KanCare)·KS · Psychiatry·Specialty Services
Effective date
Jul 1, 2017
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid now allows concurrent billing of H2011 Crisis Intervention services with up to 6 total hours when two staff provide services simultaneously. When two providers are involved, the second claim must include modifier 77, with re-evaluation required every 72 hours by a QMHP.

Action Required

Action needed
Immediately: Update billing system to allow concurrent H2011 billing with modifier 77 for second provider when two staff provide Crisis Intervention services. Ensure claims show individual provider units (not combined totals). Clinical staff must document need for dual staffing in member charts and schedule QMHP re-evaluations every 72 hours. Note: MCO implementation dates may vary - check KanCare Open Claims Resolution Log for your specific MCO status.

Affected Billing Codes

H2011