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KMAP BULLETIN: ADAPD Claims Processing Point of Contact

Kansas Medicaid (KanCare)·KS · Pharmacy, Infectious Disease·Provider Bulletin
Effective date
Not stated
We identified it
Jun 21, 2026
Days to comply
—

Summary

Kansas ADAP (AIDS Drug Assistance Program) claims must now be submitted through the member's Kansas Medicaid claims processor, with specific contact numbers provided for different processor types. Providers must verify which claims processor to use based on the member's enrollment status.

Action Required

Action needed
Immediately: Billing team must update pharmacy claim submission procedures for ADAPD members. Submit all retail pharmacy claims through the member's Kansas Medicaid claims processor instead of directly to ADAP. Use Member Eligibility Verification system on KMAP Provider Secure Portal to determine correct processor. Update contact list with new processor phone numbers: FFS KMAP (800-933-6593), Aetna (844-234-8268), Sunflower (877-644-4623), United Healthcare (877-305-8952). Verify ADAP formulary coverage using NDC Code Search on KMAP website before submitting claims.

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