Provider Notices & Newsletters | Aetna Medicaid Kansas (2024)

Update(PDF)

Parent Peer Support(PDF)

Coverage of Outpatient Pulmonary Rehabilitation(PDF)

Positron Emission Tomography (PET) Scan(PDF)

Rate Changes for Physician Administered Drugs – January 2023(PDF)

Coverage of Shingrix for Immunocompromised Ages 19 and Older(PDF)

KMAP Provider Group Affiliation Update(PDF)

MediKan Drug Coverage Update(PDF)

HRSA Medicaid Exclusions(PDF)

Long-Acting Reversible Contraceptive Billing Allowance – Post Partum(PDF)

NCCI/MUE Editing - January 2023(PDF)

Medication Assisted Treatment Drugs/Biologicals - Rate Update -January 2023(PDF)

UPDATED - High Dollar Rare Disease Drug Reimbursem*nt(PDF)

RHC/FQHC Rate Changes –January 2023(PDF)

Certificate of Medical Necessity Form for Oxygen is Discontinued(PDF)

Ostomy Products Coverage Update(PDF)

Medicare Part D Copayment Assistance for 2023(PDF)

Preferred Drug List Update(PDF)

Bebtelovimab Rate Change(PDF)

Assurance of PRTF Per Diem Rate(PDF)

Swing Bed Rate for 2023(PDF)

SFY 2022 Kansas Single State Audit Announcement(PDF)

Medicaid Rates for Physician Administered Drugs(PDF)

CCBHC Specialty Designation Service Code Update(PDF)

COVID-19 Novavax Vaccine Booster Update(PDF)

Corrected Fee Schedules Available(PDF)

SFY 2022 Kansas Single State Audit Announcement(PDF)

Medicaid Rates for Physician Administered Drugs(PDF)

CCBHC Specialty Designation Service Code Update(PDF)

COVID-19 Novavax Vaccine Booster Update(PDF)

Prior Authorization Updates(PDF)

MS-DRG Revisions for 2023(PDF)

Important KMMS Update – Unit Type(PDF)

Coverage of Pneumococcal Conjugate Vaccine for Persons Under 19 Years of Age(PDF)

See Also

KMAP BULLETIN: Important KMMS Updates

Important KMMS Update –Patient Liability Display(PDF)

HCAIP Adjustment Factor Removal(PDF)

KMMS/KMAP System Down Time(PDF)

COVID-19 Bivalent Vaccine Boosters Update(PDF)

90-Day Supply Maintenance Drug List(PDF)

Fiscal Year 2023 Hospice Reimbursem*nt Rates(PDF)

UPDATED - Lactation Counseling (PDF)

UPDATED - External Independent Third-Party Review (PDF)

Kansas Medicaid Managed Care Member Notice for Ending the COVID-19 Public Health Emergency Temporary Waivers (PDF)

Kansas Medicaid eligibility and fee for Service Member Ending the COVID-19 Public Health Emergency Temporary Waivers (PDF)

Kansas Medicaid Managed Care Member Notice for Ending the COVID-19 Public Health Emergency Temporary Waivers (PDF)

Update: KanCare All MCO 3rd Quarter 2022 Training Now All Virtual (PDF)

REMINDER Effective October 9, 2022NCPDP Validation andTranslation Error (PDF)

Billing Guidance for Spravato (PDF)

HCPCS Code Update (PDF)

HCPCS October 2022 (PDF)

Prior Authorization Updates (PDF)

KanCare All MCO 3rd Quarter 2022 In-Person Training (PDF)

Novavax COVID-19 Vaccine Coverage (PDF)

CCBHC Specialty Designation for Prospective Payment System Updates (PDF)

Monkeypox Laboratory and Vaccine Coverage (PDF)

COVID-19 Bivalent Vaccine Booster (PDF)

Ending the COVID-19 Public Health Emergency Temporary Waivers (PDF)

Prior Authorization Updates (PDF)

Preferred Drug List Update (PDF)

POS 10 Allowance Update (PDF)

Medicare Guidelines for Unacceptable Diagnosis Codes Update (PDF)

Medical Attestation Form Required for Clinical Trials (PDF)

Revisions to October 2022 NCCI PTP Editing (PDF)

Low Profile G-Tube Coverage Update (PDF)

Addendum to NEMT Services for Dental Procedures (PDF)

Hospice Service Provider Update (PDF)

HCAIP OPS Adjustment Factor Update (PDF)

New KMAP Portal Training Videos (PDF)

Additional Moderna COVID-19 Vaccines for Children (PDF)

Nursing Facility Provider Revalidation Notification Process (PDF)

HCAIP Inpatient Claims Update (PDF)

New KMAP Portal Training Videos (PDF)

UPDATED - NCPDP Validation and Translation Errors (PDF)

Nursing Facility Provider Revalidation Notification Process (PDF)

HCAIP Inpatient Claims Update (PDF)

COVID-19 Vaccines for Children Ages 6 Months to 5 Years (PDF)

Novavax COVID-19 Vaccine Coverage (PDF)

Pfizer Pediatric Vaccine Booster Dose (PDF)

Medicare Part C Verification Updates (PDF)

Important KMMS Update (PDF)

Preferred Drug List Update (PDF)

Program Integrity Spotlight (PDF)

DME Guidelines for Diabetic Supplies (PDF)

NEMT Provider and Driver Requirements Update (PDF)

COVID-19 Test Kit HCPCS Code Update (PDF)

Project Access Covid Tests (PDF)

Limitations for Maternal Depression Screenings Update (PDF)

