MedicaidReimbursementMedium impact
KMAP BULLETIN: Rate Changes for Physician-Administered Drugs – April 2026
Kansas Medicaid (KanCare)·KS·Claims & Billing
Effective date
Apr 1, 2026
We identified it
Jun 21, 2026
Summary
Kansas Medicaid will update reimbursement rates for physician-administered drugs (PADs) to match Medicare Part B rates effective April 1, 2026. High-dollar rare disease drugs and LARC products have special pricing rules that may include retroactive adjustments.
Action Required
Before April 1, 2026: Billing team must verify Kansas Medicaid managed care organizations have implemented the new physician-administered drug rates in their systems by checking the KanCare Open Claims Resolution Log on the KMAP Bulletins page. Monitor for any reprocessing requirements or system delays that may affect claim payments.