Important provider notices & bulletins

Aetna Better Health of Kansas publishes KDHE and Aetna bulletins containing up-to-the-minute information you may need to know from our regulators, new coding/claims processing rules, or any other new plan information. Our goal is to keep you as well informed about our plan as possible. Be sure to check this page often.

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11.17.2021 - COVID-19 Temporary Changes in Prior Authorization Precertification

11.16.2021 - KMMS Transition

11.8.2021 - Holiday Check Run Schedule

10.19.2021 - Type of Bill 141

10.8.2021 - Bulletin - Social determinants of health

10.7.2021 - Provider Town Hall Event

10.6.2021 - Availity Update

9.23.2021 - Provider Bulletin - Eviti Connect

9.22.2021 - COVID-19 Communications Update: Temporary Changes in Prior Authorization/Precertification and Admissions Protocols for Skilled Nursing Facilities – UPDATED 8.31.21

9.13.2021 - New Kansas Medicaid Modular System

8.31.2021 - Letters Generated in Error

8.30.2021 - Availity Registration Update

6.17.2021 - Optum Code Reviews

6.1.2021 - The KDHE Childhood Lead Poisoning Prevention Program (CLPPP) Provider Survey regarding blood lead screening and testing in children

4.15.2021 - PERM Audit - Provider Medical Records Requests

3.17.2021 - Update: Web Connect Tool Enhancement

2.18.2021 - UPDATE: COVID-19 Communications

2.17.2021 - KS Availity - UPDATE

2.2.2021 - Increase in Peer Support Reimbursement

1.19.2021 - UPDATE: COVID-19 Communications

1.8.2021 MCO Joint Provider Bulletin - Extraordinary Funding

1.6.2021 - MLK 2021 Payment Bulletin

12.22.2020 - COVID-19 Communications Update

12.18.2020 - Equian Payment Vendor Bulletin

12.18.2020 - Contracting and Credentialing Process

12.18.2020 - Kansas Availity

12.18.2020 - Optum Insight Bulletin

12.15.2020 - COVID-19 Communications Update

12.15.2020 - Aetna Secure Portal Training Webinars - Dates for 2021

12.15.2020 - Aetna Remittance Advice Webinars - Dates for 2021

12.15.2020 - Aetna New Provider Orientation Training Webinars - Dates for 2021

12.15.2020 - Aetna Cultural Competency Webinars - Dates for 2021

12.11.2020 - Conduent Credit Balance Solutions

11.25.20 Aetna Executive Webinars Announcement New Dates for 2021

11.23.2020 - COVID-19 Communications Update: Temporary Changes in Prior Authorization/Precertification and Admissions Protocols for Skilled Nursing Facilities

10.20.20 Supports Available from Your MCO Direct Caregiver Guide

9.1.20 Labor Day Holiday Check Run

8.12.20 UPDATE: Removal of Prior Authorization for Targeted Case Management

8.5.20 Timely Filing Provider Bulletin

7.27.20 Billed Charges Required for All Service Lines

7.20.20 Reminder of Billing POA Indicators on Inpatient Claim

7.6.20 Overpayment Recovery Schedule 070620

7.2.20 Incontinence Supply Limit Changes

6.18.20 ABHKS Changes in Prior Authorization/Precertification and Admissions Protocols

6.10.20 ABHKS Reminder on Billing Interim Inpatient Hospital Claims

5.19.20 New Address for Provider Grievances, Appeals and Reconsiderations

5.15.20 ABHKS COVID-19 Update - PA and Admission Protcols

5.15.20 ABHPN Check Run Schedule Memorial Day

4.21.20 ABHKS COVID-19 Update - PA and Admission Protocols

3.31.20 KMAP General Bulletin: Coverage of COVID-19 Testing and Treatment

3.31.20 KMAP General Bulletin: MCO Non-Network Provider Participation Requirements Update in Response to COVID-19 Emergency

3.31.20 ABHKS Provider Notice - COVID-19 Communications Update: Temporary Changes in Prior Authorization/Precertification and Admissions Protocols

