MedicaidAdministrativeMedium impact
KMAP BULLETIN: Wellness Monitoring in Congregate Settings – Exempt from EVV Requirement
Kansas Medicaid (KanCare)·KS · Geriatrics·Provider Bulletin
Effective date
Mar 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid has exempted Wellness Monitoring services in congregate care settings from Electronic Visit Verification (EVV) requirements, effective retroactively from March 1, 2025. Providers must use specific HCPCS code S5190 with modifier UA when billing for these services in licensed facilities.
Action Required
By March 1, 2025: Billing team must update system to use HCPCS code S5190 with modifier UA for Wellness Monitoring services provided in congregate settings (assisted living, residential health care facilities, etc.) for HCBS Frail Elderly and Intellectual/Developmentally Disabled waiver programs. Verify that services are within the provider's licensed scope before using this code/modifier combination. Monitor KanCare MCO implementation status on the KMAP Open Claims Resolution Log.