MedicaidReimbursementMedium impact
KMAP BULLETIN: Rate Changes for Physician-Administered Drugs – July 2026
Kansas Medicaid (KanCare)·KS · Oncology, Rheumatology, OB-GYN +3 more·Claims & Billing
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Summary
Effective July 1, 2026, Kansas Medicaid will update reimbursement rates for physician-administered drugs to match Medicare Part B rates. High-dollar rare disease drugs and LARC products have special pricing rules, with LARC price changes applied retroactively.
Action Required
By July 1, 2026: Billing team must verify Kansas Medicaid rates for physician-administered drugs are updated in billing system to reflect new Medicare Part B rates. Monitor KanCare MCO implementation dates on KMAP Bulletins page as MCO system updates may vary from state effective date. Claims may be underpaid if using outdated rates.