3.27.20 ABHKS Provider Notice - Update Your Address through KMAP to Stop Delays in Payment due to Returned Checks

3.24.20 ABHKS Provider Notice - Retroactive Enrollment

3.20.20 ABHKS Provider Notice - Executive Updates Webinars - New Dates for April - June 2020

3.20.20 ABHKS Provider Notice - HCBS Open Forum June 2020

3.20.20 ABHKS Provider Notice - New Provider Orientation - New Dates for April - June 2020

3.20.20 ABHKS Provider Notice - Provider Portal Webinars - New Dates for April - June 2020

3.20.20 Provider Notice - Billing Code 41899

3.16.20 ABHKS Provider Notice: Provider Townhalls March 2020 Amended

3.13.20 ABHKS Provider Notice - HCBS Open Forum March 2020

3.11.20 ABHKS Provider Notice - FQHC/RHC Open Forum - March 2020

2.27.20 ABH KS Provider Notice: Provider Town Halls Announced Spring/Summer 2020

2.26.20 KMAP General Bulletin: MAPIR 6.2 Attestation Instructions 

2.26.20 KMAP Hospital Bulletin: DRG Reimbursement Clarification 

2.26.20 KMAP HCBS Bulletin: Updated - Adding Services for AuthentiCare Coverage 

2.26.20 KMAP General Bulletin: NPI Effective Date Update 

2.21.20 ABHKS Provider Notice: Sign Up for Email Alerts

2.21.20 ABHKS Provider Notice: Reminder Transition of Care Period Ends 3/31/20

2.20.20 ABHKS Provider Notice: New Remittance Advice

2.13.20 HCAIP Reductions Implemented

2.07.20 Removal of Prior Authorization for Code 58340

2.06.20 KMAP Bulletin - Preferred Drug List Update

2.05.20 Provider Overpayments & Recoveries - Amended Dates 

1.28.20 KanCare All MCO Spring 2020 Invitation

1.28.20 HPV Vaccinations Webinar - 1/30/20

1.28.20 Joint MCO Bulletin - HCBS Provider Qualifications Audit Process

1.28.20 Provider Notice - Remittance Advice Training Webinars 2020

1.09.20 Provider Notice - Prior Authorization Tool

1.2.20 Aetna Executive Webinars Announcement New Dates for 2020

12.20.19 ABHPN Transition of Care Extension to 3.31.20

12.20.19 Aetna Cultural Competency Webinar Dates Announcement

12.18.19 Aetna Better Health of Kansas Cultural Competency Provider Training

12.2.19 Non-Registered Provider Return Claim Notification

12.2.19 Claims Timely Filing Exception for 2019 

11.27.19 ABHPN Check Run Schedule Holidays 2019

11.27.19 Final Notice Overpayments & Recoveries

11.26.19 ABHPN Provider Notice Overpayments

11.25.19 ABHPN Overpayments and KanCare Log

11.19.19 ABHPN Overpayment Error

11.19.19 ABHPN Billing UOS

11.15.19 Enroll in EFT and ERA Today to Get Paid Quicker

10.29.19 Skygen Provider Notice - Covered Anesthesia Code for Dental Services

10.29.19 Skygen Provider Notice - Remove PA for Vision Services Codes

10.29.19 Skygen Provider Notice - Dental and Vision Claims with TPL

10.28.19 Provider Townhalls Announced

10.25.19 HCPCS Nusinersen Updates

10.24.19 Executive Webinars Announced – New Dates

10.17.19 Removal of PA for T1001 and H2016

10.17.19 Removal of PA for Nursing Facility/Custodial Care and Intermediate Swing Bed Services

10.11.19 Provider Overpayments & Recoveries

10.8.19 Aetna Transition of Care Authorizations Extended through December 31, 2019

10.3.19 Remove PA Psych Testing and Eval

10.2.19 Transition of Care Extension Update

10.2.19 CLIA

10.1.19 Check Run Errors 9.24.19

9.3.19 Enhanced Provider Search for Opioid/Specialized Expertise Providers

8.30.19 Extending the Transition of Care Period Through 10.31.19

8.30.19 Removal of PA for Targeted Case Management (T1017)

8.27.19 Check Run Schedule Labor Day Week 

8.19.19 Updated for Providers Regarding Aetna Integrated Services Plan

8.1.19 Monthly Webinar Training

7.28.19 Childrens Mercy Intergrated Care Solutions

7.16.19 Aetna Better Health of Kansas Weekly Bulletin

7.13.19 June Presentation

7.8.19 2019 HCPCS Updates

7.2.19 Preferred Drug List Update 

6.27.19 Provider Corrected Claims Process

6.24.19 Provider Meeting Invitation

6.19.19 All MCO Spring Aetna Presentation

5.20.19 835's on Change HealthCare's Payment Manager

Extension of Certain Transitional Care Practices

2-26-19 Member Portal Revision related to updates to the IVR system

2-26-19 Notice of Updates to Benefits and Claims Payments 02/26/2019

Notice to HCBS Providers Related to Load and Auths v6

 

12.29.2021 - MediKan Covered Codes

12.29.2021 - HCPCS 2022 Updates

12.28.2021- Dental HCPCS 2022 Updates

12.28.2021 - COVID-19 Booster Vaccine Update

12.22.2021 - New Place of Service Code 10

12.21.2021 - HCPCS C-Code Update

12.20.2021 - Pediatric COVID-19 Vaccine Coverage

12.17.2021 - Provider Application Fee Change - 2022

12.16.2021 - RHC and FQHC Optometry Codes

12.16.2021 - Medicaid Assisted Treatment Rate Update for January 2022

12.16.2021 - Conversion Factor for Anesthesia Codes Update

12.15.2021 - MediKan Covered Codes

12.14.2021 - Prior Authorization Updates

12.14.2021 - Coverage of Varicose Vein Treatments

12.13.2021 - Rate Increase for Global Pregnancy Services

12.13.2021 - Additional COVID-19 Booster Vaccine Updates

12.10.2021 - Updated Preparation for KMMS Go-Live January 2022

12.7.2021 -  Daily Swing Bed Rates for Calendar Year 2022

12.7.2021 - Coverage for Low Dose Lung CT (LDCT)

12.7.2021 - 2022 MS-DRG Weights and Rates

12.6.2021 - Final Opportunity Performing Provider Affiliation Project

12.1.2021 - COVID-19 Booster Vaccine Update

12.1.2021 - Coverage of Colorectal Screenings

12.1.2021 - FY 2022 Hospice Payment Rates

12.1.2021 - NCCI-MUE Editing - January 2022

12.1.2021 - Dental Rate Increase

11.24.2021 - Medicare Part D Copayment Assistance

11.24.2021 - Place of Service Update for Mobile Crisis Intervention

11.24.2021 - COVID-19 HCPCS Update

11.24.2021 - Spravato® Coverage Update

11.24.2021 - MS-DRG Revisions for 2022

11.17.2021 - CMS Omnibus COVID-19 Vaccination Interim Final Rule

11.12.2021 - Prescription Drug Monitoring Program Policy Clarifications

11.12.2021 - Implementation Date Change For 340B Provider Claim Identification and Drug Rebate Invoicing Process

11.10.2021 - Preferred Drug List Update

11.10.2021 - Diagnosis Restriction for Code J3262

11.8.2021 - Single State Audit KMAP Provider Bulletin Notice 2021

11.4.2021 - Criteria Coverage for State Institution Alternative

11.4.2021 - Addendum for Mileage Reimbursement Codes

11.2.2021 - HCBS Military Inclusion Policy

11.1.2021 - Addendum for Dental Codes D7961 and D7962

10.27.2021 - Designation of Indian Health Centers as Tribal Facilities as Federally Qualified Health Centers (TFQHCs)

10.25.2021 - Revisions to NCCI Editing October 2021

10.25.2021 - New Forms Available Through Provider Enrollment (PE) Wizard

10.21.2021 - KMAP Provider Enrollment System Upgrade

10.12.2021 - HCPCS Changes – October 2021

10.11.2021 - October 2021 HCPCS Update

10.4.2021 - UPDATED – Enteral Product and Physician Administered Drug Billing Guidance

