Back to dashboard
ExchangeDocumentationMedium impact

Notification of upcoming Risk Adjustment Requests

Blue Cross Blue Shield of Kansas·KS·Provider News
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

BCBSKS is starting Risk Adjustment audits for ACA members in early December, requiring providers to submit requested medical records within 30 days of receiving audit letters. This audit ensures accurate coding and proper documentation of patient diagnoses for ACA marketplace plans.

Action Required

Action needed
Within 30 days of receiving audit letter: Submit all requested medical records following the specific instructions included in each audit request. Contact Jamie Schnacker at [email protected] for external EMR access options. Use BCBSKS's partnership with Reveleer chart retrieval gateway for easy chart submission. Contact Retrospective Risk Adjustment team at 785-291-8300 with questions.

Related policy hubs