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MedicaidBilling CodesMedium impact

KMAP BULLETIN: NCCI/MUE Editing - April 2024

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

Summary

Kansas Medicaid has updated NCCI (National Correct Coding Initiative) and MUE (Medically Unlikely Edits) rules effective April 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 page on the Kansas Medicaid website to identify specific code bundling and MUE changes. Update billing software with new edit rules to prevent automatic denials. Monitor the KanCare Open Claims Resolution Log for MCO implementation dates, as KanCare managed care organizations may implement changes on different dates than April 1st.