10.1.2021 - Extension for Re-Designation of Tribal Healthcare Facilities as Tribal Federally Qualified Health Centers

10.1.2021 - Coverage of Revenue Code 0220

10.1.2021 - Prior Authorization Updates

9.30.2021 - Preferred Drug List Update

9.24.2021 - Addendum to Rate Increase for COVID-19 Vaccine Administration in the Home

9.23.2021 - Electronic Authorization Acceptance Now in AuthentiCare®

9.22.2021 - Pfizer COVID-19 Vaccine Name Change to Comirnaty

9.20.2021 - KanCare All MCO Fall 2021 Virtual Training

9.20.2021 - August Monthly Reference Update

9.15.2021 - Synagis Policy Update

9.9.2021 - Prior Authorization Updates

9.3.2021 - 2021 Updates to Medicare Guidelines for Unacceptable Diagnosis Codes

9.3.2021 - Mobile Crisis Intervention Services Provided by a CMHC

9.2.2021 - Preferred Drug List Update

9.2.2021 - Third Dose of Pfizer and Moderna COVID-19 Vaccine

9.1.2021 - Performing Provider Affiliation Project

9.1.2021 - Rate Increase for Speech Therapy Evaluation and Treatment

9.1.2021 - Off-the-Shelf Orthotics

8.27.2021 - Kansas Prescription Drug Monitoring Program

8.26.2021 - NCCI-MUE Editing - October 2021

8.17.2021 - Breast Reduction Coverage Codes

8.6.2021 - Clean Claims and Provider Reconsiderations, Appeals, External Independent Third-Party Reviews, and Fair Hearings

8.3.2021 - Rate Increase of WORK Independent Counseling

7.28.2021 - Codes Allowed for Additional Provider Types and Specialties

7.20.2021 - Additional COVID-19 Monoclonal Antibody Infusion Codes

7.16.2021 - External Independent Third-Party Review

7.15.2021 - UPDATED - July 2021 HCPCS

7.15.2021 - 340B Provider Claim Identification and Drug Rebate Invoicing Process

7.8.2021 - July 2021 HCPCS Update

7.8.2021 - Coverage of MenACW-TT (Menquadfi) Vaccine

7.6.2021 - Coverage of Vaxelis Vaccine

7.6.2021 - KanCare Coverage of Vitamin D Products for Infants

6.30.2021 - External Independent Third-Party Review

6.29.2021 - Preferred Drug List Update

6.29.2021 - Patient Access and Interoperability

6.28.2021 - HCBS TA Rate Increase

6.23.2021 - Environmental Scan Survey

6.22.2021 - State Fiscal Year End Notification

6.16.2021 - UPDATED - Indian Health Services (IHS) Enrollment

6.10.2021 - Prior Authorization Updates

6.10.2021 - UPDATED - Autism - CCTS and IIS Clarification on Provider Enrollment Requirements

6.9.2021 - UPDATED - 2021 Anesthesia Conversion Factor

6.8.2021 - Preferred Drug List Update

6.8.2021 - Pilot Program - STEPS - Supports and Training for Employing People Successfully

6.2.2021 - KanCare All MCO HCBS 2021 Virtual Training

6.1.2021 - PACE Rates July 2021

6.1.2021 - Top Provider Enrollment Wizard and MCO Contracting Request Form Errors

5.27.2021 - HCBS Rate Increase

5.25.2021 - CLIA Monitoring for MCOs on Laboratory Claims

5.25.2021 - OneCare Kansas and Targeted Case Management

5.21.2021 - EUA Coverage Change for Bamlanivimab

5.21.2021 - COVID-19 Monoclonal Antibody Infusions

5.21.2021 - COVID-19 Vaccine Coverage During the Public Health Emergency - Pfizer BioNTech (Age 12-15)

5.13.2021 - Multiple Therapists for One Student

5.12.2021 - NCCI-MUE Editing - July 2021

5.12.2021 - COVID-19 Vaccine Resources During the Public Health Emergency

5.4.2021 - Additional Providers Approved for COVID-19 Vaccine Coverage During Public Health Emergency

5.4.2021 - Kansas Medicaid Promoting Interoperability Program Newsletter

5.4.2021 - Reminder - Licensed SUD Providers

4.29.2021 - Johnson & Johnson COVID-19 Vaccine Administration

4.27.2021 - Maternal Depression Screening Billed with Modifier 59

4.20.2021 - Prior Authorization Process for Cancer Treatment - Auxiliary Agents

4.20.2021 - Updated KMAP - KanCare CMHC Enrollment Guidance

4.20.2021 - CMS PERM Program Review Process Reminder

4.14.2021 - WARNING: Potential Fraud Alert Reminder - Solicitation by Medical Equipment Suppliers

4.13.2021 - Updated - Medication Assisted Treatment - Opioid Treatment Programs

4.13.2021 - April 2021 HCPCS Update

4.13.2021 - April 2021 HCPCS

4.12.2021 - IG Provider Clean-Up - Merging IGs with Multiple Service Location IDs

4.12.2021 - COVID-19 Vaccine Coverage During the Public Health Emergency

4.6.2021- Preferred Drug List Update

4.1.2021 - Removal of Service Code H0007 from MAT Program

3.23.2021 - KanCare All MCO Spring 2021 Virtual Training

3.23.2021 - Medication Assisted Treatment - Non-Rebate Eligible NDCs

3.22.2021 - NCCI-MUE Editing - April 2021

3.17.2021 - Brain Injury Rehabilitation Facility (BIRF) Eligibility Processes and Procedures

3.12.2021 - Laboratory Billing & Verification of CLIA Status of Performing Laboratories

3.11.2021 - COVID-19 Vaccine Coverage During the Public Health Emergency

3.3.2021 - Coverage of Therapeutic Phlebotomy to Treat Polycythemia

3.2.2021 - FMS Provider Required Enrollment Documentation

2.25.2021 - OneCare Kansas Additional Diagnosis Codes

2.24.2021 - Non-Licensed Professionals Administering Maternal Depression Screenings

