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Kansas Medicaid (KanCare)Medicaid · Reimbursement · Claims & Billing · KS · Geriatrics, Occupational Therapy, Physical Therapy +2 moreHigh impact

KMAP BULLETIN: UPDATED: HCBS Rate Changes for Fiscal Year 2027

Act
by Jun 30, 2026
Effective date
Jul 1, 2026
Identified
Sep 10, 2026

Summary

KMAP has updated Home and Community Based Services (HCBS) reimbursement rates effective July 1, 2026, for Kansas state fiscal year 2027. Rates have been adjusted across multiple HCPCS codes serving Frail Elderly, Physical Disability, and Intellectual/Developmental Disability populations. Billing teams must update all rate tables in their billing system to ensure accurate claim submission and avoid underbilling or claim denials.

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What to do

by Jun 30, 2026 · 3 steps
01Billing team must update all rate tables in the billing system for the 12 affected HCPCS codes across Frail Elderly (S5130, S5125), Physical Disability (S5125 variants), and Intellectual/Developmental Disability (H0045, T1019, T2025, T1000, H2023, S5161, T2040, S5190, T2016, T2021) categories.
02Verify rates match the FY 2027 fee schedule provided in KMAP Bulletin 26092, including all tiered rates for T2016 Residential (Tiers 1-5, Super Tiers 1-5, and UB variant) and T2021 Day Services (Tiers 1-5 and Super Tiers 1-3).
03Conduct system testing to confirm correct rate selection by service category and unit definition before the July 1 effective date.
If missed: Failure to update rates will result in underpayment or claim denials for all HCBS services delivered on or after July 1, 2026.

Codes mentioned

S5130S5125H0045T1019T2025T1000H2023S5161T2040S5190T2016T2021

Original notice

KMAP BULLETIN: UPDATED: HCBS Rate Changes for Fiscal Year 2027
portal.kmap-state-ks.us · Always check the source before changing claims.
View original ↗

Related changes

See all Kansas Medicaid (KanCare) changes →
KMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2027HighEffective Jul 1, 2026 · Claims & BillingKMAP BULLETIN: Updated - HCBS Rate Increase for Fiscal Year 2026MediumEffective Jul 1, 2025 · Claims & BillingKMAP BULLETIN: HCBS Rate Changes for Fiscal Year 2025MediumEffective Jul 1, 2024 · Claims & BillingKMAP BULLETIN: HCBS Settings Ongoing Monitoring and ComplianceMediumEffective Jun 1, 2024 · Specialty ServicesBrowse every Kansas Medicaid (KanCare) change in the policy list

Related policy hubs

Kansas Medicaid (KanCare) policiesKS policy changesGeriatricsOccupational TherapyPhysical TherapySpeech TherapyGeneral PracticeCode S5130Code S5125Code H0045Code T1019Code T2025Code T1000Code H2023Code S5161Code T2040Code S5190Code T2016Code T2021

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