MedicaidReimbursementMedium impact
KMAP BULLETIN: Rate Changes for Physician Administered Drugs – July 2024
Kansas Medicaid (KanCare)·KS·Claims & Billing
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid updated reimbursement rates for physician administered drugs (PADs) effective July 1, 2024. Billing teams must verify current rates using the KMAP Reference Codes Search tool, with special attention to managed care plans and high dollar rare disease drugs which may have different billing requirements.
Action Required
Immediately: Billing team must access the KMAP Reference Codes Search by Procedure under the Provider tab on the Kansas Medical Assistance Program website to verify updated reimbursement rates for all physician administered drugs. Check each managed care plan for specific billing guidance on drugs identified on the High Dollar Rare Disease (HDRD) list per KMAP General Bulletin 23264. Monitor the KanCare Open Claims Resolution Log for MCO system implementation status and reprocessing dates.