Ks Medicaid Fee Schedule

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KS Medicaid Fee Schedule: A Comprehensive Guide for Providers



Navigating the complexities of healthcare reimbursement can be daunting, especially when dealing with government programs like Medicaid. This comprehensive guide delves into the intricacies of the KS Medicaid fee schedule, providing you with the information you need to understand how reimbursements are calculated in Kansas. We'll explore key aspects, from finding the official schedule to understanding the different payment methodologies employed. Whether you're a seasoned healthcare provider or just starting out, this guide will equip you with the knowledge to effectively manage your billing and reimbursements under the Kansas Medicaid program.


Understanding the Kansas Medicaid Fee Schedule



The KS Medicaid fee schedule is a crucial document that dictates the maximum amount the Kansas Medicaid program will reimburse healthcare providers for specific services rendered to eligible beneficiaries. This schedule is not a static document; it's regularly updated to reflect changes in healthcare costs, policy adjustments, and market dynamics. It's essential for providers to stay abreast of these updates to ensure accurate billing and avoid potential payment delays or denials.


Accessing the Official KS Medicaid Fee Schedule



Locating the most up-to-date KS Medicaid fee schedule requires diligence. The Kansas Medicaid website is the primary source. Look for sections dedicated to providers, billing, and fee schedules. Often, these schedules are categorized by provider type (e.g., physicians, hospitals, therapists) and may be available in downloadable formats like PDF or Excel spreadsheets. You might need to navigate through several sub-pages, so be prepared to spend some time searching. If you're unable to locate the schedule online, contacting the Kansas Medicaid provider services directly via phone or email is recommended.


Key Components of the KS Medicaid Fee Schedule



The KS Medicaid fee schedule typically includes several key components:

HCPCS Codes: Healthcare Common Procedure Coding System (HCPCS) codes are used to identify specific medical services and procedures. The fee schedule lists the corresponding reimbursement rate for each code.

Reimbursement Rates: These are the maximum amounts the Kansas Medicaid program will pay for each service. These rates vary based on several factors, including the type of service, the provider's location (rural vs. urban), and the beneficiary's specific circumstances.

Payment Methodologies: Understanding how Kansas Medicaid calculates payments is critical. Common methodologies include fee-for-service (FFS), capitation, and prospective payment systems (PPS). Each has its own set of rules and calculations.

Modifiers: These are alphanumeric codes added to HCPCS codes to provide additional information about the service rendered. Modifiers can influence reimbursement amounts.


Navigating Different Payment Methodologies within the KS Medicaid Fee Schedule



As mentioned, the KS Medicaid fee schedule utilizes different payment methodologies. Let's examine some of the most common:

Fee-for-Service (FFS)



Under FFS, providers are reimbursed for each individual service provided to a Medicaid beneficiary. The reimbursement amount is determined by the specific HCPCS code and the applicable rate listed in the KS Medicaid fee schedule. This is a straightforward method but can lead to complexities in tracking and billing.


Capitation



In capitation, providers receive a fixed payment per member per month (PMPM) for each Medicaid beneficiary assigned to their care. This shifts the risk from the payer to the provider, incentivizing preventative care and efficient resource management. The PMPM rate is negotiated separately and isn't directly part of the published KS Medicaid fee schedule.


Prospective Payment Systems (PPS)



PPS is often used for hospital inpatient services. Reimbursement is based on pre-determined rates for specific diagnosis-related groups (DRGs). The complexity of the patient's case and the resources used are considered in assigning the DRG, influencing the final reimbursement. This method aims to incentivize efficient hospital care.



Staying Updated on Changes to the KS Medicaid Fee Schedule



The KS Medicaid fee schedule is subject to change. Regularly checking the Kansas Medicaid website for updates is crucial. Subscribe to email alerts or newsletters from the Kansas Medicaid agency to receive timely notifications about policy changes and updates to the fee schedule. Staying informed will ensure you maintain accurate billing practices and avoid costly errors.


Conclusion



Understanding the KS Medicaid fee schedule is vital for healthcare providers seeking to effectively bill and receive reimbursements for services rendered to Medicaid beneficiaries in Kansas. By familiarizing yourself with the schedule's components, accessing the official documents, and understanding the various payment methodologies, you can streamline your billing process and ensure your practice receives timely and accurate payments. Remember to always consult the official Kansas Medicaid website for the most up-to-date information.


FAQs



1. Where can I find the most current KS Medicaid fee schedule? The official Kansas Medicaid website is the primary source. Look for provider resources or billing sections.

2. How often does the KS Medicaid fee schedule update? The frequency of updates varies, but it's advisable to check regularly, ideally at least quarterly, for any modifications.

3. What if I can't find a specific HCPCS code in the fee schedule? Contact the Kansas Medicaid provider services for clarification or assistance in locating the correct code and reimbursement rate.

4. Are there any resources available to help me understand the different payment methodologies? Kansas Medicaid's provider services may offer training or educational materials explaining capitation, FFS, and PPS.

