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Kansas Medicaid (KanCare)All Plans · Reimbursement · Provider Bulletin · KSHigh impact

KMAP BULLETIN: PPS Rebase for RHCs and FQHCs

Act
by Jul 1, 2027
Effective date
Jan 1, 2028
Identified
Jul 3, 2026

Summary

KMAP is implementing a Prospective Payment System (PPS) rebase effective January 1, 2028, for Rural Health Clinics (RHCs) and Federal Qualified Health Clinics (FQHCs). All RHC and FQHC facilities in Kansas must submit their 2024, 2025, and 2026 (if available) cost reports by July 1, 2027, to support this rebase calculation.

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What to do

by Jul 1, 2027 · 2 steps
01If your practice operates as an RHC or FQHC in Kansas, the billing/operations team must compile and submit cost reports for 2024 and 2025, and the 2026 report if available, to Hallie Doud at Hallie.Doud@ks.gov.
02Designate one staff member to coordinate cost report assembly and submission.
If missed: Failure to submit by the deadline may result in PPS reimbursement rates not reflecting your facility's actual costs as of January 1, 2028, leading to potential underpayment.

Original notice

KMAP BULLETIN: PPS Rebase for RHCs and FQHCs
portal.kmap-state-ks.us · Always check the source before changing claims.
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