2.16.2021 - PHE COVID-19 Vaccine Administration Billing by Pharmacy DME Providers

2.10.2021 - UPDATED - New COVID ICD-10 Diagnosis Codes and PCS Procedure Codes Effective January 1, 2021

2.8.2021 - Pediatric Cranial Remolding Helmets

2.5.2021 - UPDATED - COVID-19 Vaccine Coverage During the Public Health Emergency

2.4.2021 - New COVID ICD-10 Diagnosis Codes and PCS Procedure Codes Effective January 1, 2021

2.3.2021 - Update to DRG Grouper for January 2021 – Version 38.1

2.3.2021 - Reminder - HCBS Provider Qualifications Audit Process

2.1.2021 - Preferred Drug List Update

1.28.2021 - Cease Paper Provider Applications

1.26.2021 - Dental Code Updates - HCPCS 2021

1.19.2021 - KanCare Coverage of Ferrous Sulfate Products

1.14.2021 - HCPCS 2021 Updates

1.13.2021 - Maternal Depression Screenings

1.12.2021 - New DRG Grouper - January 2021

1.11.2021 - RHC/FQHC PPS Rebase

1.11.2021 - Retroactive Drug Code Coverage - HCPCS 2021

1.11.2021 - C-Code Updates - HCPCS 2021

1.8.2021 - MAPIR Version 6.3 Upgrade

1.5.2021 - KanCare All MCO First Quarter 2021 Virtual Training

1.5.2021 - Coverage of D1354 Silver Diamine Fluoride (SDF)

12.31.2020 - Preferred Drug List Update

12.30.2020 - COVID-19 Vaccine Coverage During the Public Health Emergency

12.30.2020 - Rate Adjustments to Support Faster High Throughput Technology COVID-19 Diagnostic Testing

12.28.2020 - DRG Weights and Rates - January 2021

12.28.2020 - NCCI-MUE Editing - January 2021

12.28.2020 - Daily Swing Bed Rates for Calendar Year 2021

12.23.2020 - WORK Program Revisions

12.22.2020 - Coverage of Multiplex COVID-19, Influenza A, Influenza B and Respiratory Syncytial Virus (RSV) Testing

12.22.2020 - Provider Application Fee Change - 2021

12.18.2020 - Reimbursement of Inpatient Rehabilitation Distinct Part Units of a Hospital

12.18.2020 - Counseling Codes for EPSDT

12.18.2020 - Tribal Facilities as Federally Qualified Health Centers (TFQHCs)

12.17.2020 - DME Providers Supplying Prefabricated Off-the-Shelf Orthotics

12.17.2020 - NovoSeven RT - Medical Benefit Coverage

12.15.2020 - Extension of the MCO OneCare Kansas Eligible Look Back Period

12.14.2020 - Prior Authorization Updates

12.11.2020 - Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management

12.11.2020 - Adding Services for AuthentiCare Coverage – HCBS/TA

12.9.2020 - Two-Tier Blended Rates for ER Professional Claims

12.8.2020 - Preferred Drug List Update

12.8.2020 - Processing Claims for Newborn Services Using Mother's Beneficiary ID Number

12.2.2020 - Medicare Part D Copayment Assistance Annual Update

12.1.2020 - Tobacco (Nicotine) Cessation Medication Coverage - Age Update

11.24.2020 - UPDATED - External Independent Third-Party Review

11.18.2020 - Clarification on Use of Q3014

11.5.2020 - Provider File Updates

11.5.2020 - Preferred Drug List Update

11.3.2020 - REMINDER - Blanket Denial Letter Attestation

10.30.2020 - Clarification on Age Ranges and Telemedicine Coverage with H0036 and H2017 Codes

10.30.2020 - Allowance of T2011 via Telemedicine

10.30.2020 - Single State Audit (SSA) KMAP Provider Bulletin Notice 2020

10.30.2020 - Kansas Psychiatric Residential Treatment Facility (PRTF) Medical Necessity Criteria

10.30.2020 - Enhanced Care Services May Be Agency Directed

10.30.2020 - UPDATED - HCBS Provider Retainer Payments

10.29.2020 - Prior Authorization Updates

10.28.2020 - Preferred Drug List Update

10.27.2020 - HHS Expands Relief Fund Eligibility and Updates Reporting Requirements

10.26.2020 - CMS PERM Program Review Process

10.21.2020 - Annual Attestation Requirement

10.20.2020 - KMAP CRL Post Implementation

10.14.2020 - C-Code Update - October 2020

10.13.2020 - KMAP Provider Revalidation Clarification

10.13.2020 - HCPCS Changes - October 2020

10.8.2020 - Preferred Drug List Update

10.6.2020 - Hospice Payment Rates for FFY 2021

9.25.2020 - UPDATED - Medication Assisted Treatment - Office Based Opioid Treatment (OBOT) Programs

9.24.2020 - 2020 Updates to the Medicare Guidelines for Unacceptable Principal Diagnosis Codes

9.18.2020 - NCCI-MUE Editing - October 2020

9.15.2020 - KanCare All MCO Fall 2020 Training

9.3.2020 - Chiropractic Services Coverage

9.3.2020 - Preferred Drug List Update

9.2.2020 - CMS Required Retrospective Drug Utilization Review

9.1.2020 - Medicaid and Children's Health Insurance Program (CHIP) Provider Relief Fund Distribution Application Deadline Update

9.1.2020 - Allow Diabetic Shoes Under the DME Specialty Code 250

8.31.2020 - Medicaid Promoting Interoperability Program Eligible Providers - 2020 Overview

8.27.2020 - ICD-10 Changes - August 2020

8.24.2020 - Brain Injury Replacing Traumatic Brain Injury Waiver

8.20.2020 - NEMT Coverage for OTP and OUD Assessments

8.12.2020 - CARES Act Provider Relief Fund Phase 2 General Distribution Now Accepting Additional Applicants