5. What should I do if I receive a payment that differs from what the fee schedule indicates? Contact Kansas Medicaid's provider services immediately to dispute the payment and provide documentation supporting your claim.


  ks medicaid fee schedule: Annual Report to Congress United States. Physician Payment Review Commission, 1991
  ks medicaid fee schedule: physician payment review commission CONGRESS , 1991
  ks medicaid fee schedule: Molecular Diagnostics Wayne W. Grody, Robert M. Nakamura, Frederick L. Kiechle, Charles Strom, 2009-11-06 Advances in genomic and proteomic profiling of disease have transformed the field of molecular diagnostics, thus leading the way for a major revolution in clinical practice. While the range of tests for disease detection and staging is rapidly expanding, many physicians lack the knowledge required to determine which tests to order and how to interpret results. Molecular Diagnostics provides a complete guide to the use and interpretation of molecular testing in the clinical arena. No other available resource offers this emphasis, comprehensive scope, and practical utility in the clinical setting. - Serves as the definitivereference for molecular pathologists worldwide - Covers a variety of molecular techniques including next generation sequencing, tumor somatic cell genotyping, infectious and genetic disease tecting, and pharmacogenetics - Discusses in the detail issues concerning quality assurance, regulation, ethics, and future directions for the science
  ks medicaid fee schedule: Healthcare Beyond Reform Joe Flower, 2012-04-24 There is a secret inside healthcare, and it‘s this: We can do healthcare for a lot less money. The only way to do that is to do it a lot better. We know it‘s possible because it is happening now. In pockets and branches across healthcare, people are receiving better healthcare for a lot less. Some employers, states, tribes, and health systems are d
  ks medicaid fee schedule: Medicare and Medicaid Guide , 2006
  ks medicaid fee schedule: TRICARE: Changes to Access Policies and payment Rates for Services Provided by Civilian Obstetricians ,
  ks medicaid fee schedule: The National Directory of Mental Health Neal-Schuman Publishers, Ellen Gay Detlefsen, 1980 Approximately 3600 mental health facilities and services that include institutes, community mental health centers, hospitals, private facilitites, clinics, and support groups. Only facilities that respond to questionnaires and telephone inquiries are included.
  ks medicaid fee schedule: Medicaid SpDATA System , 1992 Characteristics of Medicaid state programs.
  ks medicaid fee schedule: A Clinical Guide to Nutrition Care in Kidney Disease Laura Byham-Gray, Karen Wiesen, 2004 A complement to Guidelines for Nutrition Care of Renal Patients, 3e and Renal Care: Resources and Practical Applications Features practical and authoritative guidelines for all stages and treatments of renal disease Addresses the National Kidney Foundation's Disease Outcome Quality Initiative (NKF KDOQI) Guidelines Provides practical nutrition intervention sections Examines useful case studies Offers helpful hints to treat common patient problems Includes the latest information on Medical Nutrition Therapy Represents a consensus formed by clinical practitioners on the basis of current scientific literature and experience A Clinical Guide to Nutrition Care in Kidney Disease can also be used as a study tool for the CSR exam
  ks medicaid fee schedule: Nomination of Michael O. Leavitt United States. Congress. Senate. Committee on Finance, 2005
  ks medicaid fee schedule: Health Care Financing Review , 1990
  ks medicaid fee schedule: Health Literacy R.A. Logan, E.R. Siegel, 2017-10-18 While health literacy is a relatively new multidisciplinary field, it is vital to the successful engagement with and communication of health with patients, caregivers, and the public. This book ‘New Directions in Health Literacy Research, Theory, and Practice’ provides an introduction to health literacy research and practice and highlights similar scholarship in related disciplines. The book is organized as follows: the first chapter explains the still-evolving definition of health literacy; the next three chapters discuss developments and new directions in health literacy research, then a further two chapters are devoted to developments and new directions in health literacy theory. Two chapters explore health literacy interventions for vulnerable populations; four chapters cover health literacy leadership efforts; six chapters describe developments and new directions in disciplines that are similar to health literacy; and six chapters portray diverse health literacy practices. A preface from Richard Carmona M.D., the former U.S. Surgeon General, is included in the book. Although the book is intended primarily for health literacy researchers, practitioners and students, the diverse topics and approaches covered will be of interest to all healthcare and public health researchers, practitioners, and students, as well as scholars in related fields, such as health communication, science communication, consumer health informatics, library science, health disparities, and mass communication. As Dr. Carmona concludes in his preface: ‘This is essential reading for all health practitioners.’
  ks medicaid fee schedule: Oversight of the Centers for Medicare and Medicaid Services United States. Congress. Senate. Committee on Governmental Affairs, 2002
  ks medicaid fee schedule: Orthopaedic Basic Science: Foundations of Clinical Practice 5: Ebook without Multimedia Roy Aaron, 2019-12-04 The fifth edition of Orthopaedic Basic Science: Foundations of Clinical Practice is your concise and clinically relevant resource for the diagnosis and treatment of musculoskeletal diseases and conditions. This completely rewritten edition explains the functions and limitations of the science behind the decisions, treatments, and procedures you perform in your practice every day. Use it to build and reinforce your foundation of knowledge for applying advances in scientific discovery to your decision-making in the clinic and the OR.
