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MedicaidReimbursementMedium impact

KMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2025

Kansas Medicaid (KanCare)·KS · Occupational Therapy, Physical Therapy, General Practice·Claims & Billing
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid (KMAP) has updated reimbursement rates for Home & Community Based Services (HCBS) effective July 1, 2024, for state fiscal year 2025. The bulletin provides new rates for multiple service categories including Frail Elderly, Technology Assisted, Intellectual/Developmental Disabilities, Brain Injury, Physical Disability, and Autism services.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system to reflect new HCBS reimbursement rates for Kansas Medicaid claims with dates of service on or after July 1, 2024. Update rate tables for all affected procedure codes across the six service categories (Frail Elderly, Technology Assisted, I/DD, Brain Injury, Physical Disability, and Autism). Monitor KMAP website regularly for future rate updates as these rates are subject to change.

Affected Billing Codes

S5130
S5125
T2040
T2025
T1000
T1004
T1019
H2023