8.10.2020 - Policy Addendum for Dental Prophylaxis Codes

8.7.2020 - UPDATED - Telemedicine Updates in Response to COVID-19 Emergency

8.7.2020 - NEMT Services for Wheelchair Seating Assessments

7.31.2020 - Dental Rate Increase

7.30.2020 - Prior Authorization Updates

7.30.2020 - UPDATED - COVID-19 Public Health Emergency Temporary Waivers

7.30.2020 - Preferred Drug List Update

7.29.2020 - Home Health Regulatory Revisions

7.27.2020 - Coverage of CPT Code 64635

7.23.2020 - Enteral Formula Pricing Methodology Change

7.22.2020 - HHS To Begin Distributing $10 Billion in Additional Funding to Hospitals in High Impact COVID-19 Areas and Extending the Timeline for Eligible Medicaid and CHIP Providers, Including Dentists, to Apply for a Funding Distribution to August 3, 2020

7.22.2020 - The CMS Team Provided a Medicaid & CHIP Provider Relief Fund Update

7.21.2020 - OneCare Kansas Health Action Plan Bonus Clarification

7.17.2020 - REMINDER - HCBS Background Check Policy

7.17.2020 - REMINDER - HCBS Provider Qualifications Audit Process

7.10.2020 - Expansion of Mastectomy Coverage for Males

7.7.2020 - CARES Act Provider Relief Fund - Don't Wait - Apply Now!

7.6.2020 - Application Fee Waived During COVID-19 Emergency

7.6.2020 - NCCI-MUE Editing - July 2020

7.2.2020 - HCPCS C-Code Update - July 2020

7.2.2020 - PACE Rates July 2020

7.2.2020 - HCPCS Code Update - July 2020

7.2.2020 - UPDATED - MCO Non-Network Provider Participation Requirements Update in Response to COVID-19 Emergency

6.26.2020 - Preferred Drug List Update

6.26.2020 - Prior Authorization Updates

6.26.2020 - Tamsulosin® Gender Edit Update

6.26.2020 - UPDATED - Dental Codes Allowed by Telephone During the COVID-19 Emergency

6.25.2020 - UPDATED - Additional Telemedicine Coverage for BI Waiver Services During COVID-19 Emergency

6.24.2020 - Updated Coverage of Wheelchair Seating Assessments for Medicaid Members

6.24.2020 - KanCare All MCO HCBS 2020 Virtual Training

6.23.2020 - UPDATED - COVID-19 Drug Shortage - Albuterol Inhalers

6.22.2020 - UPDATED - Expansion of Telemedicine Services for Therapy Services During COVID-19 Emergency

6.22.2020 - UPDATED - OneCare Kansas Guidance During COVID-19 Public Health Emergency

6.22.2020 - UPDATED - Wheelchair Seating Assessment Codes Allowed by Telemedicine During COVID-19 Emergency

6.22.2020 - UPDATED - SED Waiver Codes Allowed via Telemedicine During COVID-19 Emergency

6.22.2020 - UPDATED - Allowance of Additional Mental Health Crisis Intervention Codes via Telemedicine During COVID-19 Emergency

6.22.2020 - UPDATED - Additional E/M Codes Allowed via Telemedicine During COVID-19 Emergency

6.22.2020 - UPDATED - Additional Codes Added to Telemedicine During COVID-19 Emergency

6.22.2020 - UPDATED - Expansion of Telemedicine Services Allowed by ECI and LEA Providers During COVID-19 Emergency

6.22.2020 - UPDATED - Tobacco Cessation Counseling via Telemedicine During COVID-19 Emergency

6.18.2020 - Medical Benefit Coverage for Thyrogen®

6.17.2020 - RHC/FQHC Global Billing

6.12.2020 - Coverage for Low Dose Lung CT

6.12.2020 - CARES Act Relief Fund for Providers

6.5.2020 - May 2020 Post Implementation

6.4.2020 - Coverage Guidance and Rate Updates for CPT Codes 81229 and 81243

6.3.2020 - Preferred Drug List Update

6.2.2020 - Rate Adjustments for COVID-19 Testing

6.2.2020 - CLIA Certification

6.2.2020 - UPDATED - Coronavirus (COVID-19) Coverage

5.29.2020 - COVID-19 Testing and Treatment Services for Members with Unmet Spenddown

5.28.2020 - Expansion with Select Telemedicine Allowed Codes/Home Setting

5.28.2020 - Prior Authorization Updates

5.27.2020 - Gender Restriction for ICD-10 Diagnosis Code Update

5.26.2020 - KMAP Provider Enrollment Wizard System Upgrade Complete

5.21.2020 - Future Drug Coverage Through Home Infusion Services

5.19.2020 - KMAP Provider Enrollment System Upgrade

5.15.2020 - Enrollment Types, NPI Requirements, and MCO Contracting Request Form Notifications

5.15.2020 - Clarification of Written Consent Documentation Requirement for Telemedicine

5.13.2020 - Coverage of COVID-19 Antibody Testing and Use of High Throughput Technology During COVID-19 Emergency

5.12.2020 - Update to DRG Grouper Version 37

5.12.2020 - Disaster Emergency Exceptions - I/DD Telemedicine Services During COVID-19 Emergency

5.8.2020 - UPDATED - Expand Telemedicine to HCBS Services During COVID-19 Emergency

5.8.2020 - Telemedicine Billing Guidelines During COVID-19 Emergency

5.7.2020 - UPDATED - KMAP CMS 1500 Form Update

5.7.2020 - Midwife Billing for Newborn Home Visits

5.7.2020 - Preferred Drug List Update

5.6.2020 - HCBS Disaster Emergency Exceptions - Specialized Medical Care During COVID-19 Emergency

5.6.2020 - COVID-19 Stimulus Funds for HCBS Beneficiaries and Residents of Long-Term Care Facilities

5.5.2020 - HCBS Background Check Exceptions During COVID-19 Emergency

5.4.2020 - UPDATED - Smoking and Tobacco Cessation Counseling

5.1.2020 - KDHE Promoting Interoperability Program News and Notes

5.1.2020 - Extension of COVID-19 Emergency Policies Through June 30, 2020

5.1.2020 - HCBS Disaster Emergency Exceptions - Day Supports and Residential Service During COVID-19 Emergency