  ks medicaid fee schedule: Reducing Oral Health Disparities: What Can We Learn from Social, Environmental and Cultural Factors? Tamanna Tiwari, Sarah R. Baker, Judith Albino, 2017-12-05 Oral health disparities are profound worldwide, and they affect the quality of life of individuals of all age groups. Disparities in oral health are seen in racial and ethnic minorities, at different socioeconomic levels and due to differences in environment and cultural factors. Several determinants of oral health have been identified at the population, community, family and individual levels. These determinants represent a complex interplay of the social, biological, cultural and economic factors that in turn affect the oral health behaviors, environmental exposures, health care utilization. To date, biological factors related to oral diseases have received much attention in oral health research; whilst social and cultural determinants have just started to receive recognition for their role in oral disease development and progression. This research highlights that interventions designed to reduce disparities should adopt a multi-level approach in order to identify the modifiable mechanisms and target all determinants of oral health disparities. In this Research Topic, we will focus on the role of social, environmental and cultural factors in the development and progression of oral diseases, their role in oral health disparities and interventions focusing on these factors to improve oral health and reduce disparities.
  ks medicaid fee schedule: Nutrition in Clinical Practice David Katz, Yeh Ming-Chin, Joshua Levitt, Kofi D. Essel, Shivam Joshi, Rachel Summer Clair Friedman, 2021-09-03 Designed for busy clinicians struggling to fit the critical issue of nutrition into their routine patient encounters, Nutrition in Clinical Practice translates the robust evidence base underlying nutrition in health and disease into actionable, evidence-based clinical guidance on a comprehensive array of nutrition topics. Authoritative, thoroughly referenced, and fully updated, the revised 4th edition covers the full scope of nutrition applications in clinical practice, spanning health promotion, risk factor modification, prevention, chronic disease management, and weight control – with a special emphasis on providing concisely summarized action steps within the clinical workflow. Edited by Dr. David L. Katz (a world-renowned expert in nutrition, preventive medicine, and lifestyle medicine) along with Drs. Kofi D. Essel, Rachel S.C. Friedman, Shivam Joshi, Joshua Levitt, and Ming-Chin Yeh, Nutrition in Clinical Practice is a must-have resource for practicing clinicians who want to provide well-informed, compassionate, and effective nutritional counseling to patients.
  ks medicaid fee schedule: Orthopaedic Knowledge Update: 14 Leesa M Galatz, Frederick M Azar, 2023-01-18 Orthopaedic Knowledge Update® 14, edited by Leesa M. Galatz, MD, MBA, FAAOS, and Frederick M. Azar, MD, FAAOS, brings you a comprehensive synthesis of the latest clinical thinking and best practices across all orthopaedic specialty areas. OKU® 14 covers developments of the last three years with revisions and updates based on new evidence, outcomes, and innovations in the recent literature, including annotated references. Keep pace with the rapidly evolving body of orthopaedic knowledge and clinical practice with OKU’s objective, balanced coverage. Backed by clinical research, informed by practical experience, and rigorously edited by thought leaders across the orthopaedic specialties, OKU®14 is your most up-to-date resource to guide your delivery of high-quality orthopaedic patient care today.
  ks medicaid fee schedule: National Health Statistics Reports , 2008
  ks medicaid fee schedule: Teledermatology Joseph C English III, 2023-05-26 This book offers a comprehensive and the foundational structure for all healthcare professionals developing, practicing, and performing research in teledermatology. The chapters of this book examines the field of teledermatology and will include: platforms and practice models, the impact of COVID-19, the telehealth and mobile teledermatology industry, the effect on healthcare accessibility, equality, specialty referrals and no-show rates, cost effectiveness, implementation, regulations and reimbursement, practice guidelines, outcomes for skin lesions, inflammatory dermatoses, inpatient consultations and pediatrics, research utilization, education, image quality and artificial intelligence, global and international efforts as well as patient and physician satisfaction. Chapters are authored by leaders in the field of dermatology and teledermatology. The goal is for the reader to become knowledgeable and proficient within field of teledermatology to increase patient access, manage skin disease and develop beneficial outcomes via electronic consultations. Teledermatology: A Comprehensive Overview is a must-have resource for dermatologists, dermatology academic and hospital leadership, hospital administrators, and telehealth programs.
  ks medicaid fee schedule: Health Affairs , 2000
  ks medicaid fee schedule: Statistical Abstract of the United States , 2010
  ks medicaid fee schedule: National Home Care & Hospice Directory , 1998
  ks medicaid fee schedule: Cumulated Index Medicus , 1970
  ks medicaid fee schedule: Oxford Textbook of Palliative Social Work Terry Altilio MSW, ACSW, LCSW, Shirley Otis-Green MSW, ACSW, LCSW, OSW, 2011-03-23 The Oxford Textbook of Palliative Social Work is a comprehensive, evidence-informed text that addresses the needs of professionals who provide interdisciplinary, culturally sensitive, biopsychosocial-spiritual care for patients and families living with life-threatening illness. Social workers from diverse settings will benefit from its international scope and wealth of patient and family narratives. Unique to this scholarly text is its emphasis on the collaborative nature inherent in palliative care. This definitive resource is edited by two leading palliative social work pioneers who bring together an array of international authors who provide clinicians, researchers, policy-makers, and academics with a broad range of content to enrich the guidelines recommended by the National Consensus Project for Quality Palliative Care.
  ks medicaid fee schedule: Directory of Public and Private Programs for Emotionally Disturbed Children and Youth Ronald E. Fritsch, 1985 Programs and services available to children and adolescents under age 21 in the United States. Arranged alphabetically by states. Entries give facility information, student/patient characteristics, and services provided. Exceptionalities and psychopathologies indexes.
