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KMAP BULLETIN: UPDATED - NCCI/MUE Editing – January 2025

Kansas Medicaid (KanCare)·KS·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Days to comply
—

Summary

CMS updated the Medically Unlikely Edit (MUE) value for HCPCS code J0911 from 50 to 60 units per day, effective January 1, 2025. Kansas Medicaid (KMAP) will automatically reprocess any affected claims for additional payment.

Action Required

Action needed
No action required. KMAP will automatically reprocess any impacted claims for additional payment. Monitor claim processing for J0911 to ensure proper payment for units 51-60.

Affected Billing Codes

J0911

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