5.1.2020 - Disaster Emergency Exceptions - Personal Care Services During COVID-19 Emergency

4.24.2020 - KanCare All MCO HCBS 2020 Training

4.24.2020 - COVID-19 Claims Reimbursement for Testing and Treatment to Health Care Providers and Facilities Serving the Uninsured

4.24.2020 - Spanish Sterilization Form Available on KMAP

4.17.2020 - Revision to April 2020 NCCI PTP and MUE Files - Telemedicine and COVID-19 Related Services

4.16.2020 - Sequestration Reduction - RHC, FQHC and Indian Health Centers

4.8.2020 - LEA Billing Requirements

4.7.2020 - New Newborn CPT Codes

4.6.2020 - Hysterectomy Documentation Requirements

4.1.2020 - COVID-19 KMAP Provider Information Page

4.1.2020 - NCCI-MUE Editing - April 2020 Second Revision NCCI/PTP - January 2020

3.31.2020 - HCPCS Changes - April 2020

3.31.2020 - UPDATED - Coverage of COVID-19 Testing and Treatment

3.25.2020 - HCPCS Changes - April 2020

3.23.2020 - KMAP COVID-19 Message

3.23.2020 - KanCare Telemedicine Reimbursement Update

3.20.2020 - MCO Meeting Cancellation

3.20.2020 - MAPIR Webinar

3.20.2020 - MAPIR Application Deadline Extended

3.13.2020 - Coronavirus (COVID-19) Coverage

3.10.2020 - Total Parenteral Nutrition (TPN) Solution Pricing

3.10.2020 - CPT Code Update

3.5.2020 - Environmental Scan Survey

3.5.2020 - Prior Authorization Updates

2.28.2020 - NCCI/MUE Editing January 2020 - Revised

2.21.2020 - MAPIR 6.2 Attestation Instructions

2.21.2020 - KMAP DRG Reimbursement Clarification

2.19.2020 - UPDATE: HCBS – Adding Services for AuthentiCare Coverage

2.18.2020 - NPI Effective Date Update

2.14.2020 - 2020 MS-DRG Weights and Rates Update

2.12.2020 - Expansion of Brain Injury Waiver

2.12.2020 - PD Crisis Exception Policy

2.11.2020 - KanCare All MCO Spring 2020 Training

2.7.2020 - 2020 HCPCS Updates

2.7.2020 - QMB Dental Services

2.6.2020 - UPDATED - Adult Care Home Nursing Facility Medicaid Enrollments

2.6.2020 - HCBS Provider Qualifications Audit Process

2.4.2020 - Preferred Drug List Update

1.27.2020 - Reminder - Billing for Kansas Telemedicine Act

1.23.2020 - MAPIR Version 6.2 Upgrade

1.23.2020 - HCBS – Adding Services for AuthentiCare Coverage

1.15.2020 - New DRG Groupers for 2020

1.15.2020 - 2020 CDT HCPCS Updates

1.14.2020 - KEES Transition to Oracle Cloud Infrastructure (OCI)

1.9.2020 - Prior Authorization Updates

1.9.2020 - Preferred Drug List Update

1.6.2020 - KMAP Welcome Letters

1.6.2020 - Non-Covered Code for Title XXI

1.6.2020 - Newborn CPT Code Update

1.3.2020 - HCPCS Changes - Annual 2020

12.27.2019 - Peer Support Rate Increase

12.26.2019 - Cognitive Therapy Code Change

12.23.2019 - 2020 MS-DRG Weights and Rates

12.23.2019 - NOC/NOS Drug HCPCS Code to NDC Crosswalk Website

12.19.2019 - Provider Application Fee Update

12.18.2019 - C-Code Updates

12.16.2019 - HCBS Provider Qualifications

12.13.2019 - 2020 Anesthesia Conversion Factor

12.12.2019 - 90-Day Supply Maintenance Drug List

12.12.2019 - Medicare Part D Copay Assistance Update

12.10.2019 - REMINDER - Provider Enrollment Managed Care Regulation Implementation Update

12.9.2019 - PRA MUE Change

12.3.2019 - REMINDER - NCCI PTP Modifiers

12.3.2019 - Preferred Drug List Update

12.3.2019 - NCCI/MUE Editing - January 2020

11.27.2019 - Provider Enrollment Managed Care Regulation Implementation Update

11.20.2019 - Newborn Hearing Screening Billing

11.20.2019 - Swing Bed Rate for 2020

11.15.2019 - External Independent Third-Party Review

11.15.2019 - Prior Authorization Updates

11.4.2019 - Aetna Better Health® of Kansas Provider Town Hall Meetings Announced

11.1.2019 - Preferred Drug List Update

11.1.2019 - MCO Payment of Flu Vaccines for Adults through Pharmacy Benefit

10.30.2019 - Coverage of Diagnostic and Screening Mammography

10.25.2019 - KMAP Provider Revalidation Reminder

10.25.2019 - HCPCS Nusinersen Updates

10.17.2019 - HCPCS Code Billing Updates

10.17.2019 - Revenue Code Change for LTC Room and Board

10.9.2019 - Home and Community Based Service Providers Individual Enrollment

10.8.2019 - Aetna Transition of Care Authorizations Extended through December 31, 2019

10.1.2019 - Medicare Unacceptable Principal Diagnosis Codes

10.1.2019 - Hospice Payment Rates FFY 2020

10.1.2019 - HCPCS Hydroxyprogesterone Caproate Updates

10.1.2019 - HCPCS Updates October 2019

10.1.2019 - Prior Authorization Updates

10.1.2019- Preferred Drug List Update

10.1.2019 - Patient Discharge Status and Occurrence Codes

9.26.2019 - Explanation of Benefit Codes

9.26.2019 - Enteral Formula and Parenteral Nutrition Solution Pricing Update

9.16.2019 - Maternity Centers Billing on UB04 Form

9.12.2019 - HCBS Background Check Policy

9.10.2019 - Preferred Drug List Update

9.10.2019 - Managed Care Organization Contract Request Form

8.30.2019 - Aetna Transition of Care Authorizations Extended through October 31, 2019