  ks medicaid fee schedule: Surgical Critical Care and Emergency Surgery Forrest "Dell" Moore, Peter M. Rhee, Carlos J. Rodriguez, 2022-04-05 Surgical Critical Care and Emergency Surgery In this newly revised edition of Surgical Critical Care and Emergency Surgery, a distinguished team of emergency surgeons deliver a one-of-a-kind question-and-answer book on the growing specialty of surgical critical care and acute surgery, ideal for those caring for the critically ill and injured surgical patient. This book reviews surgical critical care, emergency surgery, burns and trauma, and includes full color, high-quality surgical photographs to aid understanding. Readers will also benefit from access to a website that offers additional topics and tests, as well as an archive of all test questions and answers from previous editions. The authors’ focus throughout is on the unique problems and complexity of illnesses of the critically ill and injured surgical patient, and the specialist daily care that such patients require. Perfect for the acute care surgeon, surgical intensivist and those in training, Surgical Critical Care and Emergency Surgery will also earn a place in the libraries of those working in or with an interest in critical care.
  ks medicaid fee schedule: The Managed Health Care Handbook Peter Reid Kongstvedt, 1996 Considered the 'bible' of the managed care industry, this third edition is greatly expanded with 30 new chapters and extensively updated-- double the size of the last edition! the Managed Health Care Handbook is a key strategic and operational resource for use in planning and decision-making. it includes first-hand advice from experienced managers on how to succeed in every aspect of managed care: quality management, claims and benefits administration, managing patient demand, As well as risk management, subacute care, physician compensation and much more! This seminal resource is a must for providers, purchasers, and payersfor everyone involved in the managed care industry.
  ks medicaid fee schedule: Attorneys' Fees and the Tobacco Settlement Howard Coble, 2000-06 What role, if any, should Congress should play in determining the amount of attorneys' fees to be recovered by outside counsel in the event that Congress enacts a nat. settlement of tobacco-related litigation. Witnesses: Lester Brickman, Prof., Benjamin Cardozo School of Law; Jeffrey Harris, Assoc. Prof. of Economics, MIT; Michael Moore, Attorney General, Mississippi; Alan Morrison, Staff Attorney, Public Citizen; Joseph Rice, Ness, Motley, Loadholt Richardson and Poole; Richard Scruggs, Scruggs, Millette, Lawson, Bozeman and Dent; D. Scott Wise, Davis Polk and Wardwell, on behalf of the Tobacco Industry; and C. Steven Yerrid, Yerrid, Knopik and Mudano.
  ks medicaid fee schedule: The Complete Guide to Medicaid and Nursing Home Costs Atlantic Publishing Group, Inc., 2016-11-30
  ks medicaid fee schedule: The Complete Guide to Medicaid and Nursing Home Costs Atlantic Publishing Group Inc. Staff, Joan M Russell, Atlantic Publishing Co, 2008 A comprehensive guide to understanding Medicaid and nursing home costs that provides legal advice on protecting personal assets, state and federal laws regarding nursing care facilities, and information on wills and trusts.
  ks medicaid fee schedule: Kansas Register , 2009
  ks medicaid fee schedule: Law & Business Directory of Litigation Attorneys , 1992
  ks medicaid fee schedule: Skyrocketing Health Care Costs United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Oversight and Investigations, 1978
  ks medicaid fee schedule: Free Stuff for Women's Health, Fitness and Nutrition Matthew Lesko, Mary Ann Martello, 2000-04
  ks medicaid fee schedule: EPSDT : a Guide for Educational Programs United States. Health Care Financing Administration, 1992
  ks medicaid fee schedule: Journal of the House of Representatives of the United States United States. Congress. House, 2005 Some vols. include supplemental journals of such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House.
  ks medicaid fee schedule: Health Economics, second edition Frank A. Sloan, Chee-Ruey Hsieh, 2017-01-27 The new edition of a textbook that combines economic concepts with empirical evidence, updated with material on the Affordable Care Act and other developments. This book introduces students to the growing research field of health economics. Rather than offer details about health systems without providing a theoretical context, Health Economics combines economic concepts with empirical evidence to enhance readers' economic understanding of how health care institutions and markets function. The theoretical and empirical approaches draw heavily on the general field of applied microeconomics, but the text moves from the individual and firm level to the market level to a macroeconomic view of the role of health and health care within the economy as a whole. The book takes a global perspective, with description and analysis of institutional features of health sectors in countries around the world. This second edition has been updated to include material on the U.S. Patient Protection and Affordable Care Act, material on the expansion of health insurance in Massachusetts, and an evaluation of Oregon's Medicaid expansion via lottery. The discussion of health care and health insurance in China has been substantially revised to reflect widespread changes there. Tables and figures have been updated with newly available data. Also new to this edition is a discussion of the health economics literature published between 2010 and 2015. The text includes readings, extensive references, review and discussion questions, and exercises. A student solutions manual offers solutions to selected exercises. Downloadable supplementary material is available for instructors.
  ks medicaid fee schedule: Wisconsin Session Laws Wisconsin, 1976
  ks medicaid fee schedule: The Laws of Wisconsin Wisconsin, 1975 Includes some separate vols. for special sessions.
  ks medicaid fee schedule: United States Congressional Roll Call Voting Records , 1983
Microsoft Word - How to locate the Medicaid Fee Schedules
How to locate the Medicaid Fee Schedules. Outpatient. https://portal.kmap-state-ks.us/PublicPage. Click on Provider. Click on Interactive Tools. . Click. You are able to click on …

