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MedicaidBilling CodesMedium impact

KMAP BULLETIN: NCCI/MUE Editing - July 2024

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

Summary

Kansas Medicaid has implemented third quarter 2024 National Correct Coding Initiative (NCCI) and Medically Unlikely Edits (MUE) updates effective July 1, 2024. These changes affect code bundling rules and quantity limits for procedures, which may result in claim denials if not properly addressed.

Action Required

Action needed
Immediately: Billing team must review the NCCI quarterly files on the Kansas Medicaid website to identify specific code bundling and MUE changes. Update billing software rules to reflect new edits. Monitor the KanCare Open Claims Resolution Log for MCO implementation dates as timing may vary by managed care organization. Review and reprocess any claims denied due to new edits once MCOs complete implementation.