8.30.2019 - NCCI MUEs Quarterly Updates

8.27.2019 - Dental Procedure Codes Rate Increase

8.22.2019 - HCBS Physical Disability Waiver Transitions

8.22.2019 - HCBS Traumatic Brain Injury Waiver Transitions

8.8.2019 - KanCare All MCO Fall 2019 Training

8.1.2019 - Preferred Drug List Update

7.24.2019 - Bariatric Surgery

7.19.2019 - KMAP CRL Post Implementation

7.17.2019 - Ordering, Referring, Attending, Prescribing, and Sponsoring Provider Requirements

7.17.2019 - Oral Sedation for Dental Procedures

7.17.2019 - Trichloroacetic Acid Treatment in LHDs

7.16.2019 - Rate Increase

7.8.2019 - 2019 HCPCS Updates

7.2.2019 - Preferred Drug List Update

6.28.2019 - Supportive Housing Services

6.27.2019 - Managed Care Rule Provider Enrollment

6.25.2019 - CMHC Autism Enrollment

6.25.2019 - Fluoride Treatment in LHDs

6.25.2019 - Utilization Review Contractor

6.25.2019 - Important Changes for Prescribing Providers and Pharmacies

6.25.2019 - HCBS 2020 Reimbursement

6.19.2019 - High Frequency Chest Wall Oscillation System Pricing Update

6.19.2019 - Vacuum Drainage Collection Unit and Tubing Kits

6.17.2019 - G2 and PXC Qualifier Submission on Paper Claims

6.13.2019 - NCCI MUEs Quarterly Updates

6.13.2019 - Coverage of Codes in the ECI and LEA Setting

6.11.2019 - SUD MUE Edits

6.11.2019 - Reimbursement Rates for PACE

6.6.2019 - RHC/FQHC POS Code 13

6.5.2019 - Coverage Expansion for Desmopressin

6.4.2019 - Deactivation of MUEs for Contraceptive Supplies

6.3.2019 - KanCare All MCO HCBS 2019 Training

6.1.2019 - Coverage Limitations for Intermittent Urinary Catheters

5.31.2019 - Preferred Drug List Update

5.31.2019 - FQHC and RHC Physician Enrollment

5.31.2019 - Prior Authorization Updates

5.29.2019 - WORK Manual Updates

5.21.2019 - Consent for Sterilization Form

5.10.2019 - HBFT Requirements

5.9.2019 – ABHKS Provider Conference Call

4.25.2019 - Aetna Better Health of Kansas Announces Extension of Certain Transitional Care Practices

4.19.2019 - NCCI PRA PTP Edit File Error

4.12.2019 - Process Improvements for the KCPC System Manual Workaround

4.5.2019 - UPDATE: KMAP Provider Enrollment Wizard System Upgrade

4.5.2019 - Vision Coverage for Adults

4.4.2019 - Preferred Drug List Update

4.4.2019 - April 2019 HCPCS Updates

3.22.2019 - KMAP CRL Post Implementation

3.15.2019 - WARNING: Potential Fraud Alert Solicitation by Medical Equipment Suppliers

3.14.2019 - KDHE Medicaid Promoting Interoperability Program Webinar

3.13.2019 - Aetna Better Health of Kansas Announces Extension of Certain Transitional Care Practices

3.13.2019 - Swing Bed Rate for 2019

3.8.2019 - Indian Health Centers and Telemedicine

3.7.2019 - Finalized Annual Cost Reports

3.6.2019 - Rate Increase for Autism Services

3.6.2019 - Medically Recalled or Replaced Devices

3.6.2019 - Preferred Drug List Update

3.5.2019 - UPDATED: Provider Enrollment Managed Care Regulation Implementation Update

3.5.2019 - NCCI MUEs Quarterly Updates

3.5.2019 - UPDATED: Ordering, Referring, Attending, Prescribing, and Sponsoring Provider Requirements

2.27.2019 - UPDATED Emergency Room Facility Rates

2.27.2019 - UPDATED KBH-EPSDT Screenings

2.27.2019 - Prior Authorization Updates

2.26.2019 - WORK Updates

2.26.2019- HPV Vaccine Coverage

2.19.2019 - Money Follows the Person Program End

2.18.2019 - Medicaid Promoting Interoperability Program Webinar

2.11.2019 - REMINDER: Opioid Products Indicated for Pain Management: Prior Authorization Grandfathering Process

2.1.2019 - KanCare Paper Claims and MCO Checks

1.25.2019 - REMINDER: Consent for Sterilization Form Update

1.25.2019 - Influenza Virus Vaccines for Intranasal Use

1.25.2019 - Rate Change for Preventative Medicine and E&M Codes

1.16.2019 - Substance Use Disorder (SUD) Medically Unlikely Editing (MUE)

1.11.2019 - Residential and Day Services Enrollment Requirements

1.4.2019 - KDHE Medicaid Promoting Interoperability Program Webinar

1.2.2019 – Preferred Drug List Update

 

