Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Kansas Medicaid (KanCare)Medicaid · Administrative · Provider Bulletin · KS · Occupational Therapy, Physical TherapyMedium impact

KMAP BULLETIN: Electronic Visit Verification for In Lieu of Services

Act
immediately
Effective date
Feb 1, 2024
Identified
Jun 21, 2026

Summary

Kansas Medicaid now requires Electronic Visit Verification (EVV) for specific in-lieu services including personal care services and waiver-like services. This applies to seven specific billing codes for Home and Community Based Services and Home Health Agency providers.

Get alerts when payers change rules like this one

We check Kansas Medicaid (KanCare) and other payers every day and email you when a change matches your specialty and state.

Get Kansas Medicaid (KanCare) alertsPolicy Monitoring is free. No card required.

What to do

immediately · 2 steps
01Providers billing codes 97535, 97537, S5135, S5190, T1000, T1001, T1019 for Kansas Medicaid must implement Electronic Visit Verification (EVV) systems for all applicable services.
02Contact Kansas Medicaid managed care organizations to confirm specific EVV implementation requirements and timelines as MCO implementation may vary from the February 1, 2024 effective date.

Codes mentioned

9753597537S5135S5190T1000T1001T1019

Original notice

KMAP BULLETIN: Electronic Visit Verification for In Lieu of Services
portal.kmap-state-ks.us · Always check the source before changing claims.
View original ↗

Related changes

See all Kansas Medicaid (KanCare) changes →
KMAP BULLETIN: Updated Electronic Visit Verification for In Lieu of ServicesMediumEffective Jan 1, 2025 · Provider BulletinKMAP BULLETIN: Updated - HCBS Rate Increase for Fiscal Year 2026MediumEffective Jul 1, 2025 · Claims & BillingKMAP BULLETIN: EVV HCBS Activity Code CleanupMediumEffective May 22, 2025 · CodingKMAP BULLETIN: UPDATED: HCBS Rate Changes for Fiscal Year 2027HighEffective Jul 1, 2026 · Claims & BillingBrowse every Kansas Medicaid (KanCare) change in the policy list

Related policy hubs

Kansas Medicaid (KanCare) policiesKS policy changesOccupational TherapyPhysical TherapyCode 97535Code 97537Code S5135Code S5190Code T1000Code T1001Code T1019

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account