MedicaidAdministrativeMedium impact
KMAP BULLETIN: Updated ADA Dental Claim Form Guidance
Kansas Medicaid (KanCare)·KS · Dentistry·Claims & Billing
Effective date
Jan 1, 2024
We identified it
Jun 21, 2026
Summary
For dental providers using Locum Tenens arrangements under Kansas Medicaid (KMAP), the required field on ADA claim forms has changed from Field 35 to Field 53a, effective retroactively to January 1, 2024. Providers must complete this transition and stop using Field 35 by June 1, 2024.
Action Required
By June 1, 2024: Dental billing team must update ADA claim form procedures to note Locum Tenens arrangements in Field 53a instead of Field 35. Update billing software templates and staff training materials. Review the updated KMAP Provider Portal Dental Billing Packet for detailed instructions. Claims using Field 35 after the deadline may face processing delays.