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MedicaidCoverageMedium impact

KMAP BULLETIN: Wheelchair Cushion Coverage

Kansas Medicaid (KanCare)·KS · PM&R (Physical Medicine & Rehab), Neurology, Orthopedics +1 more·Medical Policy
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid (KMAP) has expanded wheelchair cushion coverage to all age groups effective July 1, 2024. Nine specific HCPCS codes (E2611-E2621) are now covered as medically necessary for all Medicaid members, with existing prior authorization requirements remaining in place.

Action Required

Action needed
Immediately: Billing team must verify that wheelchair cushion claims using codes E2611-E2621 for Kansas Medicaid members include proper prior authorization. Update billing system notes to reflect coverage now extends to all age groups. Check KMAP website for current reimbursement rates and monitor the KanCare Open Claims Resolution Log for MCO implementation status.

Affected Billing Codes

E2611
E2612
E2613
E2614
E2615
E2616
E2617
E2620
E2621