MedicaidAdministrativeMedium impact
KMAP BULLETIN: Reminder: Medicaid Payor of Last Resort
Kansas Medicaid (KanCare)·KS·Provider Bulletin
We identified it
Jun 21, 2026
Summary
KMAP reminds providers that Medicaid is the payor of last resort, requiring all third-party liability (TPL) including Medicare to be billed first before submitting claims to Medicaid. Medicare has recently changed allowed provider types for enrollment, which now subjects more providers to TPL requirements.
Action Required
Immediately: Billing team must ensure all Medicare and other third-party insurance is billed first before submitting any claims to Medicaid. Update billing workflows to verify TPL coverage for all Medicaid patients. Review the updated TPL Non-Covered List on KMAP Public Page under Provider Interactive Tools to confirm which services require TPL billing.