MedicaidCoverageMedium impact
KMAP BULLETIN: Coverage of Individualized Custom Bath/Shower Chairs
Kansas Medicaid (KanCare)·KS · Physical Therapy, Occupational Therapy, Pediatrics +1 more·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 21, 2026
Summary
KMAP (Kansas Medicaid) now covers individualized custom bath/shower chairs retroactive to January 1, 2024. Claims must use code E0240 with modifier U3, be manually priced at MSRP minus 20%, and require prior authorization if exceeding $500.
Action Required
Immediately: Billing team must update system to allow E0240 with modifier U3 for custom bath/shower chairs, set manual pricing at MSRP minus 20%, and require prior authorization for claims exceeding $500. Providers must document medical necessity including office visit notes and physical/occupational therapy evaluations. Submit actual MSRP with claims for pricing consideration.