Back to dashboard
MedicaidReimbursementMedium impact

KMAP BULLETIN: Rate Changes for Physician Administered Drugs - January 2024

Kansas Medicaid (KanCare)·KS·Claims & Billing
Effective date
Jan 1, 2024
We identified it
Jun 21, 2026
Days to comply
—

Summary

Kansas Medicaid has updated reimbursement rates for physician administered drugs (PADs) effective January 1, 2024. Billing teams must verify current rates and coverage through the KMAP Provider portal, as rates vary by multiple factors and managed care implementation may be delayed.

Action Required

Action needed
Immediately: Billing team must access the KMAP Provider portal under 'Reference Codes-Search By Procedure' or 'Pricing and Limitations' to verify updated reimbursement rates for all physician administered drugs. Check KanCare Open Claims Resolution Log for MCO implementation status before billing. Review KMAP General Bulletin 23264 for High Dollar Rare Disease list guidance.

Related policy hubs