MedicaidCoverageLow impact
KMAP BULLETIN: TA Home Modification Limit Increase
Kansas Medicaid (KanCare)·KS · Occupational Therapy, Physical Therapy·Provider Bulletin
Effective date
Aug 1, 2023
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) has increased the lifetime maximum limit for Technology Assisted Home Modification services from $7,500 to $10,000, effective retroactively to August 1, 2023. This affects billing code S5165 under the HCBS Technology Assisted waiver program.
Action Required
Immediately: Billing team should update system limits for HCPCS code S5165 to reflect the new $10,000 lifetime maximum for Kansas Medicaid patients receiving Technology Assisted Home Modifications. Check the KMAP Open Claims Resolution Log to confirm MCO implementation status before resubmitting any previously denied claims that may now fall within the increased limit.