Table of Contents - Medicaid.gov
The agency’s fee schedule rate was set as of May 1, 2020 and is effective for TPN solutions provided on or after that date. The agency’s established fee schedule rates are published on …

Table of Contents State/Territory Name: KANSAS - Medicaid.gov
The agency’s fee schedule rate was set as of July 1, 2024 and is effective for services provided on or after that date. The agency’s established fee schedule rates are published on the agency’s …

Table of Contents State/Territory Name: Kansas - Medicaid.gov
governmental and private providers for the above services. The agency’s fee schedule rate was set as of April 1, 2021 and is effective for services provided on or after that date. The agency’s …

Kansas Medicaid Fee Schedule - wclc2018.iaslc.org
KMAP BULLETIN: Corrected Fee Schedules Available WEBNov 21, 2022 · Corrected fee schedules for May 2022 through November 2022 have been posted to the Kansas Medical …

Table of Contents - Medicaid.gov
The agency’s fee schedule rate was set as of May 1, 2022 and is effective for services provided on or after that date. The agency’s established fee schedule rates are published on the …

KANSAS MEDICAID STATE PLAN - govecountyks.gov
The agency’s fee schedule rate was set as of July 1, 2020 and is effective for wheelchair seating assessments provided on or after that date. The agency’s established fee schedule rates are …

Kansas Medicaid Fee Schedule (Download Only)
Kansas Medicaid Fee Schedule: A Comprehensive Guide for Providers. Navigating the complexities of the Kansas Medicaid system can be daunting, especially for healthcare …

2024 Provider Manual - Aetna Better Health
KDADS administers the Medicaid waiver programs for disability services, mental health, and substance abuse, as well as operates the state hospitals and institutions. About this Provider …

KDADS PRESENTATION TO THE LEGISLATIVE BUDGET …
Medicaid Reimbursement Process. Medicaid Managed Care. In Managed Care, the State establishes a rate schedule that identifies the floor rate. The Medicaid floor rates are the …

KANSAS-Medicaid-Covered-Codes - UHCprovider.com
KANSAS-Medicaid-Covered-Codes. KANSAS-Medicaid-Covered-Codes Codes 0001U 0002U 0003U 0005U 0007U 0008U 0009U 00100 00102 00103 00104 0010U 0011M 0011U 00120 …

KanCare Provider Reimbursement - kslegresearch.org
Medical providers who provide services to Medicaid beneficiaries are reimbursed directly by the MCOs with whom they contract. MCOs are contractually obligated to reimburse providers at or …

Ks Medicaid Fee Schedule (book) - netsec.csuci.edu
The KS Medicaid fee schedule is a crucial document that dictates the maximum amount the Kansas Medicaid program will reimburse healthcare providers for specific services rendered to …

Chapter 7: Acute Care Inpatient/ Outpatient Hospital Services
The Kansas Medicaid fee-for-service program reimburses for health care services in a number of different types of hospitals including: acute care, psychiatric, rehabilitative, and state institu-tions.

Table of Contents - Medicaid.gov
Intensive Individual Supports are based upon a Medicaid fee schedule established by the State of Kansas. Commercial third-party payers and market rates will be considered when establishing …

Kansas Medicaid A Primer 2024 original document - KHI
KHI and KLRD are pleased to provide basic facts and information about Medicaid and CHIP in Kansas. This report, Kansas Medicaid: A Primer 2024, includes an overview of Medicaid and …

KANSAS MEDICAL ASSISTANCE PROGRAM Fee-for-Service …
Medicaid reimburses LEAs for medically necessary services for the child to receive a free and appropriate public education, as documented on the child's IEP. Payment is made to LEAs …

Table of Contents State/Territory Name: Kansas - Medicaid.gov
The agency’s fee schedule rate was set as of May 1, 2020 and is effective for TPN solutions provided on or after that date. The agency’s established fee schedule rates are published on …

Kansas Medicaid - KHI
In state fiscal year (FY) 2021, Medicaid and CHIP covered an average of 461,090 people in Kansas per month at a cost of $4.4 billion for the year, as shown in Figure 1. Expenditures for …

Table of Contents State/Territory Name: Kansas - Medicaid.gov
Intensive Individual Supports are based upon a Medicaid fee schedule established by the State of Kansas. Commercial third-party payers and market rates will be considered when establishing …

Kansas Rate Setting - Kansas Legislature
Real and Personal Property Fee Inflation 0.000% RPPF Rebase Add On RPPF Before Limit RPPF Limitation Allowable RPPF (4) $906,036€ $891,625€ $876,674€ ... 1st QTR Medicaid CMI: 1.0813 SAMPLE Rate Schedule. Title: Kansas Rate …

ECONSULT MEDICAID FEE SCHEDULE - nachc.org
Below is information related to eConsult codes as reimbursed by state Medicaid fee-for-service programs. On January 1, 2024, each state’s physician fee schedule was examined for the existence of the code. If a separate fee schedule existed for federally qualified health centers (FQHCs) it too was examined for these codes.

Kansas Medicaid - KHI
Note: Medicaid/CHIP total differs from Figure 1 because certain expenses are included in the Medicaid total in the Governor’s Budget Report but not in the Medical Assistance Report. Source: KHI analysis of FY 2022 Governor’s Budget Report, Schedules 2.1, 2.2, 5.1 …

Table of Contents - Medicaid.gov
Reimbursement for services is based upon a Medicaid fee schedule established by the State of Kansas. Effective January 1, 2022, additional varicose vein treatment modalities reimbursement rates ... the corresponding schedule; d. Click the schedule TXIX. KS 24-0009 Approval Date August 14, 2024 Effective Date 7/1/2024 Supersedes KS 24-0007 ...

KANSAS MEDICAID STATE PLAN - cdn.ymaws.com
KANSAS MEDICAID STATE PLAN . Attachment 4.19- B ... and click on the word “Accept” to access the fee schedule. The next page that appears is titled “KMAP ... the user will see a list of the current and historical versions of . the corresponding schedule; d. Click the schedule TXIX. KS 23-0043 Approval Date_____ Effective Date 1/1/2024 ...