8.11.22: COVID-19 Vaccines for Children Ages 6 Months to 5 Years

8.11.22: Novavax COVID-19 Vaccine Coverage

8.11.22: Pfizer Pediatric Vaccine Booster Dose

8.11.22: Medicare Part C Verification Updates

8.11.22: Important KMMS Update

8.11.22: Preferred Drug List Update

8.11.22: Program Integrity Spotlight

8.11.22: DME Guidelines for Diabetic Supplies

8.4.22 - NEMT Provider and Driver Requirements Update

8.4.22 - COVID-19 Test Kit HCPCS Code Update

8.4.22 - Project Access Covid Tests

7.21.22 - Limitations for Maternal Depression Screenings Update

7.21.22 - Revision to July 2022 NCC I MUE Files OPH/PRA

7.14.22 - KMAP Paper Check Payments Delayed

7.14.22 - UPDATED - Behavioral Health Services Rate Increase

7.14.22 - Preferred Drug List Update

7.14.22 - KanCare All MCO HCBS 2022 Virtual Training

6.30.22 - UPDATED - Ambulance Service and Ground Mileage Rate Increase Update

6.30.22 -  Services Performed by Temporarily Licensed SLPs Code Update

6.30.22 -  Update to Dental Coverage for Ages 21 and Older

6.30.22 -  HCPCS July 2022

6.30.22 -  Pregnant Woman Postpartum Coverage Extension

6.30.22 -  Rate Increase for HCBS SED Services

6.30.22 -  HCPCS C-Code Update

6.23.22 - Addition of Autism Waiver Self-Directed Respite Services

6.23.22 - Behavioral Health Services Rate Increase

6.16.22 - Hospital at Home Care Code Update

6.16.22 - Annual DME Rate Adjustment

6.16.22 - Prior Authorization Updates

6.16.22 - KMAP Payment Delay

6.16.22 - COVID-19 Testing for Same Date of Service

6.9.2022 - REMINDER - KMAP Recommended Browsers

6.9.2022 - KMAP Provider Training Opportunities

6.9.2022 - Pediatrician Rate Increase Update

6.9.2022 - Ambulance Service and Ground Mileage Rate Increase Update

6.9.2022 - MS-DRG Revision Update

6.9.2022 - High Dollar Rare Disease Drug Reimbursement

6.1.2022 - Hospital Readmission Guidelines Update

6.1.2022 - Place of Service Allowance for OneCare Kansas Codes

6.1.2022 - NCCI-MUE Editing - July 2022

6.1.2022 - Coverage of Periodontal Maintenance

6.1.2022 - Preferred Drug List Update

6.1.2022 - UPDATED- Reminder- 340B Provider Claim Identification and Drug Rebate Invoicing Process Update

5.25.2022 - Pediatric Dental Coverage Update

5.20.2022 - NCPDP Common File Error Log

5.19.2022 - NOTICE: KMMS Daily Maintenance

5.16.2022 - CMS PERM Review Process Completed

5.13.2022 - Additional KMAP Portal Training Videos

5.11.2022 - KanCare All MCO Spring 2022 Virtual Training

5.11.2022 - UPDATED - Reimbursement for Dispense as Written Approved Pharmacy Claims

5.06.2022 - Sterilization Consent Form

5.06.2022 - Coverage of Family Psychotherapy Without Patient Present

5.03.2022 - Patient Costs Furnished with Participation in Qualifying Clinical Trials

5.03.2022 - Reminder to MCO Providers Regarding External Independent Third-Party Review

5.03.2022 - Coverage of Monoclonal Antibody Bebtelovimab

4.22.2022 - UPDATED - Reminder - 340B Provider  Claim Identification and Drug Rebate Invoicing Process Update

4.22.2022 - HCPCS C-Code Update

4.22.2022 - REMINDER - KMAP Recommended Browsers

4.21.2022 - HCPCS Update – April 2022

4.18.2022 - Pneumococcal Vaccine Coverage Update

4.15.2022 - Evusheld™ Emergency Use Authorization Coverage for Ages 12 and Over

4.15.2022 - Emergency Use Authorization Coverage for Evusheld™

4.13.2022 - Important KMMS Updates

4.08.2022 - COVID-19 Antiviral Coverage Update

4.08.2022 - Mobile Crisis Intervention Services Provided by a CMHC or CCBHC

4.05.2022 - KMAP Pricing Change

3.31.2022 - MS-DRG Revisions for 2022

3.28.2022 - NCPDP E1 Transaction

3.25.2022 - Reminder - NDC Billing Compliance

3.24.2022 - New KMAP Portal Training Videos

3.21.2022 - Updated Preparation for Rescheduled KMMS Go-Live April 4, 2022

3.21.2022 - Action Required by March 31, 2022 to Avoid KMAP Access Interruption

3.18.2022 - Maternal Depression Screening Coverage Update

3.18.2022 - Provider Review of the PDMP – Age Requirement Update

3.16.2022 - COVID-19 Test Kit Coverage

3.14.2022 - HCPCS Update Delay for 2022

3.14.2022 - ICD-10 Updates – April 2022

3.14.2022 - Reimbursement for Dispense as Written Approved Pharmacy Claims

3.11.2022 - COVID-19 VEKLURY™ (Remdesivir) Antiviral Medication Coverage Update

3.7.2022 - Coverage of Services Provided by Temporarily Licensed Speech and Language Pathologists

3.3.2022 - Pharmacy 24-Hour Prior Authorization Requirements

3.1.2022 - NCCI-MUE Editing – April 2022

2.24.2022 - Prior Authorization Updates

2.24.2022 - COVID-19 VEKLURY™ (Remdesivir) Antiviral Medication Coverage

2.22.2022 - Pfizer COVID-19 Pre-Diluted (Gray Cap) Vaccine Coverage

2.22.2022 - Performing Provider Affiliation Project Completed

2.9.2022 - KanCare All MCO First Quarter 2022 Virtual Training

2.7.2022 - Preferred Drug List Update

2.4.2022 - Third Dose of COVID-19 Vaccine for Immunocompromised Children

1.26.2022 - Updates to the HCBS Provider Qualifications Audit Process

1.21.2022 - The COVID-19 Public Health Emergency and Medicaid FAQs

1.21.2022 - Conversion Factor for Anesthesia Codes Update

1.20.2022 - 24-Hour Prior Authorization Requirements

1.17.2022 - Hospice Attending Physician Services for RHCs and FQHCs Update

1.14.2022 - Revised Preparation for Rescheduled KMMS Go-Live April 4, 2022

1.11.2022 - COVID-19 Booster Vaccine Update

1.7.2022 - REMINDER: Claim Filing Indicator Code for Medicare or Medicare Replacement Plan

1.5.2022 - COVID-19 Moderna Low Dose Booster Update

1.3.2022 - KMMS Go-Live: Implementation Date Change

1.3.2022 - UPDATED: ACTIVATION AND ENFORCEMENT OF WEDI SNIP LEVEL 1 & 2 COMPLIANCE EDITS

1.3.2022 - Provider Review of the PDMP – Frequency Clarification