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MedicaidReimbursementLow impact

KMAP BULLETIN: Community Health Worker Services Rate Increase

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

Summary

Kansas Medicaid increased reimbursement rates for Community Health Worker services effective July 1, 2024. Three CPT codes (98960, 98961, 98962) now have higher payment rates, with all other billing requirements remaining unchanged.

Action Required

Action needed
Immediately: Billing team should verify that Kansas Medicaid claims for CPT codes 98960, 98961, and 98962 are processing at the new higher rates ($22.20, $10.78, and $7.77 respectively). Monitor the KMAP website and KanCare MCO implementation status, as managed care organizations may implement rate changes on different dates than the state effective date.

Affected Billing Codes

98960
98961
98962