Table of Contents - Medicaid.gov
Centers for Medicare & Medicaid Services 7500 Security Blvd Baltimore, Maryland 21244-1850 ... KS 23-0034 Approval Date:12/08/2023 Effective Date: 10/01/2023 Supersedes: New . ... agency's established fee schedule rates are published on the agency's website at

Table of Contents State/Territory Name: KANSAS
Topeka, KS 66612-1220 RE: TN 24-0018 Dear Medicaid Director Osterlund, The Centers for Medicare & Medicaid Services (CMS) has reviewed the proposed Kansas State Plan Amendment (SPA) to Attachment 4.19-B 24-0018, which was submitted to CMS on August 15, ... state developed fee schedule rates are the same for both governmental and private ...

Kansas Medicaid A Primer 2024 original document - KHI
MEDICAID AND CHIP SPENDING IN KANSAS. Medicaid and CHIP Spending . in Kansas. In Kansas, about one-quarter (23.0 percent) of all . Medicaid and CHIP enrollees are adults age 65 and . older or people with disabilities, but this combined . population incurs two-thirds (68.8 percent) of total state expenditures for the Medicaid and

Table of Contents - Medicaid.gov
Topeka, KS 66612-1220 RE: TN 24-0021 Dear Medicaid Director Osterlund, The Centers for Medicare & Medicaid Services (CMS) has reviewed the proposed Kansas State Plan Amendment (SPA) to Attachment 4.19-B 24-0021, which was submitted to CMS on October 4, ... state developed fee schedule rates are the same for both governmental and private ...

Kansas Medicaid Fee Schedule - wclc2018.iaslc.org
Jul 3, 2023 · Reimbursement for services are based upon a Medicaid fee schedule established by the State of Kansas. Effective January 1, 2022, additional varicose vein treatment modalities reimbursement rates ... KanCare & Medicaid | KDHE, KS - Kansas.gov Health services are purchased through either a managed care model or a fee-for-

Table of Contents State/Territory Name: Kansas - Medicaid.gov
Centers for Medicare & Medicaid Services 601 E. 12th St., Room 355 Kansas City, Missouri 64106 ... KS 22-0012 Approval Date 6/21/22 Effective Date 5/1/22 ... Except as otherwise noted in the plan, state developed fee schedule rates are the same for both governmental and private providers for the above services. The agency’s fee schedule rate ...

Table of Contents State/Territory Name: Kansas State Plan …
Reimbursement for services are based upon a Medicaid fee schedule established by the State of Kansas. Effective January 1, 2022, additional varicose vein treatment modalities reimbursement rates ... the corresponding schedule; d. Click the schedule TXIX. KS 23-0003 Approval Date 1/18/2023 Effective Date 1/1/2023 Supersedes KS 22-0003 .

Kansas Medicaid Adult Dental coverage implemented July 1, …
Code Description Fee D1354 $15.00 D2140 Amalgam - one surface $53.50 D2150 Amalgam - two surfaces $64.00 D2160 Amalgam - three surfaces $76.00 D2161 Amalgam- four or more surfaces $91.50 ... Kansas Medicaid Adult Dental coverage implemented July 1, 2022 Link to Provider Bulletin 22140.

Chapter Durable Medical Chapter 4 - Kansas.gov
ongoing basis. This practice resulted in Medicaid paying thousands of dollars for a rental fee on a pump that cost $400 to purchase. The coverage policy was updated to allow purchase with prior authorization; renting is only allowed when it is evident that the need will be of short duration. If the need is lifetime, purchase is required.

Table of Contents State/Territory Name: KANSAS
Centers for Medicare & Medicaid Services Center for Medicaid & CHIP Services 230 South Dearborn Chicago, Illinois 60604 ... to Attachment 4.19-B KS-24-0011, which was submitted to CMS on August 2, 2024. This plan amendment updates the Global Pregnancy reimbursement rates. ... state-developed fee schedule rates are the same for both

Table of Contents State/Territory Name: KS State Plan …
costs are not included in the Medicaid fee schedule. Except as otherwise noted in the plan, state-developed fee schedule rates are the same for both governmental and private providers of EPSDT. The agency’s fee schedule rate was set as of August 16, 2019 and is effective for services provided on or after that date. Allrates are

MM13463 - DMEPOS Fee Schedule: CY 2024 Update
Dec 7, 2023 · The fee schedule amounts for the new permanent codes are the corresponding fee schedule amounts for the temporary K codes. We’ll delete the corresponding temporary K codes for the supplies and other products from the fee schedule file effective January 1, 2024. 7. New HCPCS and Fee Schedule Amounts for Lymphedema Compression Treatment Items

Table of Contents - Medicaid.gov
Centers for Medicare & Medicaid Services Center for Medicaid & CHIP Services 233 North Michigan Ave., Suite 600 Chicago, Illinois 60601 ... KS 66612-1220 RE: Kansas State Plan Amendment (SPA) ... state developed fee schedule rates are the same for both

Table of Contents State/Territory Name: KS State Plan …
Centers for Medicare & Medicaid Services . 7500 Security Boulevard, Mail Stop S2-26-12 . Baltimore, Maryland 21244-1850 ... KS 22-0026 Approval Date ESeptember 27, 2022 ... established fee schedule rates are published on the agency’s website at

2023 Medicaid Physician Fee Schedule - Cabinet for Health …
KY Medicaid Physician Fee Schedule 2023 Revised 1.9.2024 Procedure Code Procedure Description PA Ind Inpat Rate Facility Outpat Rate NonFacility Tech. Comp. Prof. Comp. Base Unit Value Notes 00100 ANES FOR PROCEDURES ON SALIVARY GLANDS, INCLUDING BIOPSY * * 5.00

Table of Contents - Medicaid.gov
Centers for Medicare & Medicaid Se1vices 7500 Security Boulevard Baltimore, Maiyland 21244-1850 ... KS 23-0044 Approval Date: 2/23/2024 Effective Date: 1/1/2024 Supersedes: New . ... agency’s established fee schedule rates are published on the agency’s website at

Table of Contents State/Territory Name: KS State Plan …
Centers for Medicare & Medicaid Services . 7500 Security Boulevard, Mail Stop S2-26-12 . Baltimore, Maryland 21244-1850 ... based upon 85% of the current Medicare fee schedule rates when billed separately for ... KS 23-0006 Approval Date March 1, 2023 Effective Date 1/1/2023 Supersedes KS 13-01 ...

