MedicaidPrior AuthMedium impact
KMAP BULLETIN: Coverage of Attended and Unattended Sleep Studies
Kansas Medicaid (KanCare)·KS · Sleep Medicine, Pulmonology·Medical Policy
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid will now cover both attended and unattended sleep studies with prior authorization effective July 1, 2024. This expands coverage for sleep disorder evaluations including polysomnography and home sleep tests for appropriate patients.
Action Required
Immediately: Billing team must update Kansas Medicaid claims to include prior authorization for all sleep study services. Verify patient eligibility and obtain required prior auth before scheduling sleep studies. Update billing workflows to distinguish between attended (in-lab polysomnography) and unattended (home sleep tests) studies. Ensure proper documentation of medical necessity and appropriate patient selection criteria for home sleep tests.