Revision to July 2022 NCC I MUE Files OPH/PRA (PDF)

KMAP Paper Check Payments Delayed (PDF)

UPDATED - Behavioral Health Services Rate Increase (PDF)

Preferred Drug List Update (PDF)

KanCare All MCO HCBS 2022 Virtual Training (PDF)

UPDATED - Ambulance Service and Ground Mileage Rate Increase Update (PDF)

Services Performed by Temporarily Licensed SLPs Code Update (PDF)

Update to Dental Coverage for Ages 21 and Older (PDF)

HCPCS July 2022 (PDF)

Pregnant Woman Postpartum Coverage Extension (PDF)

Rate Increase for HCBS SED Services (PDF)

HCPCS C-Code Update (PDF)

Addition of Autism Waiver Self-Directed Respite Services (PDF)

Behavioral Health Services Rate Increase (PDF)

Hospital at Home Care Code Update (PDF)

Annual DME Rate Adjustment (PDF)

Prior Authorization Updates (PDF)

KMAP Payment Delay (PDF)

COVID-19 Testing for Same Date of Service (PDF)

REMINDER - KMAP Recommended Browsers (PDF)

KMAP Provider Training Opportunities (PDF)

Pediatrician Rate Increase Update (PDF)

Ambulance Service and Ground Mileage Rate Increase Update (PDF)

MS-DRG Revision Update (PDF)

High Dollar Rare Disease Drug Reimbursem*nt (PDF)

Hospital Readmission Guidelines Update (PDF)

Place of Service Allowance for OneCare Kansas Codes (PDF)

NCCI-MUE Editing - July 2022 (PDF)

Coverage of Periodontal Maintenance (PDF)

Preferred Drug List Update (PDF)

UPDATED- Reminder- 340B Provider Claim Identification and Drug Rebate Invoicing Process Update (PDF)

Pediatric Dental Coverage Update (PDF)

NCPDP Common File Error Log (PDF)

NOTICE: KMMS Daily Maintenance (PDF)

CMS PERM Review Process Completed (PDF)

Additional KMAP Portal Training Videos (PDF)

KanCare All MCO Spring 2022 Virtual Training (PDF)

UPDATED - Reimbursem*nt for Dispense as Written Approved Pharmacy Claims (PDF)

Sterilization Consent Form (PDF)

Coverage of Family Psychotherapy Without Patient Present (PDF)

Patient Costs Furnished with Participation in Qualifying Clinical Trials (PDF)

Reminder to MCO Providers Regarding External Independent Third-Party Review (PDF)

Coverage of Monoclonal Antibody Bebtelovimab (PDF)

UPDATED - Reminder - 340B Provider Claim Identification and Drug Rebate Invoicing Process Update (PDF)

HCPCS C-Code Update (PDF)

REMINDER - KMAP Recommended Browsers (PDF)

HCPCS Update – April 2022 (PDF)

Pneumococcal Vaccine Coverage Update (PDF)

Evusheld™ Emergency Use Authorization Coverage for Ages 12 and Over (PDF)

Emergency Use Authorization Coverage for Evusheld™ (PDF)

Important KMMS Updates (PDF)

COVID-19 Antiviral Coverage Update (PDF)

Mobile Crisis Intervention Services Provided by a CMHC or CCBHC (PDF)

KMAP Pricing Change (PDF)

MS-DRG Revisions for 2022 (PDF)

NCPDP E1 Transaction (PDF)

Reminder - NDC Billing Compliance (PDF)

New KMAP Portal Training Videos (PDF)

Updated Preparation for Rescheduled KMMS Go-Live April 4, 2022 (PDF)

Action Required by March 31, 2022 to Avoid KMAP Access Interruption (PDF)

Maternal Depression Screening Coverage Update (PDF)

Provider Review of the PDMP – Age Requirement Update (PDF)

COVID-19 Test Kit Coverage (PDF)

HCPCS Update Delay for 2022 (PDF)

ICD-10 Updates – April 2022 (PDF)

Reimbursem*nt for Dispense as Written Approved Pharmacy Claims (PDF)

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

Coverage of Services Provided by Temporarily Licensed Speech and Language Pathologists (PDF)

Pharmacy 24-Hour Prior Authorization Requirements (PDF)

NCCI-MUE Editing – April 2022 (PDF)

Prior Authorization Updates (PDF)

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

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

Performing Provider Affiliation Project Completed (PDF)

KanCare All MCO First Quarter 2022 Virtual Training (PDF)

Preferred Drug List Update (PDF)

Third Dose of COVID-19 Vaccine for Immunocompromised Children (PDF)

Updates to the HCBS Provider Qualifications Audit Process (PDF)

The COVID-19 Public Health Emergency and Medicaid FAQs (PDF)

Conversion Factor for Anesthesia Codes Update (PDF)

24-Hour Prior Authorization Requirements (PDF)

Hospice Attending Physician Services for RHCs and FQHCs Update (PDF)

Revised Preparation for Rescheduled KMMS Go-Live April 4, 2022 (PDF)

COVID-19 Booster Vaccine Update (PDF)

REMINDER: Claim Filing Indicator Code for Medicare or Medicare Replacement Plan (PDF)

COVID-19 Moderna Low Dose Booster Update (PDF)

KMMS Go-Live: Implementation Date Change (PDF)

UPDATED: ACTIVATION AND ENFORCEMENT OF WEDI SNIP LEVEL 1 & 2 COMPLIANCE EDITS (PDF)

Provider Review of the PDMP – Frequency Clarification (PDF)