ECONSULT MEDICAID FEE SCHEDULE
Below is information related to eConsult codes as reimbursed by state Medicaid fee-for-service programs. On January 1, 2024, each state’s physician fee schedule was examined for the existence of the code. If a separate fee schedule existed for federally qualified health centers (FQHCs) it too was examined for these codes.

Illinois Medicaid COVID-19 Fee Schedule
on/after 1/1/2024. Please reference past COVID-C19 fee schedules for rates and billing instructions in effect prior to 1/1/2024. Please Note: FQHCs, RHCs and ERCs must submit COVID-19 vaccine product codes fee-for-service (FFS) separately from any applicable encounter claim for adults age 19+, even if the vaccine was

Coverage and Payment of Vaccines and Vaccine
Medicaid and CHIP beneficiaries, and Basic Health Program (BHP) enrollees, so they may better understand coverage, cost-sharing, and payment for vaccines and vaccine administration under Medicaid, CHIP, and BHP, including the requirements applicable to Medicaid and CHIP under section 11405 of the Inflation Reduction Act (IRA) (Pub. L. 117-169).

2009 Medicaid Transformation Program Review Out-of-State …
this review, includes only those services provided to individuals enrolled in the fee for service program. The Managed Care contractors manage the out-of-state services provided to the HealthWave population. The Kansas Medicaid out-of-state program functions under the ... Medicaid fee schedule which is the services Medicaid program,

Approval-KS-24-0012-SPA_Redacted.pdf - Medicaid.gov
Centers for Medicare & Medicaid Services 601 E. 12th St., Room 355 Kansas City, Missouri 64106 ... KS 24-0012 Approval Date 9/10/2024 Effective Date 7/1/2024 Supersedes KS 22-0011 . KANSAS MEDICAID STATE PLAN ... state developed fee schedule rates are the same for both

Table of Contents State/Territory Name: KANSAS
Topeka, KS 66612-1220 RE: TN 24-0019 Dear Medicaid Director Osterlund, The Centers for Medicare & Medicaid Services (CMS) has reviewed the proposed Kansas State Plan Amendment (SPA) to Attachment 4.19-B 24-0019, which was submitted to CMS on August 28, ... state developed fee schedule rates are the same for both governmental and private ...

Table of Contents State/Territory Name: - Medicaid.gov
Centers for Medicare & Medicaid Services 601 E. 12th St., Room 355 Kansas City, Missouri 64106 ... The agency’s established fee schedule rates are published on the agency’s website at ... the corresponding schedule; d. Click the schedule TXIX. KS 23-0017 Approval Date: 06/16/2023 Effective Date: 04/01/2023 Supersedes: New ...

Table of Contents - Medicaid.gov
KANSAS MEDICAID STATE PLAN Attachment 4.19-B #13.d Page I Rehabilitation Services Methods and Standrrds for Estlblishing Payment Rates Reimbursement for services are based upon a Medicaid fee schedule established by the State of Kansas. Commercial third party payers and market rates will be considered when establishing the fee schedules. These …

Early Detection Works Provider Fee Schedule Effective for …
Updated February 2024 3 EDW Fee Schedule July 1, 2023 - June 30, 2024: Early Detection Works Provider Fee Schedule Effective for Service Dates July 1, 2023 - June 30, 2024 Code Description Rate: ... descriptions published by the American Medical Association and the Centers for Medicare & Medicaid Services (CMS). Reimbursement is based on ...

Table of Contents - Medicaid.gov
Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 ... Health and Environment Division of Health Care Finance Landon State Office Building 900 SW Jackson, Suite 900 N Topeka, KS 66612-1220 Re: Kansas State Plan Amendment (SPA) 23-0016 ... The state’s rate is as follows and the state’s fee schedule is ...

LAM5M110 LOUISIANA MEDICAID MANAGEMENT …
See Immunization Fee Schedule and Louisiana Medicaid EPSDT Program Fee Schedule. 05 - Professional component. Claims with modifier -26 are priced from this file. 07 - Full service file for physician services for recipients 0 through 15 (0-15) years of age. Nurse Practitioners, Clinical

Mississippi Division of Medicaid
Jul 1, 2020 · • When there is no maximum fee listed (0.00), the provider must request prior authorization or submit a By Report claim, as identified on the fee schedules. 11; Fee Reduced • This column is the maximum amount less the 5% reduction required by Miss. Code Ann. §43-13-117(B) that the Division of Medicaid will pay for the DME, medical supply,

Maryland Medicaid Dental Fee Schedule and Procedure Codes
Maryland Medicaid Dental Fee Schedule and Procedure Codes CDT 2022* REVISION December 2022 EFFECTIVE DATE January 1, 2022 ... Fee Diagnostic Clinical Oral Evaluations D0120 Periodic Oral Evaluation – Established Patient 29.08 D0140* Limited Oral Evaluation – …

2022 Transportation Fee Schedule - Cabinet for Health and …
KY Medicaid Transportation Fee Schedule 2024 Revised 1.8.2024 Provider Type 55 Reimbursement Rate & Destination in parenthesis Definition A0427 $110.00 (Hospital) OR $60.00 (Other) AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY), BASE RATE A0427 GM $25.00 (Hospital) OR $25.00 (Other)

