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MedicaidReimbursementMedium impact

KMAP BULLETIN: Hospice Room and Board Reimbursed at 100% of Nursing Facility Rate

Kansas Medicaid (KanCare)·KS · Palliative Care·Claims & Billing
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Effective July 1, 2024, Kansas Medicaid will reimburse hospice providers 100% of the nursing facility room and board rate for eligible hospice members residing in nursing facilities. This increases reimbursement from previous rates while maintaining the same coverage criteria and billing guidelines.

Action Required

Action needed
Immediately: Billing team should verify that Kansas Medicaid hospice room and board claims for services on or after July 1, 2024 are being reimbursed at 100% of the nursing facility rate. Review the updated Hospice Fee-for-Service Provider Manual Section 8400 (pages 8-14 to 8-15) for specific billing guidelines. Monitor the KanCare Open Claims Resolution Log to confirm MCO implementation status and any reprocessing completion dates.