KS-20-0022%20Approved%20SPA%20Documents.pdf
KANSAS MEDICAID STATE PLAN KS 20-0022 Approval Date _____ ___Effective Date 01/01/21 Supersedes KS 18-0012 Attachment 3.1-A Page 6 ... Except as otherwise noted in the plan, state developed fee schedule rates are the same for both governmental and private providers these screening services. The agency’s fee schedule rate for maternal

LAM5M121 LOUISIANA MEDICAID MANAGEMENT …
outpatient hospital services fee schedule . fees effective for dos january 01, 2021 thru december 31, 2021 ... code e - medicaid expansion . lam5m121 louisiana medicaid management information system report no: rf-0-76op . run: 12/31/21 09:54:52 department of health and hospitals -bureau of health services - financing page: 1 ...

Table of Contents - Medicaid.gov
Centers for Medicare & Medicaid Services 601 E. 12th St., Room 355 Kansas City, Missouri 64106 Medicaid and CHIP Operations Group July 26, 2022 ... 900 SW Jackson, Suite 900 N Topeka, KS 66612-1220 Re: Kansas State Plan Amendment (SPA) 22-0013 Dear Ms. Fertig: The Centers for Medicare & Medicaid Services (CMS) reviewed your Medicaid State Plan

2023 Preventive Health Fee Schedule - Cabinet for Health …
2023 Preventive Health Fee Schedule (Provider type 20) revised 1.5.2024 • Red indicates new codes or changes for the most current revision date. • The appearance on this fee schedule of a code and rate is not an indication of coverage, nor a guarantee of payment. Notes • It is the responsibility of the provider to check member eligibility.

Table of Contents - Medicaid.gov
Interim Medicaid Director Deputy Secretary of Agency Integration and Medicaid KDHE, Division of Health Care Finance Landon State Office Building 900 SW Jackson, Room 900-N Topeka, KS 66612-1220 RE: KS-23-0039 Dear Interim Medicaid Director Osterlund, We have reviewed the proposed Kansas State Plan Amendment (SPA) to Attachment 4.19-B which

Table of Contents - Medicaid.gov
Centers for Medicare & Medicaid Se1vices 601 E. 12th St., Room 355 Kansas City, Missouri 64106 ... Health and Environment Division of Health Care Finance Landon State Office Building 900 SW Jackson, Suite 900 N Topeka, KS 66612-1220 Re: Kansas State Plan Amendment (SP A) 23-0022 Dear Ms. Fe1iig: ... state developed fee schedule rates are the ...

2023 Medicare and Medicaid Fee Schedules Medicare Fee …
Link to fee schedule. NGS Jurisdiction K Connecticut, Maine, Massachusetts, New Hampshire, New York, Rho de Island, Vermont . Link to fee schedule WPS Jurisdiction 5 Iowa, Kansas, Missouri, Nebraska . Link to fee schedule. WPS Jurisdiction 8 Indiana, Michigan . Link to fee schedule CGS Jurisdiction 15 Kentucky, Ohio . Link to fee schedule ...

Montana Healthcare Programs Fee Schedule Dental Services …
Montana Healthcare Programs Fee Schedule Dental Services July 1, 2024 Proc Mod Description Effective Method Fees PA Min Age Max age Notes ... 000 999 Members with Full Medicaid; 1 every 5 years D2920 - DENTAL RECEMENT CROWN 7/1/2024 FEE SCHED $57.56 - 000 999 Members with Full Medicaid; 1 every 5 years ...

LAM5M110 LOUISIANA MEDICAID MANAGEMENT …
See Immunization Fee Schedule and Louisiana Medicaid EPSDT Program Fee Schedule. 13 - Office of Public Health (OPH). These codes are only payable to Provider Specialty of 60 - Public Health or Welfare . Agencies and Clinics and are only being listed for informational purposes. COLUMNS 2, 3 and 4.

2024 Medicaid Physician Fee Schedule - Cabinet for Health …
KY Medicaid Physician Fee Schedule 2024 Revised 10.15.2024 * See Billing Instruction manual for rate information • Please use lab fee schedule for covered codes not listed below in the 80000-89249 range. • The Anesthesia Base Rate is $15.20. Each 15 minute increment=1 time unit. • "R" in PA column indicates Prior Auth is required

Table of Contents State/Territory Name: KS State Plan …
governmental and private providers. The agency's fee schedule rate was set as of 07/01/2018 and is effective for services provided on or after that date. The agency's established fee schedule rates are published on the agency's website at https:// www.kmap-state-ks.us TN# 18-0011 Approval Date 11/23/2018 Effective Date 07/01/2018 Superseded NEW

Table of Contents - Medicaid.gov
__X __ The state is establishing a state specific fee schedule for COVID-19 testing pursuant to sections 1905(a)(4)(F) and 1902(a)(30)(A) of the Act. The state’s rate is as follows and the state’s fee schedule is published in the following location: DR SPA KS-20-0012 authorizes the waiver of cost sharing for testing with the effective

CPT CODE FEE SCHEDULE NEW MEXICO MEDICAID FEE FOR …
NEW MEXICO MEDICAID FEE FOR SERVICE CPT CODE FEE SCHEDULE Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained ... 0445T Y $0.00 General Fee Schedule - 7/1/2016 0792T Y $29.00 General Fee Schedule - 7/1/2023 10004 Y $50.11 General Fee Schedule - 7/1/2023 ...